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d - ANSWER- The primary nurse is caring for a client with chronic obstructive pulmonary
disease (COPD). The nurse arrives at the client's room to complete the morning assessment and
finds the client is upset. The client states, "My nurse overnight referred to me to the assistant as
the COPDer." The primary nurse tells the client that she will address the issue with the nurse.
Which basis of the therapeutic relationship is the nurse displaying by addressing this client issue
with the other nurse?
a Reflecting
b Assuming
c Identifying
d Respecting
d - ANSWER- Prior to meeting a client, the mental health nurse reviews the client's
demographics, including the client's name, address, age, medical history, and social history. Which
phase of the therapeutic relationship is reflected by this action?
a Termination
b Introductory
c Working
d Preinteraction
,b
Rationale
The nurse seeking clarification from the client to ensure an understanding of the informed
consent.Open-ended questioning allows the client to elaborate and use answers that are longer than
one or two words. Paraphrasing is when the nurse repeats the client's basic message using the
nurse's own words. Giving information occurs when the nurse provides the client specific factual
information. - ANSWER- A nurse is caring for a client who will undergo a cholecystectomy
surgery in two hours. To assess that the client has informed consent, the nurse asks the client, "Can
you tell me what your surgery will involve? " Which method of therapeutic communication is the
nurse using with this client?
a Open-ended questioning
b Seeking clarification
c Giving information
d Paraphrasing
d - ANSWER- A nurse is caring for a pediatric client who requires IV antibiotic therapy. Prior
to inserting the IV catheter, the client asks the nurse, "Is this going to hurt me? " Which response
by the nurse best promotes rapport and trust with the client?
a "Yes, it is going to hurt. Hold really still or it will hurt much worse."
b "It might hurt, but I am not sure."
c "No. As long as you hold still it shouldn't hurt."
, d "It is going to hurt, but once I am done it shouldn't hurt anymore."
d - ANSWER- A nurse working on a telemetry unit is caring for a client with sick sinus
syndrome. The client tells the nurse, "I felt dizzy earlier this morning. " The nurse responds by
asking the client, "Did this occur after breakfast? " Which method of therapeutic communication
is the nurse using with this client?
a Focusing
b Giving information
c Acknowledging
d Clarifying time
d - ANSWER- A nurse is caring for a pediatric client who is recovering from a recent open
appendectomy surgery. The nurse states to the client, "I saw that you walked up and down the
hallway twice today already. Good job! " Which therapeutic communication technique is the nurse
using to establish rapport with the client?
a Offering self
b Listening actively
c Validating perceptions
d Giving recognition