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NURS 172 EXAM REVIEWED QUESTIONS AND ANSWERS

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NURS 172 EXAM REVIEWED QUESTIONS AND ANSWERS

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NURS 172 EXAM REVIEWED
QUESTIONS AND ANSWERS


Pre-interaction phase - CORRECT ANSWER-***assessment*** | | | |


>>Obtain information about the client from chart, significant others,
| | | | | | | |


or other health team members
| | | | |


>>Examine ones own feelings, fears, and anxieties about | | | | | | |


working with a particular client
| | | | |




Orientation (introductory) phase - CORRECT ANSWER-***build
| | | | |


trust and rapport***
| | |


>>Create and environment for trust and rapport
| | | | | |


>>Establish contract for intervention | | |


>>Gather assessment data | |


>>Identify client strengths and limitations | | | |


>>Set goals |


>>Nursing Diagnoses |




Working Phase - CORRECT ANSWER->>Maintain trust and
| | | | | |


rapport
|


>>Problem solving model to work toward achievement of goals
| | | | | | | |


>>Overcome resistant behaviors | |


>>Continuously evaluate progress toward goal attainment | | | | |




Transference - CORRECT ANSWER-Occurs when the client | | | | | |


unconsciously displaces ("transfers") to the nurse feelings
| | | | | | |


formed toward a person from the past
| | | | | | |




Countertransference - CORRECT ANSWER-Refers to the | | | | |


nurse's behavioral and emotional response to the client
| | | | | | | |




Termination Phase - CORRECT ANSWER-***Progress has | | | | |


been made toward attainment of the goals***
| | | | | | |

,>>A plan of action for more adaptive coping with future stressful
| | | | | | | | | |


situations has been established
| | | |


>>Feelings about termination of the relationship are recognized | | | | | | |


and explored
| |




Intimate distance - CORRECT ANSWER-the closet distance
| | | | | |


that individual
| |


s allow between themselves and others
| | | | |




Personal distance - CORRECT ANSWER-the distance for
| | | | | |


interactions that are personal in nature, such as close
| | | | | | | | |


conversations with friends
| | |




Social distance - CORRECT ANSWER-the distance for
| | | | | |


conversation with strangers or acquaintances
| | | | |




Public distance - CORRECT ANSWER-the distance for
| | | | | |


speaking in public or yelling to someone some distance away
| | | | | | | | | |




Nonverbal Communication - CORRECT ANSWER-Physical | | | |


appearance and dress, body movement and posture, touch,
| | | | | | | |


facial expressions, eye behavior, vocal cues or paralanguage
| | | | | | | |




Therapeutic Communication Techniques - CORRECT | | | |


ANSWER-using silence, accepting, giving recognition, offering
| | | | | |


self, broad openings, making observations, encouraging
| | | | | |


comparison, restating, focusing, exploring, seeking clarification
| | | | | |


and validation, presenting reality, voicing doubt, verbalizing the
| | | | | | | |


implied, formulating plan of action
| | | | |




Non-therapeutic Communication Techniques - CORRECT | | | |


ANSWER-giving reassurance, rejecting, approving or
| | | | |


disapproving, agreeing or disagreeing, giving advice, probing,
| | | | | | |


defending, requesting an explanation (don't asking "why"),
| | | | | | |


belittling feelings expressed, using denial, stereotypical
| | | | | |


comments, interpreting
| |

, Active Listening (SOLER) - CORRECT ANSWER-S-sit
| | | | |


squarely facing the client
| | | |


O-observe an open posture | | |


L-lean forward toward the client
| | | |


E-establish eye contact
| | |


R-relax

What is the most essential task for a nurse to accomplish prior to
| | | | | | | | | | | |


forming a therapeutic relationship with a client?
| | | | | | |




1. Clarify personal attitudes, values, and beliefs. | | | | |


2. Obtain thorough assessment data. | | |


3. Determine the client's length of stay | | | | |


4. Establish personal goals for interaction - CORRECT | | | | | |


ANSWER-1. Clarify personal attitudes, values, and beliefs.
| | | | | | |




If a client demonstrates transference toward a nurse, how
| | | | | | | |


should the nurse respond?
| | | |




1. Promote safety and immediately terminate the relationship | | | | | |


with the client.
| | |


2. Encourage the client to ignore these thoughts and feelings. | | | | | | | |


3. Immediately reassign the client to another staff member. | | | | | | |


4. Help the client to clarify the meaning of the relationship, based
| | | | | | | | | |


on the present situation. - CORRECT ANSWER-4. Help the
| | | | | | | | |


client to clarify the meaning of the relationship, based on the
| | | | | | | | | | |


present situation.
| |




What should be the priority nursing action during the orientation
| | | | | | | | |


phase of the nurse-client relationship?
| | | | |




1. Acknowledge the client's actions, and generate alternative | | | | | |


behaviors.
|


2. Establish rapport and develop treatment goals. | | | | |


3. Attempt to find alternative placement | | | |

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