Exam 10: Developing Patient Centered Therapeutic Relationships

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The nurse practices "here and now" focus on problem identification, with an emphasis on quickly understanding the context in which the problem is embedded during which of the following phases of the nurse-patient relationship?

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A

A patient has been informed by her physician that she requires emergency surgery. The patient tells the nurse, "I will have the surgery after I attend my family vacation." Which of the following is the most appropriate mutual goal for the patient?

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B

A nurse whose father was an alcoholic is assigned to care for a patient who is in alcohol withdrawal. The nurse's best therapeutic action would be to

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C

Which personality characteristics may have the greatest negative affect the nurse's ability to function in a therapeutic manner?

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What is the primary difference between a therapeutic helping relationship and a social relationship?

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Which statement made by the nurse during the orientation phase of a relationship is non-therapeutic?

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What activity is addressed in the pre-interaction phase of the nurse-patient relationship?

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Which stage of the nursing process corresponds to the exploitation part of the working phase of the therapeutic relationship?

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Which statement is true about the helping relationship?

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Self-disclosure by the nurse refers to the intentional revealing of personal experiences or feelings that are alike or different from those of the patient. What is the purpose of self-disclosure?

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Which of the following examples indicates adherence to patient confidentiality?

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The nurse has been working in a long-term care facility for several years but has decided to leave the facility to work elsewhere. What action should the nurse implement when terminating the nurse- patient relationship?

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When an appreciative patient offers the nurse a box of chocolates, what action is most appropriate for the nurse to take?

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A nurse returns to work to find that a substitute nurse has changed the treatment plan of her favorite patient. In the presence of the patient, the nurse becomes angry and critical of the other nurse. This is an example of

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The professional relationship goes through a developmental process characterized by overlapping yet distinct stages, which are

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A patient diagnosed with borderline personality disorder, suddenly displays superficial scratches to both forearms after learning that a trusted staff member will be leaving the unit permanently. Which nursing diagnosis, related to losses and endings in the nurse-patient relationship, should be considered for inclusion into the patient's plan of care?

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When should the nurse first start planning for termination of the nurse-patient relationship?

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When you are administering medications to a patient with human immunodeficiency virus (HIV), the patient states, "I should just stop taking them and get it over with." A therapeutic response by the nurse would be

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The patient becomes more self-directed during which of the following phases of the nurse-patient relationship?

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