©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
NU 345 Chapter Exam Questions And
Answers
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? -
Answers✔countertransference.
What is the possible outcome of the nurse's expressions of sympathy instead of empathy
toward the client? - Answers✔decreased client communication.
A client states "That nurse nevers seems comfortable being with me. How would the nurse's
behavior be understood? - Answers✔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? - Answers✔boundary blurring.
What focus of the nurse characterizes the the pre-orientation phase of the nurse-client
relationship? - Answers✔self-analysis of strengths, limitations, and feelings.
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? - Answers✔positive transference.
1|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
What is the focus of the orientation phase of the nurse-client relationship? - Answers✔the
nurse and client identifying client needs.
What is the primary difference between a social and a therapeutic relationship? -
Answers✔type of responsibility involved.
What stage of the nurse-patient relationsip does the use of empathy and support begin? -
Answers✔orientation stage.
What is the term used to describe client reactions of intense hostility or feelings of strong
affection toward the nurse? - Answers✔transference.
What is the most helpful nursing response to a client who reports thinking of dropping out of
college because it is too stressful? - Answers✔"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? - Answers✔stranger.
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? - Answers✔Reflecting and exploring
2|Page
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ALL RIGHTS RESERVED.
During a therapeutic encounter, the nurse makes an effort to observe whether verbal and
nonverbal messages are congruent. What is the rationale for this? - Answers✔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? - Answers✔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? - Answers✔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?" - Answers✔clarification
Which statement by the nurse reflects the process occurring in the clinical interview? -
Answers✔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? - Answers✔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? - Answers✔allow the client to break the silence.
3|Page
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ALL RIGHTS RESERVED.
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? - Answers✔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? - Answers✔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? - Answers✔resilient.
Which child is at greatest risk for developing attachment problems as a result of a an adverse
event? - Answers✔4 year old female
The nurse receives report on a new patient who has a diagnosis of Depersonalization Disorder.
What symptom will the nurse expect to find while assessing this patient? - Answers✔a feeling
of detachment from one's body or mental processes.
The nurse is caring for a patient with a diagnosis of Dissociative Disorder. In developing the plan
of care which intervention will be most appropriate to include? - Answers✔Grounding
Techniques
Which statement about Dissociative Identity Disorder is true? - Answers✔This disorder results
in a split in the personality causing a lack of integration.
4|Page
ALL RIGHTS RESERVED.
NU 345 Chapter Exam Questions And
Answers
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? -
Answers✔countertransference.
What is the possible outcome of the nurse's expressions of sympathy instead of empathy
toward the client? - Answers✔decreased client communication.
A client states "That nurse nevers seems comfortable being with me. How would the nurse's
behavior be understood? - Answers✔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? - Answers✔boundary blurring.
What focus of the nurse characterizes the the pre-orientation phase of the nurse-client
relationship? - Answers✔self-analysis of strengths, limitations, and feelings.
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? - Answers✔positive transference.
1|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
What is the focus of the orientation phase of the nurse-client relationship? - Answers✔the
nurse and client identifying client needs.
What is the primary difference between a social and a therapeutic relationship? -
Answers✔type of responsibility involved.
What stage of the nurse-patient relationsip does the use of empathy and support begin? -
Answers✔orientation stage.
What is the term used to describe client reactions of intense hostility or feelings of strong
affection toward the nurse? - Answers✔transference.
What is the most helpful nursing response to a client who reports thinking of dropping out of
college because it is too stressful? - Answers✔"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? - Answers✔stranger.
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? - Answers✔Reflecting and exploring
2|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
During a therapeutic encounter, the nurse makes an effort to observe whether verbal and
nonverbal messages are congruent. What is the rationale for this? - Answers✔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? - Answers✔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? - Answers✔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?" - Answers✔clarification
Which statement by the nurse reflects the process occurring in the clinical interview? -
Answers✔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? - Answers✔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? - Answers✔allow the client to break the silence.
3|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
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? - Answers✔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? - Answers✔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? - Answers✔resilient.
Which child is at greatest risk for developing attachment problems as a result of a an adverse
event? - Answers✔4 year old female
The nurse receives report on a new patient who has a diagnosis of Depersonalization Disorder.
What symptom will the nurse expect to find while assessing this patient? - Answers✔a feeling
of detachment from one's body or mental processes.
The nurse is caring for a patient with a diagnosis of Dissociative Disorder. In developing the plan
of care which intervention will be most appropriate to include? - Answers✔Grounding
Techniques
Which statement about Dissociative Identity Disorder is true? - Answers✔This disorder results
in a split in the personality causing a lack of integration.
4|Page
