COMPLETE SOLUTION SCRIPT PASSED
◉ The client says to the nurse, "I feel really close to you. You are the
only true friend I have." The most therapeutic response the nurse
can make is,
A) "I am sure there are other people in your life who are your
friends; besides, we just met."
B) "It makes me feel good that you trust me so much; it is important
for the work we are doing together."
C) "Since ours is a professional relationship, let's explore other
opportunities in your life for friendship."
D) "We are not friends. This is strictly professional.". Answer: C)
"Since ours is a professional relationship, let's explore other
opportunities in your life for friendship."
◉ A client who had been in a substance abuse treatment program
asks the nurse for a date after the client is discharged. The nurse
talks to the client about the importance of a therapeutic relationship
and its characteristics. The nurse is using which of the following
techniques?
A) Defining boundaries
B) Defining therapy
C) Letting the client down gently
,D) Reprimanding the client. Answer: A) Defining boundaries
◉ A nurse openly admits to not being able to relate to a patient's
experience. According to Munhall, this will most likely have what
influence on the therapeutic relationship?
A) The nurse will avoid imposing any values on the patient.
B) The patient will not trust the nurse's professional abilities.
C) The nurse will more likely be manipulated by the patient.
D) The patient will be less likely to self-disclose to the nurse..
Answer: A) The nurse will avoid imposing any values on the patient.
◉ The nurse is mindful of maintaining relationships with patients
that are therapeutic. Certain characteristics of the relationships the
nurse will foster include: Select all that apply.
A) offering sound advice to the patient.
B) establishing boundaries for both the nurse and patient.
C) maintaining a patient-focus at all times.
D) sharing personal feelings openly with the patient.
E) avoiding concern with whether the patient likes the nurse..
Answer: B) establishing boundaries for both the nurse and patient.
C) maintaining a patient-focus at all times.
E) avoiding concern with whether the patient likes the nurse.
,◉ One of the primary differences between social and therapeutic
relationships is the
A) amount of emotion invested.
B) degree of satisfaction obtained.
C) kind of information given.
D) type of responsibility involved.. Answer: D) type of responsibility
involved.
◉ During the orientation phase of the nurse/patient relationship,
the nurse directs the patient to do which of the following?
A) Identify problems to examine
B) Express needs and feelings
C) Develop interpersonal skills
D) Identify self-care strategies. Answer: A) Identify problems to
examine
◉ The nurse has been working with a patient with an eating
disorder for one week. During the morning treatment team meeting,
the treatment plan is updated. Which of the following would be
appropriate interventions at this time in the nurse/patient
relationship? Select all that apply.
A) Exploring perceptions of reality
B) Promoting a positive self-concept
C) Explaining the boundaries of the relationship
, D) Working through resistance
E) Assisting in identifying problems. Answer: A) Exploring
perceptions of reality
B) Promoting a positive self-concept
D) Working through resistance
◉ During the working phase of a therapeutic relationship, which of
the following actions by the nurse would best help the client to
explore problems?
A) Comparing past and present coping strategies
B) Encouraging the client to clarify feelings and behaviors
C) Identifying possible solutions for the clients problems
D) Referring the client to a self-help group. Answer: B) Encouraging
the client to clarify feelings and behaviors
◉ The nurse uses a variety of therapeutic communication skills
when working with patients. Which of the following is a therapeutic
goal that can be accomplished through the use of therapeutic
communication skills?
A) Inform the patient of priority problems
B) Assess the patient's perception of a problem
C) Assist the patient to control emotions
D) Provide the patient with a plan of action. Answer: B) Assess the
patient's perception of a problem