NUR 354 Final Exam with correct |/ |/ |/ |/ |/
answers
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Becky tells you, "I have something secret to tell you, but you
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can't tell anyone else." The nurse agrees. What is the likely
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consequence of the nurse's action?
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a. healthy feelings of sympathy by the nurse towards the client
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b. blurred boundaries in the nurse-client relationship
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c. improved rapport between the nurse and client
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d. enhanced trust between the nurse and client - CORRECT
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ANSWERS ✔✔b. Blurred boundaries in the nurse-client
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relationship.
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As you begin working with her, you notice that your patient has
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an uncanny resemblance to your younger sister. As a child, this
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sister lied and criticized you constantly, then screamed and cried
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to others if you challenged her. You realize that you are
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responding negatively to this patient. What's going on here?
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a. counter-transference
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b. self-actualization
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c. transference
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d. bias - CORRECT ANSWERS ✔✔a. counter-transference
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A nurse seeks to establish a relationship with a patient
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readmitted to the hospital. The patient has bipolar disorder,
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depressed type, and was hospitalized the preceding month.
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,|/ Which statement by the nurse would contribute to establishing
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|/ trust?
a. weren't you compliant with your medication?
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b. it must be discouraging to have been readmitted to the
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hospital so soon
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c. everyone with bipolar disorder ends up in the hospital
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periodically
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d. you must take your medications religiously or you will be re-
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hospitalized - CORRECT ANSWERS ✔✔b. it must be discouraging
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to have been readmitted to the hospital so soon
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As a nurse assesses a new client, the nurse makes sure the door
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remains open. Which type of communication factor is this
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action?
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a. environmental
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b. personal
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c. non-verbal
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d. relationship - CORRECT ANSWERS ✔✔a. environmental
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When the community health nurse visits a client at home, the
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client states, "I haven't slept at all the last couple of nights."
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Which response by the nurse illustrates a therapeutic
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communication response to this client? (select all that apply)
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a. "really?"
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b. "you're having difficulty sleeping?"
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c. "I see."
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, d. "sometimes I have trouble sleeping too" - CORRECT ANSWERS
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✔✔b. "you're having difficulty sleeping?"
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The nurse in the mental health unit recognizes which as being
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therapeutic communication techniques? Select all that apply.
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1. Restating
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2. Listening
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3. Asking the client, "Why?"
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4. Maintaining neutral responses
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5. Providing acknowledgment and feedback
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6. Giving advice and approval or disapproval - CORRECT
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ANSWERS ✔✔1, 2, 4, 5
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In which part of the nursing care plan would the nurse expect to
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find this statement: "Patient voluntarily attends group activities
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but does not participate actively."
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a. Evaluation
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b. Assessment
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c. Diagnosis
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d. Planning - CORRECT ANSWERS ✔✔a. evaluation
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A nurse spends extra time with a client who has personality
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features similar to the nurse's estranged spouse. Which aspect
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of countertransference is most likely to result?
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a. Over-involvement
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b. Misuse of honesty
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answers
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Becky tells you, "I have something secret to tell you, but you
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
can't tell anyone else." The nurse agrees. What is the likely
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
consequence of the nurse's action?
|/ |/ |/ |/ |/
a. healthy feelings of sympathy by the nurse towards the client
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
b. blurred boundaries in the nurse-client relationship
|/ |/ |/ |/ |/ |/
c. improved rapport between the nurse and client
|/ |/ |/ |/ |/ |/ |/
d. enhanced trust between the nurse and client - CORRECT
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ANSWERS ✔✔b. Blurred boundaries in the nurse-client
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relationship.
|/
As you begin working with her, you notice that your patient has
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
an uncanny resemblance to your younger sister. As a child, this
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
sister lied and criticized you constantly, then screamed and cried
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
to others if you challenged her. You realize that you are
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
responding negatively to this patient. What's going on here?
|/ |/ |/ |/ |/ |/ |/ |/ |/
a. counter-transference
|/
b. self-actualization
|/
c. transference
|/ |/
d. bias - CORRECT ANSWERS ✔✔a. counter-transference
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A nurse seeks to establish a relationship with a patient
|/ |/ |/ |/ |/ |/ |/ |/ |/
readmitted to the hospital. The patient has bipolar disorder,
|/ |/ |/ |/ |/ |/ |/ |/ |/
depressed type, and was hospitalized the preceding month.
|/ |/ |/ |/ |/ |/ |/ |/
,|/ Which statement by the nurse would contribute to establishing
|/ |/ |/ |/ |/ |/ |/ |/
|/ trust?
a. weren't you compliant with your medication?
|/ |/ |/ |/ |/ |/
b. it must be discouraging to have been readmitted to the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
hospital so soon
|/ |/ |/
c. everyone with bipolar disorder ends up in the hospital
|/ |/ |/ |/ |/ |/ |/ |/ |/
periodically
|/
d. you must take your medications religiously or you will be re-
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
hospitalized - CORRECT ANSWERS ✔✔b. it must be discouraging
|/ |/ |/ |/ |/ |/ |/ |/
to have been readmitted to the hospital so soon
|/ |/ |/ |/ |/ |/ |/ |/ |/
As a nurse assesses a new client, the nurse makes sure the door
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
remains open. Which type of communication factor is this
|/ |/ |/ |/ |/ |/ |/ |/ |/
action?
|/
a. environmental
|/ |/
b. personal
|/
c. non-verbal
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d. relationship - CORRECT ANSWERS ✔✔a. environmental
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When the community health nurse visits a client at home, the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
client states, "I haven't slept at all the last couple of nights."
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
Which response by the nurse illustrates a therapeutic
|/ |/ |/ |/ |/ |/ |/ |/
communication response to this client? (select all that apply)
|/ |/ |/ |/ |/ |/ |/ |/ |/
a. "really?"
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b. "you're having difficulty sleeping?"
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c. "I see."
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, d. "sometimes I have trouble sleeping too" - CORRECT ANSWERS
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✔✔b. "you're having difficulty sleeping?"
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The nurse in the mental health unit recognizes which as being
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
therapeutic communication techniques? Select all that apply.
|/ |/ |/ |/ |/ |/ |/
1. Restating
|/
2. Listening
|/
3. Asking the client, "Why?"
|/ |/ |/ |/
4. Maintaining neutral responses
|/ |/ |/
5. Providing acknowledgment and feedback
|/ |/ |/ |/
6. Giving advice and approval or disapproval - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔1, 2, 4, 5
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In which part of the nursing care plan would the nurse expect to
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
find this statement: "Patient voluntarily attends group activities
|/ |/ |/ |/ |/ |/ |/ |/
but does not participate actively."
|/ |/ |/ |/ |/
a. Evaluation
|/
b. Assessment
|/
c. Diagnosis
|/
d. Planning - CORRECT ANSWERS ✔✔a. evaluation
|/ |/ |/ |/ |/ |/
A nurse spends extra time with a client who has personality
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
features similar to the nurse's estranged spouse. Which aspect
|/ |/ |/ |/ |/ |/ |/ |/ |/
of countertransference is most likely to result?
|/ |/ |/ |/ |/ |/ |/
a. Over-involvement
|/
b. Misuse of honesty
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