Question 1

Which client statement may indicate a transference reaction?

Accepted Answer

A)  "I need a real nurse. You are young enough to be my daughter and I don't want to tell you about my personal life." 
B)  "I deserve more than I am getting here. Do you know who I am and what I do? Let me talk to your supervisor." 
C)  "I don't seem to be able to relate to people. I would rather stay in my room and be by myself." 
D)  "My mother is the source of my problems. She has always told me what to do and what to say." 
A)  "I need a real nurse. You are young enough to be my daughter and I don't want to tell you about my personal life." 
B)  "I deserve more than I am getting here. Do you know who I am and what I do? Let me talk to your supervisor." 
C)  "I don't seem to be able to relate to people. I would rather stay in my room and be by myself." 
D)  "My mother is the source of my problems. She has always told me what to do and what to say." A

Question 2

When is self-disclosure by the nurse appropriate in a therapeutic nurse-client relationship?

Accepted Answer

A)  When it is judged that the information may benefit the nurse and client 
B)  When the nurse has a duty to warn 
C)  When the nurse feels emotionally indebted toward the client 
D)  When it is judged that the information may benefit the client 
A)  When it is judged that the information may benefit the nurse and client 
B)  When the nurse has a duty to warn 
C)  When the nurse feels emotionally indebted toward the client 
D)  When it is judged that the information may benefit the client D

Question 3

What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

Accepted Answer

A)  To clarify personal attitudes, values, and beliefs 
B)  To obtain thorough assessment data 
C)  To determine the client's length of stay 
D)  To establish personal goals for the interaction 
A)  To clarify personal attitudes, values, and beliefs 
B)  To obtain thorough assessment data 
C)  To determine the client's length of stay 
D)  To establish personal goals for the interaction A

Question 4

A nurse moving out of state speaks to a client about the need to work with a new nurse.The client states,"I'm not well enough to switch to a different nurse." What does this client response indicate to the nurse?

Accepted Answer

A)  The client is using manipulation to receive secondary gain. 
B)  The client is using the defense mechanism of denial. 
C)  The client is having trouble terminating the relationship. 
D)  The client is using "splitting" as a way to remain dependent on the nurse. 
A)  The client is using manipulation to receive secondary gain. 
B)  The client is using the defense mechanism of denial. 
C)  The client is having trouble terminating the relationship. 
D)  The client is using "splitting" as a way to remain dependent on the nurse.

Question 5

Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?

Accepted Answer

A)  "I can't bear the thought of leaving here and failing." 
B)  "I might have a hard time working with you. You remind me of my mother." 
C)  "I can't tell my husband how I feel; he wouldn't listen anyway." 
D)  "I'm not sure that I can count on you to protect my confidentiality." 
A)  "I can't bear the thought of leaving here and failing." 
B)  "I might have a hard time working with you. You remind me of my mother." 
C)  "I can't tell my husband how I feel; he wouldn't listen anyway." 
D)  "I'm not sure that I can count on you to protect my confidentiality."

Question 6

If an individual is "two-faced," which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?

Accepted Answer

A)  Respect 
B)  Genuineness 
C)  Sympathy 
D)  Rapport 
A)  Respect 
B)  Genuineness 
C)  Sympathy 
D)  Rapport

Question 7

What is the priority nursing action during the orientation (introductory)phase of the nurse-client relationship?

Accepted Answer

A)  Acknowledge the client's actions and generate alternative behaviors. 
B)  Establish rapport and develop treatment goals. 
C)  Attempt to find alternative placement. 
D)  Explore how thoughts and feelings about this client may adversely impact care. 
A)  Acknowledge the client's actions and generate alternative behaviors. 
B)  Establish rapport and develop treatment goals. 
C)  Attempt to find alternative placement. 
D)  Explore how thoughts and feelings about this client may adversely impact care.

Question 8

As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship,which is the nurse's most therapeutic statement?

Accepted Answer

A)  "I want to assure you that I will maintain your confidentiality." 
B)  "A long-term goal for someone your age would be to develop better job skills." 
C)  "Which identified problems would you like for us to initially address?" 
D)  "I think first we need to focus on your relationship issues." 
A)  "I want to assure you that I will maintain your confidentiality." 
B)  "A long-term goal for someone your age would be to develop better job skills." 
C)  "Which identified problems would you like for us to initially address?" 
D)  "I think first we need to focus on your relationship issues."

Question 9

A hungry,homeless client,diagnosed with schizophrenia,refuses to participate in an admission interview.When the nurse postpones the admission interview,verbally assures safety,and provides a warm meal,he or she is promoting which of the following?

Accepted Answer

A)  Sympathy 
B)  Trust 
C)  Veracity 
D)  Manipulation 
A)  Sympathy 
B)  Trust 
C)  Veracity 
D)  Manipulation

Question 10

On which task should a nurse place priority during the working phase of relationship development?

