TC Exam 1 Question And Answers 2025
Therapeutic relationship - correct answers ✅✅professional,
interpersonal alliance in which the nurse and client join together
for a defined period to achieve health-related treatment goals
Professional boundaries - correct answers ✅✅represent invisible
structures imposed by legal, ethical, and professional standards of
nursing that respect nurse and clients rights, and protect the
functional integrity of the alliance between nurse and client
Examples of relationship boundaries - correct answers
✅✅setting, time, purpose, length of contact, maintaining
confidentiality, and use of appropriate professional behaviors
Boundary violations - correct answers ✅✅take advantage of
client's vulnerability and represent a conflict of interest that
usually is harmful to the goals of the therapeutic relationship
Examples of boundary violations - correct answers ✅✅sexual
encounters with clients, excessive personal disclosures, personal
or business relationships, requests/acceptance of special favors or
expensive gifts, and extensive following of a client after discharge
Boundary crossing - correct answers ✅✅less serious infractions;
give the appearance of impropriety but do not actually violate
prevailing ethical standards
Examples of boundary crossings - correct answers ✅✅meetings
outside of the relationship or disclosing personal intimate details
,TC Exam 1 Question And Answers 2025
about aspects of nurse's life that would not be common
knowledge
Authenticity - correct answers ✅✅recognizing personal
vulnerabilities, strengths, and limitations, working within this
knowledge in the service of the client, and seeking help when
needed to further relationship goals
Nursing presence - correct answers ✅✅"being there" and "being
with" client; nurse's capacity to know when to provide help and
when to stand back, when to speak frankly, and when to withhold
comments because client is not ready to hear them
Self-awareness - correct answers ✅✅reflective process that
seeks to understand one's personal values, feelings, attitudes,
motivations, strengths, and limitations -- and how these affect
practice and client relationships
4 phases of nurse-client relationship (Peplau) - correct answers
✅✅1. preinteraction
2. orientation
3. working
4. termination
6 professional roles of nurse (Peplau) - correct answers ✅✅1.
stranger role
2. resource role
3. teaching role
, TC Exam 1 Question And Answers 2025
4. counseling role
5. surrogate role
6. leadership role
Stranger role - correct answers ✅✅receives client the same way
one meets a stranger in other life situations; provides an
accepting climate that builds trust
Resource role - correct answers ✅✅answers questions, interprets
clinical treatment data, gives information
Teaching role - correct answers ✅✅gives instructions and
provides training; involves analysis and synthesis of the learner
experience
Counseling role - correct answers ✅✅helps client understand
and integrate the meaning of current life circumstances; provides
guidance and encouragement to make changes
Surrogate role - correct answers ✅✅helps client clarify domains
of dependence, interdependence, and independence, and acts on
client's behalf as advocate
Leadership role - correct answers ✅✅helps client assume
maximum responsibility for meeting treatment goals in a mutually
satisfying way
Therapeutic relationship - correct answers ✅✅professional,
interpersonal alliance in which the nurse and client join together
for a defined period to achieve health-related treatment goals
Professional boundaries - correct answers ✅✅represent invisible
structures imposed by legal, ethical, and professional standards of
nursing that respect nurse and clients rights, and protect the
functional integrity of the alliance between nurse and client
Examples of relationship boundaries - correct answers
✅✅setting, time, purpose, length of contact, maintaining
confidentiality, and use of appropriate professional behaviors
Boundary violations - correct answers ✅✅take advantage of
client's vulnerability and represent a conflict of interest that
usually is harmful to the goals of the therapeutic relationship
Examples of boundary violations - correct answers ✅✅sexual
encounters with clients, excessive personal disclosures, personal
or business relationships, requests/acceptance of special favors or
expensive gifts, and extensive following of a client after discharge
Boundary crossing - correct answers ✅✅less serious infractions;
give the appearance of impropriety but do not actually violate
prevailing ethical standards
Examples of boundary crossings - correct answers ✅✅meetings
outside of the relationship or disclosing personal intimate details
,TC Exam 1 Question And Answers 2025
about aspects of nurse's life that would not be common
knowledge
Authenticity - correct answers ✅✅recognizing personal
vulnerabilities, strengths, and limitations, working within this
knowledge in the service of the client, and seeking help when
needed to further relationship goals
Nursing presence - correct answers ✅✅"being there" and "being
with" client; nurse's capacity to know when to provide help and
when to stand back, when to speak frankly, and when to withhold
comments because client is not ready to hear them
Self-awareness - correct answers ✅✅reflective process that
seeks to understand one's personal values, feelings, attitudes,
motivations, strengths, and limitations -- and how these affect
practice and client relationships
4 phases of nurse-client relationship (Peplau) - correct answers
✅✅1. preinteraction
2. orientation
3. working
4. termination
6 professional roles of nurse (Peplau) - correct answers ✅✅1.
stranger role
2. resource role
3. teaching role
, TC Exam 1 Question And Answers 2025
4. counseling role
5. surrogate role
6. leadership role
Stranger role - correct answers ✅✅receives client the same way
one meets a stranger in other life situations; provides an
accepting climate that builds trust
Resource role - correct answers ✅✅answers questions, interprets
clinical treatment data, gives information
Teaching role - correct answers ✅✅gives instructions and
provides training; involves analysis and synthesis of the learner
experience
Counseling role - correct answers ✅✅helps client understand
and integrate the meaning of current life circumstances; provides
guidance and encouragement to make changes
Surrogate role - correct answers ✅✅helps client clarify domains
of dependence, interdependence, and independence, and acts on
client's behalf as advocate
Leadership role - correct answers ✅✅helps client assume
maximum responsibility for meeting treatment goals in a mutually
satisfying way
