NU 345 Chapter Exam Questions and
Correct Answers
A client reports that her mother-in-law is very intrusive. The nurse responds, I know how
you feel. My mother-in-law is nosy, too. What is the nurse is demonstrating?
✅countertransference.
What is the possible outcome of the nurse's expressions of sympathy instead of
empathy toward the client? ✅decreased client communication.
A client states "That nurse nevers seems comfortable being with me. How would the
nurse's behavior be understood? ✅The nurse does not seem genuine to the client.
The nurse is finding it difficult to provide structure and set limits for a client. What should
the nurse should self-evaluate for? ✅boundary blurring.
What focus of the nurse characterizes the the pre-orientation phase of the nurse-client
relationship? ✅self-analysis of strengths, limitations, and feelings.
A client tells the nurse "I really feel close to you. You are like the friend I never had."
How will the nurse assess this statement? ✅positive transference.
What is the focus of the orientation phase of the nurse-client relationship? ✅the nurse
and client identifying client needs.
What is the primary difference between a social and a therapeutic relationship? ✅type
of responsibility involved.
What stage of the nurse-patient relationsip does the use of empathy and support begin?
✅orientation stage.
What is the term used to describe client reactions of intense hostility or feelings of
strong affection toward the nurse? ✅transference.
What is the most helpful nursing response to a client who reports thinking of dropping
out of college because it is too stressful? ✅"School is stressful. What do you find most
stressful?"
When there is not a need to do so for an infection control issue, the client chooses to sit
at the other side of the room 12 feet away from the nurse during the assessment
interview, What would be the assesment of the client's perception of the nurse?
✅stranger.
,During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your
voice when you spoke of your father. Tell me about that." What communication
techniques is the nurse using? ✅Reflecting and exploring
During a therapeutic encounter, the nurse makes an effort to observe whether verbal
and nonverbal messages are congruent. What is the rationale for this? ✅Content of
verbal messages may be contradicted by nonverbal communication.
With which client should the nurse make the assessment that not using touch would
probably be in the client's best interests? ✅A Chinese American client
After a client discusses her relationship with her father, the nurse asks, "Tell me if I'm
correct that you feel dominated and controlled by him?" What is the nurse's purpose in
asking this question? ✅clarify message.
When discussing her husband, a client shares that "I would be better off alone. At least I
would be able to come and go as I please and not have to be interrogated all the time."
What therapeutic communication technique is the nurse using when responding, "Are
you saying that things would be better if you left your husband?" ✅clarification
Which statement by the nurse reflects the process occurring in the clinical interview?
✅You are frowning. What are you feeling?"
Recent immigrants to the United States from which country would find direct eye contact
a positive therapeutic technique? ✅Germany
During a clinical interview the client falls silent after disclosing that she was sexually
abused as a child. What is the best first action of the nurse? ✅allow the client to break
the silence.
When a toddler's mother is hospitalized for several months, the nursing diagnosis Risk
for impaired parent/child attachment related to: prolonged separation has been included
into a child's plan of care. What would be the most appropriate outcome of care?
✅mother and child show signs of healthy bonding.
The nurse is caring for a child who has recently experienced a severe trauma. What
nursing diagnosis would be most appropriate? ✅Risk for delayed development.
The nurse is caring for a child who had a recent traumatic event. The child was able to
regain mental stability after brief supportive therapy. How would the nurse best describe
this characteristic in the child? ✅resilient.
Which child is at greatest risk for developing attachment problems as a result of a an
adverse event? ✅4 year old female
, The nurse receives report on a new patient who has a diagnosis of Depersonalization
Disorder. What symptom will the nurse expect to find while assessing this patient? ✅a
feeling of detachment from one's body or mental processes.
The nurse is caring for a patient with a diagnosis of Dissociative Disorder. In developing
the plan of care which intervention will be most appropriate to include? ✅Grounding
Techniques
Which statement about Dissociative Identity Disorder is true? ✅This disorder results in
a split in the personality causing a lack of integration.
The nurse is assessing a patient who has a diagnosis of an adjustment disorder. What
symptoms will the nurse expect to observe? (Select all that that apply.) ✅guilt, social
with-drawl, anger, depression
The nurse is caring for a patient who experienced a serious trauma several months ago.
The patient has been having difficulty functioning due to flashbacks, nightmares,
hyperarrousal. What is the priority nursing diagnosis? ✅post trauma syndrome
Parents express concern when their 5-year-old child, who is receiving treatment for
cancer, keeps referring to an imaginary friend, Candy. What is the most therapeutic
explanation that the nurse can provide? ✅the imaginary friend is a coping mechanism
the child is using.
What is most important for the nurse to assess when caring for a cleint in a crisis?
✅unrealistic report of a crisis-precipitating event.
A client comes to the crisis intervention clinic and tearfully tells the nurse, "It is so
painful! I have thought about it, and I cannot see how I can go on without my partner."
The nurse states, "You have resilience and will look back on this as a crisis you were
able to manage." How would the nurse's interaction be assessed? ✅has not followed
up on the client's verbal clues to suicidal thoughts.
What question will the nurse ask to assess the client's perception of the event
precipitating a crisis? ✅"What was happening just before you began feeling this way?"
A woman comes to the crisis intervention clinic and reports that her 16-year-old son
uses drugs in the home and often assaults her. What is the nurse's most therapeutic
response? ✅"Together we will be able to work on this problem."
Which assumption serves as a foundation for the use of crisis intervention? ✅The
individual is mentally healthy but in a state of disequilibrium.
