,What phase of the therapeutic relationship is characterized by gathering information
before meeting the client? - CORRECT ANSWERS-Phase 1 - Pre-Interaction phase
What phase of the therapeutic relationship is characterized by meeting clients, making
conversation, and establishing rapport? - CORRECT ANSWERS-Phase 2 - Orientation
phase
What phase of the therapeutic relationship is characterized using techniques related to
therapeutic communication and allowing the client to clarify any concerns? - CORRECT
ANSWERS-Phase 3 - Working phase
What phase of the therapeutic relationship is characterized by finding healthy ways to
conclude a relationship? - CORRECT ANSWERS-Phase 4 - Termination phase
The main purpose of the working phase of a therapeutic nurse-patient relationship is to:
1. Establish a formal or informal contract that addresses the patients problems
2. Implement nursing interventions designed to achieve expected patient outcomes.
3. Develop rapport and trust so the patient feels protected and an initial care plan can
be identified
4. Clearly identify the role of the nurse and establish parameters of the professional
relationship. - CORRECT ANSWERS-2. During the working phase of the therapeutic
relationship, nursing interventions have a two fold purpose: assisting patients to explore
and understand their thoughts and feelings and supporting patient decisions and
actions.
The nurse uses reflective technique when communicating with an anxious patient. The
nurse uses reflective technique in this situation because it focuses on:
1. Feelings
2. Content themes
3. Clarification of information
4. Summarization of the topics discussed - CORRECT ANSWERS-1. The reflective
technique requires active listening to identify the underlying emotional concerns or
feelings contained in a patient's messages. These feelings are then referred back to the
patients to promote a clearer understanding of what they have said.
A patient says, "I don't know if I'll make it through this surgery." Which response by the
nurse may block further communication by the patient?
1."You sound scared"
2."You think you will die"
3."Surgery can be frightening"
4."Everything will be alright" - CORRECT ANSWERS-4. This response is false
reassurance. It denies the patient's concerns about survival and does not invite the
patient to elaborate.
, The patient states "My wife is going to be very upset that my prostate surgery probably
is going to leave me impotent." What is the best response by the nurse?
1.I'm sure your wife will be willing to make the sacrifice in exchange for your well-being
2.The doctors are getting great results with nerve-sparing surgery today.
3.Your wife may not put as much emphasis on sex as you think.
4.Let's talk about how you feel about this surgery. - CORRECT ANSWERS-4. The
patient may be using projection to cope with the potential for impotence. This response
indicates that it is acceptable to talk about sexuality and invites the patient to verbalize
concerns.
The patient states " I think that I am dying" The nurse responds, "You feel as though
you are dying?". What interview approach did the nurse use?
1.Focusing
2. Reflecting
3.Validating
4. Paraphrasing - CORRECT ANSWERS-4. The nurses response is an example of
paraphrasing because it uses similar words to restate the patients message.
The nurse plans to foster a therapeutic relationship with a patient. It is most important
that the nurse:
1. Works on establishing a friendship with the patient.
2. Use humor to defuse emotionally charged topics of discussion.
3. Sympathize with the patient when the patient shares sad feelings.
4. Demonstrate respect when discussing emotionally charged topics. - CORRECT
ANSWERS-4. Emotionally charged topics should be approached with respectful,
sincere, interactions that are accepting and non-judgmental, which will promote further
verbalization.
A patient who is to receive nothing by mouth (NPO) in preparation for a bronchoscopy
says,"I am worried about the test and I can't even have a drink of water." What is the
best response by the nurse?
1. "Lets talk about your concerns regarding this test."
2. "I'll see if the doctor will let you have some ice chips"
3. "The doctor will review the results of the test as soon as possible."
4. As soon as the test is over I'll get you whatever you would like to drink." - CORRECT
ANSWERS-1. This response encourages the patient to explore concerns. Verbalization
of concerns, validating of feelings, and patient teaching may help reduce anxiety.
