TEST BANK: PSYCHIATRIC MENTAL HEALTH NURSING, 4TH EDITION, KATHERINE M. FORTINASH

Fortinash: Psychiatric Mental Health Nursing, 4th Edition Test Bank Chapter 1: Principles of Psychiatric Nursing: Theory and Practice MULTIPLE CHOICE 1. Which of the following characteristics would the nurse evaluate as indicative of healthy boundaries? 1. Giving as much as you can for the sake of giving 2. Believing others can anticipate your needs 3. Letting others define you 4. Taking responsibility to meet one’s own needs ANS: 4 Healthy boundaries are characterized by behaviors that are adaptive. Only option 4 is an example of an adaptive behavior. DIF: Cognitive Level: Analysis REF: Page 14 OBJ: 12 TOP: Boundaries KEY: Nursing Process: Evaluation MSC: NCLEX: Psychosocial Integrity 2. The student nurse is planning to initiate a therapeutic relationship with a client. Which intervention should she plan to incorporate in their interactions? 1. Becoming subjectively involved 2. Mutually sharing ideas and experiences 3. Giving and receiving friendship equally 4. Encouraging the client to choose a topic for discussion ANS: 4 Encouraging the client to choose the topic for discussion maintains a client-centered focus. This is desirable and in keeping with accepted principles for therapeutic nurse-client relationships. The other responses are components of a social, rather than a therapeutic, relationship. DIF: Cognitive Level: Application REF: Page 13 OBJ: 12 TOP: Therapeutic Relationship KEY: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity 3. A client frequently diverts the focus from himself by changing the topic or commenting on the nurse’s appearance. The nurse should recognize this as an example of: 1. Transference 2. Resistance 3. Countertransference