Accepted Answer

A)  Establishing a contract for intervention 
B)  Examining feelings about working with a particular client 
C)  Establishing a plan for continuing aftercare 
D)  Promoting the client's insight and perception of reality 
A)  Establishing a contract for intervention 
B)  Examining feelings about working with a particular client 
C)  Establishing a plan for continuing aftercare 
D)  Promoting the client's insight and perception of reality

Question 11

A mother who has learned that her child was killed in a tragic car accident states,"I can't bear to go on with my life." Which nursing statement conveys empathy?

Accepted Answer

A)  "This situation is very sad, but time is a great healer." 
B)  "You are sad, but you must be strong for your other children." 
C)  "Once you cry it all out, things will seem so much better." 
D)  "It must be horrible to lose a child; I'll stay with you until your husband arrives." 
A)  "This situation is very sad, but time is a great healer." 
B)  "You are sad, but you must be strong for your other children." 
C)  "Once you cry it all out, things will seem so much better." 
D)  "It must be horrible to lose a child; I'll stay with you until your husband arrives."

Question 12

According to Peplau,which nursing action demonstrates the nurse's role as a resource person?

Accepted Answer

A)  The nurse balances a safe therapeutic environment to increase the client's sense of belonging. 
B)  The nurse holds a group meeting with the clients on the unit to discuss common feelings about mental illness. 
C)  The nurse monitors the administration of medications and watches for signs of "cheeking." 
D)  The nurse explains, in language the client can understand, information related to the client's health care. 
A)  The nurse balances a safe therapeutic environment to increase the client's sense of belonging. 
B)  The nurse holds a group meeting with the clients on the unit to discuss common feelings about mental illness. 
C)  The nurse monitors the administration of medications and watches for signs of "cheeking." 
D)  The nurse explains, in language the client can understand, information related to the client's health care.

Question 13

Which nursing action demonstrates the role of the teacher in a therapeutic milieu?

Accepted Answer

A)  The nurse implements a self-affirmation exercise during a one-to-one client interaction. 
B)  The nurse holds a group meeting to present common side effects of psychiatric medications. 
C)  The nurse introduces the concept of fair play while playing cards with a group of clients. 
D)  The nurse models adaptive and effective coping mechanisms with clients on the psychiatric unit. 
A)  The nurse implements a self-affirmation exercise during a one-to-one client interaction. 
B)  The nurse holds a group meeting to present common side effects of psychiatric medications. 
C)  The nurse introduces the concept of fair play while playing cards with a group of clients. 
D)  The nurse models adaptive and effective coping mechanisms with clients on the psychiatric unit.

Question 14

Which phase of the nurse-client relationship begins when the individuals first meet and is characterized by an agreement to continue to meet and work on setting client-centered goals?

Accepted Answer

A)  Preinteraction 
B)  Orientation 
C)  Working 
D)  Termination 
A)  Preinteraction 
B)  Orientation 
C)  Working 
D)  Termination

Question 15

What should be the nurse's primary goal during the preinteraction phase of the nurse-client relationship?

Accepted Answer

A)  To evaluate goal attainment and ensure therapeutic closure 
B)  To establish trust and formulate a contract for intervention 
C)  To explore self-perceptions 
D)  To promote client change 
A)  To evaluate goal attainment and ensure therapeutic closure 
B)  To establish trust and formulate a contract for intervention 
C)  To explore self-perceptions 
D)  To promote client change

Question 16

Which is the best nursing action when a client demonstrates transference toward a nurse?

Accepted Answer

A)  Promoting safety and immediately terminating the relationship with the client 
B)  Encouraging the client to ignore these thoughts and feelings 
C)  Immediately reassigning the client to another staff member 
D)  Helping the client to clarify the meaning of the current nurse-client relationship 
A)  Promoting safety and immediately terminating the relationship with the client 
B)  Encouraging the client to ignore these thoughts and feelings 
C)  Immediately reassigning the client to another staff member 
D)  Helping the client to clarify the meaning of the current nurse-client relationship

Question 17

A client has made the decision to leave her alcoholic husband.She is feeling very depressed.Which nontherapeutic statement by the nurse conveys sympathy?

Accepted Answer

A)  "You are feeling very depressed. I felt the same way when I decided to leave my husband." 
B)  "I can understand you are feeling depressed. It was a difficult decision. I'll sit with you." 
C)  "You seem depressed. It was a difficult decision to make. Would you like to talk about it?" 
D)  "I know this is a difficult time for you. Would you like a prn medication for anxiety?" 
A)  "You are feeling very depressed. I felt the same way when I decided to leave my husband." 
B)  "I can understand you are feeling depressed. It was a difficult decision. I'll sit with you." 
C)  "You seem depressed. It was a difficult decision to make. Would you like to talk about it?" 
D)  "I know this is a difficult time for you. Would you like a prn medication for anxiety?"

