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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.
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,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.
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,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
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, 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.
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