Question 1

The nurse is caring for an older male client who states, "You remind me so much of my late wife." During subsequent encounters with the client, he expresses overwhelming feelings of affection toward the nurse and states "I don't know what I would do if you weren't my nurse. No one cares for me like you do." How should the nurse respond?

A) Promote safety and immediately terminate the relationship with the client.
B) Encourage the client to ignore these thoughts and feelings.
C) Immediately reassign the client to another staff member.
D) Help the client to clarify the meaning of the relationship.

Help the client to clarify the meaning of the relationship.

Accepted Answer

The nurse should explore the client's feelings and help him to clarify the meaning of the relationship in a therapeutic manner. It is important to maintain professional boundaries while addressing the client's emotions and provide appropriate support and care. Simply terminating the relationship or reassigning the client to another staff member may not address the underlying issues or emotions that the client is experiencing. Encouraging the client to ignore or suppress his feelings is also not a therapeutic approach.

Question 2

Which is an example of offering a &#34;general lead&#34; when interviewing a newly admitted psychiatric client?&#10;A) &#34;Do you know why you are here?&#34;&#10;B) &#34;Are you feeling depressed or anxious?&#34;&#10;C) &#34;Yes, I see. Go on.&#34;&#10;D) &#34;Can you order the specific events that led to your admission?&#34;&#10;

Accepted Answer

A general lead is a non-specific prompt that encourages the client to continue talking or elaborate on a topic without directing the conversation to a specific area. "Yes, I see. Go on." is an example of a general lead because it encourages further conversation without specifying a topic.

Question 3

Which client statement would a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?&#10;A) &#34;I can't bear the thought of leaving here and failing.&#34;&#10;B) &#34;I might have a hard time working with you because you remind me of my mother.&#34;&#10;C) &#34;I really don't want to talk any more about my childhood abuse.&#34;&#10;D) &#34;I'm not sure that I can count on you to protect my confidentiality.&#34;&#10;

Accepted Answer

&#34;I really don't want to talk any more about my childhood abuse.&#34;

Question 4

A mother rescues two of her four children from a house fire. The other two children die in the house fire. In an emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response?

A) "The smoke was too thick. You couldn't have gone back in."
B) "You're experiencing feelings of guilt, because you weren't able to save your children."
C) "Focus on the fact that you could have lost all four of your children."
D) "It's best if you try not to think about what happened. Try to move on."

Unlock Deck

Unlock for access to all 22 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

Option B is the best response because it recognizes the mother's emotion of guilt and validates her feelings. Option A is not appropriate because it diminishes the mother's grief, and Option C does not validate the mother's guilt. Option D is also not appropriate because it suggests that the mother should suppress her emotions and not process her grief.

Question 5

Which is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?&#10;A) Clarify personal attitudes, values, and beliefs.&#10;B) Obtain thorough assessment data.&#10;C) Determine the client's length of stay.&#10;D) Establish personal goals for the interaction.&#10;

Accepted Answer

Clarifying personal attitudes, values, and beliefs is essential for a nurse before forming a therapeutic relationship with a client to ensure that the nurse's personal biases do not interfere with the care provided. This self-awareness helps in maintaining professionalism and focusing on the client's needs.

Question 6

A client exhibiting dependent behaviors says, &#34;Do you think I should move out of my parents' house and get a job?&#34; Which nursing response is most appropriate?&#10;A) &#34;It would be best to do that in order to increase independence.&#34;&#10;B) &#34;Why would you want to leave a secure home?&#34;&#10;C) &#34;Let's discuss and explore all of your options.&#34;&#10;D) &#34;I'm afraid you would feel very guilty leaving your parents.&#34;&#10;

Accepted Answer

This response opens up a discussion and exploration of the client's options, which is important in encouraging the development of independence and decision-making skills, while also showing support and encouragement for the client's initiative to seek advice. The other options either discourage the client's initiative or make assumptions about their feelings.

Question 7

Which type of touch is described as functional-professional?&#10;A) A nurse performing an assessment&#10;B) Shaking the hand of an acquaintance&#10;C) A child laying their head on the mother's lap&#10;D) Hugging a good friend and former coworker good-bye&#10;

Accepted Answer

Functional-professional touch is typically used in a professional setting, such as a healthcare provider performing an examination or assessment. Choice A, a nurse performing an assessment, fits this description. Choices B, C, and D are all examples of social touch, which is more focused on building relationships and expressing emotions.

Question 8

An instructor is correcting a nursing student's clinical worksheet. Which instructor statement is the best example of effective feedback?&#10;A) &#34;Why did you use the client's name on your clinical worksheet?&#34;&#10;B) &#34;You were very careless to refer to your client by name on your clinical worksheet.&#34;&#10;C) &#34;Surely you didn't do this deliberately, but you breached confidentiality by using names.&#34;&#10;D) &#34;It is disappointing that after being told you're still using client names on your worksheet.&#34;&#10;

Accepted Answer

This statement acknowledges the nursing student's intentions, while still addressing the mistake and providing constructive feedback. It also explains why breaching confidentiality is a concern. The other options use accusatory language or negative tone, which is not effective for providing feedback.