Question 18

The nurse-client therapeutic relationship includes which of the following characteristics? Select all that apply.

Accepted Answer

A)  Meeting the psychological needs of the nurse and the client 
B)  Ensuring therapeutic termination 
C)  Promoting client insight into problematic behavior 
D)  Collaborating to set appropriate goals 
E)  Meeting both the physical and psychological needs of the client 
A)  Meeting the psychological needs of the nurse and the client 
B)  Ensuring therapeutic termination 
C)  Promoting client insight into problematic behavior 
D)  Collaborating to set appropriate goals 
E)  Meeting both the physical and psychological needs of the client

Question 19

A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game.The client responds,"Do you want to be my girlfriend?" Which nursing response is most appropriate?

Accepted Answer

A)  "You are upset now. It would be best if you go to your room until you feel better." 
B)  "Remember, we have a professional relationship. Are you feeling uncomfortable?" 
C)  "We have discussed this before. I am not allowed to date clients." 
D)  "I think you should discuss your fantasies with your therapist." 
A)  "You are upset now. It would be best if you go to your room until you feel better." 
B)  "Remember, we have a professional relationship. Are you feeling uncomfortable?" 
C)  "We have discussed this before. I am not allowed to date clients." 
D)  "I think you should discuss your fantasies with your therapist."

Question 20

According to Peplau,which nursing intervention is most appropriate when the nurse is functioning in the role of a surrogate?

Accepted Answer

A)  The nurse functions as a nurturing parent in order to build a trusting relationship. 
B)  The nurse plays cards with a small group of clients. 
C)  The nurse discusses childhood events that may affect personality development. 
D)  The nurse provides a safe social environment. 
A)  The nurse functions as a nurturing parent in order to build a trusting relationship. 
B)  The nurse plays cards with a small group of clients. 
C)  The nurse discusses childhood events that may affect personality development. 
D)  The nurse provides a safe social environment.

Exam 7: Relationship Development

Which client statement may indicate a transference reaction?

When is self-disclosure by the nurse appropriate in a therapeutic nurse-client relationship?

What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

A nurse moving out of state speaks to a client about the need to work with a new nurse.The client states,"I'm not well enough to switch to a different nurse." What does this client response indicate to the nurse?

Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?

If an individual is "two-faced," which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?

What is the priority nursing action during the orientation (introductory)phase of the nurse-client relationship?

As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship,which is the nurse's most therapeutic statement?

A hungry,homeless client,diagnosed with schizophrenia,refuses to participate in an admission interview.When the nurse postpones the admission interview,verbally assures safety,and provides a warm meal,he or she is promoting which of the following?

On which task should a nurse place priority during the working phase of relationship development?

A mother who has learned that her child was killed in a tragic car accident states,"I can't bear to go on with my life." Which nursing statement conveys empathy?

According to Peplau,which nursing action demonstrates the nurse's role as a resource person?

Which nursing action demonstrates the role of the teacher in a therapeutic milieu?

Which phase of the nurse-client relationship begins when the individuals first meet and is characterized by an agreement to continue to meet and work on setting client-centered goals?

What should be the nurse's primary goal during the preinteraction phase of the nurse-client relationship?

Which is the best nursing action when a client demonstrates transference toward a nurse?

A client has made the decision to leave her alcoholic husband.She is feeling very depressed.Which nontherapeutic statement by the nurse conveys sympathy?

The nurse-client therapeutic relationship includes which of the following characteristics? Select all that apply.

A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game.The client responds,"Do you want to be my girlfriend?" Which nursing response is most appropriate?

According to Peplau,which nursing intervention is most appropriate when the nurse is functioning in the role of a surrogate?

The Concept of Stress Adaptation

Mental Health/Mental Illness: Historical and Theoretical Concepts

Theoretical Models of Personality Development

Concepts of Psychobiology

Ethical and Legal Issues

Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing

Therapeutic Communication

The Nursing Process in Psychiatric/Mental Health Nursing

Therapeutic Groups

Intervention With Families

Milieu Therapy The Therapeutic Community

Crisis Intervention

Assertiveness Training

Promoting Self Esteem

Anger/Aggression Management

The Suicidal Client

Behavior Therapy

Cognitive Therapy

Electroconvulsive Therapy

The Recovery Model

Neurocognitive Disorders

Substance-Related and Addictive Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Depressive Disorders

Bipolar and Related Disorders

Anxiety, Obsessive-Compulsive, and Related Disorders

Trauma and Stressor Related Disorders

Somatic Symptom and Dissociative Disorders

Issues Related to Human Sexuality and Gender Dysphoria

Eating Disorders

Personality Disorders

Children and Adolescents

The Aging Individual

Survivors of Abuse or Neglect

Community Mental Health Nursing

The Bereaved Individual

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