A patient verbally communicates with the nurse while exhibiting nonverbal behavior. To
confirm the meaning of the nonverbal behavior, the nurse should:
1. Look for similarity in meaning between the patient's verbal and nonverbal behavior.
2. Ask family members to help interpret the patient's behavior.
3. Validate inferences by asking patient questions.
4. Recognize that what the patient says is most important. - CORRECT ANSWERS-1.
The patient is the primary source of information. When nonverbal communication
before meeting the client? - CORRECT ANSWERS-Phase 1 - Pre-Interaction phase
What phase of the therapeutic relationship is characterized by meeting clients, making
conversation, and establishing rapport? - CORRECT ANSWERS-Phase 2 - Orientation
phase
What phase of the therapeutic relationship is characterized using techniques related to
therapeutic communication and allowing the client to clarify any concerns? - CORRECT
ANSWERS-Phase 3 - Working phase
What phase of the therapeutic relationship is characterized by finding healthy ways to
conclude a relationship? - CORRECT ANSWERS-Phase 4 - Termination phase
The main purpose of the working phase of a therapeutic nurse-patient relationship is to:
1. Establish a formal or informal contract that addresses the patients problems
2. Implement nursing interventions designed to achieve expected patient outcomes.
3. Develop rapport and trust so the patient feels protected and an initial care plan can
be identified
4. Clearly identify the role of the nurse and establish parameters of the professional
relationship. - CORRECT ANSWERS-2. During the working phase of the therapeutic
relationship, nursing interventions have a two fold purpose: assisting patients to explore
and understand their thoughts and feelings and supporting patient decisions and
actions.
The nurse uses reflective technique when communicating with an anxious patient. The
nurse uses reflective technique in this situation because it focuses on:
1. Feelings
2. Content themes
3. Clarification of information
4. Summarization of the topics discussed - CORRECT ANSWERS-1. The reflective
technique requires active listening to identify the underlying emotional concerns or
feelings contained in a patient's messages. These feelings are then referred back to the
patients to promote a clearer understanding of what they have said.
A patient says, "I don't know if I'll make it through this surgery." Which response by the
nurse may block further communication by the patient?
1."You sound scared"
2."You think you will die"
3."Surgery can be frightening"
4."Everything will be alright" - CORRECT ANSWERS-4. This response is false
reassurance. It denies the patient's concerns about survival and does not invite the
patient to elaborate.
, The patient states "My wife is going to be very upset that my prostate surgery probably
is going to leave me impotent." What is the best response by the nurse?
1.I'm sure your wife will be willing to make the sacrifice in exchange for your well-being
2.The doctors are getting great results with nerve-sparing surgery today.
3.Your wife may not put as much emphasis on sex as you think.
4.Let's talk about how you feel about this surgery. - CORRECT ANSWERS-4. The
patient may be using projection to cope with the potential for impotence. This response
indicates that it is acceptable to talk about sexuality and invites the patient to verbalize
concerns.
The patient states " I think that I am dying" The nurse responds, "You feel as though
you are dying?". What interview approach did the nurse use?
1.Focusing
2. Reflecting
3.Validating
4. Paraphrasing - CORRECT ANSWERS-4. The nurses response is an example of
paraphrasing because it uses similar words to restate the patients message.
The nurse plans to foster a therapeutic relationship with a patient. It is most important
that the nurse:
1. Works on establishing a friendship with the patient.
2. Use humor to defuse emotionally charged topics of discussion.
3. Sympathize with the patient when the patient shares sad feelings.
4. Demonstrate respect when discussing emotionally charged topics. - CORRECT
ANSWERS-4. Emotionally charged topics should be approached with respectful,
sincere, interactions that are accepting and non-judgmental, which will promote further
verbalization.
A patient who is to receive nothing by mouth (NPO) in preparation for a bronchoscopy
says,"I am worried about the test and I can't even have a drink of water." What is the
best response by the nurse?
1. "Lets talk about your concerns regarding this test."
2. "I'll see if the doctor will let you have some ice chips"
3. "The doctor will review the results of the test as soon as possible."
4. As soon as the test is over I'll get you whatever you would like to drink." - CORRECT
ANSWERS-1. This response encourages the patient to explore concerns. Verbalization
of concerns, validating of feelings, and patient teaching may help reduce anxiety.
A patient verbally communicates with the nurse while exhibiting nonverbal behavior. To
confirm the meaning of the nonverbal behavior, the nurse should:
1. Look for similarity in meaning between the patient's verbal and nonverbal behavior.
2. Ask family members to help interpret the patient's behavior.
3. Validate inferences by asking patient questions.
4. Recognize that what the patient says is most important. - CORRECT ANSWERS-1.
The patient is the primary source of information. When nonverbal communication