A 12-year-old finds herself feeling anxious and overwhelmed and seeks out the school
nurse to report that "Everything is changing . . . my body, the way the boys who were
Correct Answers
A client reports that her mother-in-law is very intrusive. The nurse responds, I know how
you feel. My mother-in-law is nosy, too. What is the nurse is demonstrating?
✅countertransference.
What is the possible outcome of the nurse's expressions of sympathy instead of
empathy toward the client? ✅decreased client communication.
A client states "That nurse nevers seems comfortable being with me. How would the
nurse's behavior be understood? ✅The nurse does not seem genuine to the client.
The nurse is finding it difficult to provide structure and set limits for a client. What should
the nurse should self-evaluate for? ✅boundary blurring.
What focus of the nurse characterizes the the pre-orientation phase of the nurse-client
relationship? ✅self-analysis of strengths, limitations, and feelings.
A client tells the nurse "I really feel close to you. You are like the friend I never had."
How will the nurse assess this statement? ✅positive transference.
What is the focus of the orientation phase of the nurse-client relationship? ✅the nurse
and client identifying client needs.
What is the primary difference between a social and a therapeutic relationship? ✅type
of responsibility involved.
What stage of the nurse-patient relationsip does the use of empathy and support begin?
✅orientation stage.
What is the term used to describe client reactions of intense hostility or feelings of
strong affection toward the nurse? ✅transference.
What is the most helpful nursing response to a client who reports thinking of dropping
out of college because it is too stressful? ✅"School is stressful. What do you find most
stressful?"
When there is not a need to do so for an infection control issue, the client chooses to sit
at the other side of the room 12 feet away from the nurse during the assessment
interview, What would be the assesment of the client's perception of the nurse?
✅stranger.
,During a therapeutic encounter the nurse remarks to a client, "I noticed anger in your
voice when you spoke of your father. Tell me about that." What communication
techniques is the nurse using? ✅Reflecting and exploring
During a therapeutic encounter, the nurse makes an effort to observe whether verbal
and nonverbal messages are congruent. What is the rationale for this? ✅Content of
verbal messages may be contradicted by nonverbal communication.
With which client should the nurse make the assessment that not using touch would
probably be in the client's best interests? ✅A Chinese American client
After a client discusses her relationship with her father, the nurse asks, "Tell me if I'm
correct that you feel dominated and controlled by him?" What is the nurse's purpose in
asking this question? ✅clarify message.
When discussing her husband, a client shares that "I would be better off alone. At least I
would be able to come and go as I please and not have to be interrogated all the time."
What therapeutic communication technique is the nurse using when responding, "Are
you saying that things would be better if you left your husband?" ✅clarification
Which statement by the nurse reflects the process occurring in the clinical interview?
✅You are frowning. What are you feeling?"
Recent immigrants to the United States from which country would find direct eye contact
a positive therapeutic technique? ✅Germany
During a clinical interview the client falls silent after disclosing that she was sexually
abused as a child. What is the best first action of the nurse? ✅allow the client to break
the silence.
When a toddler's mother is hospitalized for several months, the nursing diagnosis Risk
for impaired parent/child attachment related to: prolonged separation has been included
into a child's plan of care. What would be the most appropriate outcome of care?
✅mother and child show signs of healthy bonding.
The nurse is caring for a child who has recently experienced a severe trauma. What
nursing diagnosis would be most appropriate? ✅Risk for delayed development.
The nurse is caring for a child who had a recent traumatic event. The child was able to
regain mental stability after brief supportive therapy. How would the nurse best describe
this characteristic in the child? ✅resilient.
Which child is at greatest risk for developing attachment problems as a result of a an
adverse event? ✅4 year old female
, The nurse receives report on a new patient who has a diagnosis of Depersonalization
Disorder. What symptom will the nurse expect to find while assessing this patient? ✅a
feeling of detachment from one's body or mental processes.
The nurse is caring for a patient with a diagnosis of Dissociative Disorder. In developing
the plan of care which intervention will be most appropriate to include? ✅Grounding
Techniques
Which statement about Dissociative Identity Disorder is true? ✅This disorder results in
a split in the personality causing a lack of integration.
The nurse is assessing a patient who has a diagnosis of an adjustment disorder. What
symptoms will the nurse expect to observe? (Select all that that apply.) ✅guilt, social
with-drawl, anger, depression
The nurse is caring for a patient who experienced a serious trauma several months ago.
The patient has been having difficulty functioning due to flashbacks, nightmares,
hyperarrousal. What is the priority nursing diagnosis? ✅post trauma syndrome
Parents express concern when their 5-year-old child, who is receiving treatment for
cancer, keeps referring to an imaginary friend, Candy. What is the most therapeutic
explanation that the nurse can provide? ✅the imaginary friend is a coping mechanism
the child is using.
What is most important for the nurse to assess when caring for a cleint in a crisis?
✅unrealistic report of a crisis-precipitating event.
A client comes to the crisis intervention clinic and tearfully tells the nurse, "It is so
painful! I have thought about it, and I cannot see how I can go on without my partner."
The nurse states, "You have resilience and will look back on this as a crisis you were
able to manage." How would the nurse's interaction be assessed? ✅has not followed
up on the client's verbal clues to suicidal thoughts.
What question will the nurse ask to assess the client's perception of the event
precipitating a crisis? ✅"What was happening just before you began feeling this way?"
A woman comes to the crisis intervention clinic and reports that her 16-year-old son
uses drugs in the home and often assaults her. What is the nurse's most therapeutic
response? ✅"Together we will be able to work on this problem."
Which assumption serves as a foundation for the use of crisis intervention? ✅The
individual is mentally healthy but in a state of disequilibrium.
A 12-year-old finds herself feeling anxious and overwhelmed and seeks out the school
nurse to report that "Everything is changing . . . my body, the way the boys who were