Question 9

A nurse says to a client, &#34;Things will look better tomorrow after a good night's sleep.&#34; This is an example of which communication technique?&#10;A) The therapeutic technique of giving advice&#10;B) The therapeutic technique of defending&#10;C) The nontherapeutic technique of presenting reality&#10;D) The nontherapeutic technique of giving reassurance&#10;

Accepted Answer

The nurse's statement is an example of the nontherapeutic technique of giving reassurance. This can be problematic because it discounts the client's current experience and feelings, and may discourage them from expressing their concerns in the future. It is better to offer empathy and support rather than dismissing their feelings with reassurance.

Question 10

A nurse maintains an uncrossed arm and leg posture when communicating with a client. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?&#10;A) S&#10;B) O&#10;C) L&#10;D) E&#10;

Accepted Answer

The "O" in SOLER stands for an Open and relaxed posture. Maintaining an uncrossed arm and leg posture is a nonverbal behavior that indicates openness and relaxation, which is reflective of the "O" in the SOLER acronym.

Question 11

On which task would a nurse place highest priority during the working phase of relationship development?&#10;A) Establishing a contract for intervention&#10;B) Examining feelings about working with a particular client&#10;C) Establishing a plan for continuing aftercare&#10;D) Promoting the client's insight and perception of reality&#10;

Accepted Answer

The answer of On which task would a nurse place...

Question 12

The nurse is building a therapeutic relationship with a client. During their interaction, the nurse feels the individual is not always honest or open during their interactions. Which characteristic would a nurse identify as missing?

A) Respect
B) Genuineness
C) Sympathy
D) Rapport

Accepted Answer

The answer of The nurse is building a therapeutic relationship...

Question 13

The nurse is caring for a client who lost a child in a car accident. The client states she does not want to go on living. Which nursing statement conveys empathy for the client?&#10;A) &#34;This situation is very sad, but time is a great healer.&#34;&#10;B) &#34;You are sad, but you must be strong for your other children.&#34;&#10;C) &#34;Once you cry it all out, things will seem so much better.&#34;&#10;D) &#34;It must be horrible to lose a child, and I'll stay with you until your husband arrives.&#34;&#10;

Accepted Answer

The answer of The nurse is caring for a client...

Question 14

The nurse has just met a new client and is beginning to get to know to the client. Which would be the priority nursing action during this phase of the nurse-client relationship?&#10;A) Acknowledge the client's actions and generate alternative behaviors.&#10;B) Establish rapport and develop treatment goals.&#10;C) Attempt to find alternative placement for the client.&#10;D) Explore how thoughts and feelings about this client may adversely impact nursing care.&#10;

Accepted Answer

The answer of The nurse has just met a new...

Question 15

Which therapeutic communication technique is being used in the following nurse-client interaction? Client: "My father spanked me often."
Nurse: "Your father was a harsh disciplinarian."

A) Restating
B) Offering general leads
C) Focusing
D) Accepting

Accepted Answer

The answer of Which therapeutic communication technique is being used...

Question 16

A client diagnosed with posttraumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique might a nurse use that is an example of "broad openings"?

A) "What occurred prior to the rape, and when did you go to the emergency department?"
B) "What would you like to talk about?"
C) "I notice you seem uncomfortable discussing this."
D) "How can we help you feel safe during your stay here?"

Unlock Deck

Unlock for access to all 22 flashcards in this deck.

Unlock Deck

k this deck

Accepted Answer

The answer of A client diagnosed with posttraumatic stress disorder...

Question 17

Which client action would a nurse expect during the working phase of the nurse-client relationship?&#10;A) The client gains insight and incorporates alternative behaviors.&#10;B) The client establishes rapport with the nurse and mutually develops treatment goals.&#10;C) The client explores feelings related to reentering the community.&#10;D) The client explores personal strengths and weaknesses that impact behavioral choices.&#10;

Accepted Answer

The answer of Which client action would a nurse expect...

Question 18

Which of the following characteristics should be included in a therapeutic nurse-client relationship? (Select all that apply.)&#10;A) Meeting the psychological needs of the nurse and the client&#10;B) Ensuring therapeutic termination&#10;C) Promoting client insight into problematic behavior&#10;D) Collaborating to set appropriate goals&#10;E) Meeting both the physical and psychological needs of the client&#10;

Accepted Answer

The answer of Which of the following characteristics should be...

Question 19

Which individuals are communicating a message? (Select all that apply.)&#10;A) A mother spanking her son for playing with matches&#10;B) A teenage boy isolating himself and playing loud music&#10;C) A biker sporting an eagle tattoo on his biceps&#10;D) A teenage girl writing, &#34;No one understands me&#34;&#10;E) A father checking for new email on a regular basis&#10;

Accepted Answer

The answer of Which individuals are communicating a message? (Select...

Question 20

Which therapeutic communication technique is being used in the following nurse-client interaction? Client: "When I am anxious, the only thing that calms me down is alcohol."
Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?"

A) Encouraging comparison
B) Making observations
C) Formulating a plan of action
D) Giving recognition

Accepted Answer

The answer of Which therapeutic communication technique is being used...

Question 21

______ refers to a nurse's behavioral and emotional response to a client. These responses may be related to unresolved feelings toward significant others from the nurse's past.

Accepted Answer

The answer of ______ refers to a nurse's behavioral and...

Question 22

The term _______ implies special feelings on the part of both the client and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.

Accepted Answer

The answer of The term _______ implies special feelings on...

Deck 5: Relationship Development and Therapeutic Communication