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Which statement shows a nurse has empathy for a patient who made a suicide attempt?
- A. You must have been very upset when you tried to hurt yourself.'
- B. It makes me sad to see you going through such a difficult experience.'
- C. If you tell me what is troubling you, I can help you solve your problems.'
- D. Suicide is a drastic solution to a problem that may not be such a serious matter.'
Correct Answer: A
Rationale: Empathy permits the nurse to see an event from the patient's perspective, understand the patient's feelings, and communicate this to the patient. The incorrect responses are nurse-centered, belittling, or sympathetic.
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A patient says, 'People should be allowed to commit suicide without interference from others.' A nurse replies, 'You're wrong. Nothing is bad enough to justify death.' What is the best analysis of this interchange?
- A. The patient is correct.
- B. The nurse is correct.
- C. Neither person is totally correct.
- D. Differing values are reflected in the two statements.
Correct Answer: D
Rationale: The statements reflect differing values on autonomy and life, highlighting the need for nurses to be aware of their own values.
A new nurse tells a mentor, 'I want to convey to my patients that I am interested in them and that I want to listen to what they have to say.' Which behaviors are helpful in meeting the nurse's goal? (Select all that apply.)
- A. Sitting behind a desk, facing the patient
- B. Introducing self to a patient and identifying own role
- C. Using facial expressions that convey interest and encouragement
- D. Assuming an open body posture and sometimes mirror imaging
- E. Maintaining control of the topic under discussion by asking direct questions
Correct Answer: B,C,D
Rationale: Introducing oneself, using encouraging facial expressions, and open body posture foster trust and convey interest.
A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?
- A. The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.'
- B. The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.'
- C. The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.'
- D. The focus-Is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other.'
Correct Answer: A
Rationale: The therapeutic relationship focuses on the patient's needs and solutions, distinguishing it from social relationships.
At what point in the nurse-patient relationship should a nurse plan to first address termination?
- A. In the orientation phase
- B. During the working phase
- C. In the termination phase
- D. When the patient initially brings up the topic
Correct Answer: A
Rationale: Informing the patient about the relationship's conditions, including termination, early in the orientation phase ensures clarity and sets expectations.
During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
- A. Preorientation
- B. Orientation
- C. Working
- D. Termination
Correct Answer: C
Rationale: The working phase involves assisting the patient in connecting dysfunctional behaviors, thoughts, and emotions, and trying alternative coping strategies.