Exam Questions and CORRECT Answers
Marcus Engel - CORRECT ANSWER - - "I'm Here", nickname, common ground, privacy,
don't say "I know how you feel", instead acknowledge their situation and say you are there for
them, tell them if vitals were good
Instrumental and relational aspects of nursing practice act ____________ in pursuit of curing
and/or healing - CORRECT ANSWER - synergistically
Underlying principles of the therapeutic relationship - CORRECT ANSWER - empathy,
compassion, caring
Relational work involves nurses therapeutically relating to their patients in ways that: -
CORRECT ANSWER - 1. Facilitate the patient or family members ability to cope with
their circumstances - being able to deal with the different aspects of what is going on (physical,
emotional, etc)
2. help them understand the meaning of this episode of illness or injury in their lives - how is this
going to impact their lives
3. Allowing them to take ownership for their own healing and recovery - what is this going to
look like for the pt?
Relational work fosters - CORRECT ANSWER - human relationships with patients
questions we can ask ourselves that help us relate to pt? - CORRECT ANSWER - who am
I? what is most important to me? what assumptions do I make about the world? what have I
struggled with in my life? what has shaped me into the person I am today? what has brought me
to nursing?
,why would we ask questions about ourselves to better relate to patients? - CORRECT
ANSWER - to crack us open as individuals, help us understand out dynamics, and
judgements, in order to connect better with pt
the therapeutic relationship focuses on ____________________ - CORRECT ANSWER -
ministering to the needs of the person receiving care
true or false: the therapeutic relationship is mutual in benefit between both parties? - CORRECT
ANSWER - false - we do not get things back. the needs of the caregiver are met outside
the therapeutic relationship
empathy - CORRECT ANSWER - the experience of understanding another persons
condition from their perspective.
motto/saying for empathy - CORRECT ANSWER - putting yourself in someone else's
shoes
Empathy vs. Sympathy - CORRECT ANSWER - In empathy, we understand the feelings
of others.
In sympathy, we feel bad/pity the person.
what is more productive: empathy or sympathy? - CORRECT ANSWER - empathy
why should nurses be empathetic - CORRECT ANSWER - to help us better understand the
pt needs and experience, understand the impact to decrease suffering.
eg: pt gets hurt when bed is bumped, being more careful around the bed
compassion - CORRECT ANSWER - a deep awareness of the suffering of others coupled
with the wish to relieve it, involving a somatic, cognitive and embodied process of attempts to
relieve suffering.
,recognition of suffering, empathetic engagement with suffering, and ACTION in attempts to
relive suffering
caring - CORRECT ANSWER - genuine kindness and authentic concern for others,
evidenced by qualities of gentleness, warmth, affection and concern
are empathy, compassion, and care all intrinsic attributes of people who want to be a nurse -
CORRECT ANSWER - principles are meant to be learned, its a skill. there are some
natural aspects, but it can be aquired.
CNO Therapeutic Nurse-Client relationship: four standard statements - CORRECT
ANSWER - 1. therapeutic communication
2. client centred care
3. maintaining boundaries
4. protecting the pt from abuse.
therapeutic communication - CORRECT ANSWER - nurses will use a wide range of
effective communication strategies and interpersonal skills to establish, maintain, re-etablish, and
terminate the nurse-pt relationship
introducing yourself, adapting language, translator, etc
client centered care - CORRECT ANSWER - nurses work with the client to ensure that all
professional behaviours and actions meet the therapeutic needs of the client
treating the patient as a partner in care. doing things with them, not too them.
maintaining boundaries - CORRECT ANSWER - nurses are responsible for effectively
establishing and maintaining limits or boundaries in the nurse pt relationship.
, Protecting the pt from abuse - CORRECT ANSWER - nurses protect from harm by
ensuring that abuse is prevented, stopped, or reported.
maintaining boundaries: practice considerations - CORRECT ANSWER - care setting -
acute care has more defined roles than in the community
duration of the relationship
cultural values of the client
how we feel about the client
clients relationship with other team members.
maintaining boundaries : receiving gifts - CORRECT ANSWER - always consult
team/manager before accepting a personal gift, regardless on how big.
be prepared with that your going to say in the event someone tries to give you a gift
dont give personal gifts. sometimes team gifts are appropriate.
maintaining boundaries: self disclosure - CORRECT ANSWER - ask yourself why are you
sharing this information and what purpose does it serve?
the purpose of the therapeutic relationship is to... - CORRECT ANSWER - promote,
guide, and support the healing of another person through knowledgeable and authentic
connection. humanizes what may be inhumane. things done with them, not too them
heal vs cure - CORRECT ANSWER - healing: make sound or whole. emotional. not tied
to physical.