Deck 10: Developing Therapeutic Relationships

Question 1

Which of the following is a nontherapeutic statement during the orientation phase of a relationship?

A) "I am the nurse who will be caring for you today."
B) "My job is to make you better."
C) "I will be talking with you while I provide care."
D) "You will be receiving care from an assistant and myself."

Answer 1

"My job is to make you better."

Question 2

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

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

Answer 2

Working

Question 3

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

A) request another assignment.
B) deliver care in short intervals to avoid projecting negativity.
C) examine personal vulnerabilities, strengths, and limitations.
D) monitor the client's physical status closely.

Answer 3

examine personal vulnerabilities, strengths, and limitations.

Question 4

A primary difference between a therapeutic helping relationship and a social relationship is

A) enjoyment.
B) amount of listening.
C) worth to participants.
D) the focus.

Question 5

An appreciative client offers the nurse a box of chocolates.The nurse should

A) accept all gifts offered by the client.
B) refuse to accept the chocolates in a gentle, tactful manner.
C) accept or refuse based on the uniqueness of the relationship.
D) accept the gift but also remind the client of intangible gifts.

Question 6

Which of the following examples indicates adherence to client confidentiality?

A) Talking about the client's symptoms in front of family members
B) Using the client's name in a social conversation
C) Sharing client information with other members of the health care team as needed
D) Reading a friend's chart on another hospital unit

Question 7

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-client relationship?

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

Question 8

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

A) From the initial encounter
B) After goals have been achieved
C) When the client requests it
D) During the working phase of the relationship

Question 9

A client has been informed by her physician that she requires emergency surgery.The client 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 client?

A) The client will accept the recommended medical regimen.
B) The client will alternate activity with rest throughout the day.
C) The client will take a leave of absence from her work schedule.
D) The client will check her blood pressure four times a day.

Question 10

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

A) "You have to take these! If you stop you will get very sick."
B) "You're just feeling depressed right now. You'll feel better later."
C) " Tell me more about what you're feeling."
D) "You have the right to refuse treatment."

Question 11

In the preinteraction phase of the nurse-client relationship

A) professional goals are communicated directly to the client.
B) the content of the interaction is vital; the environment has little importance.
C) the nurse develops the appropriate physical and interpersonal environment for an optimal relationship.
D) it is the nurse's knowledge of principles and responsibilities that guarantees a successful relationship.

Question 12

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

A) overinvolvement.
B) client-centered approach.
C) professional focus.
D) disengagement.

Question 13

The student nurse has finished her rotation on the outpatient psychiatric unit.Her client,who was diagnosed with borderline personality disorder,suddenly displays superficial scratches to both forearms.Which of the following is a nursing diagnosis for the client related to losses and endings in the nurse-client relationship?

A) Noncompliance about impending termination of nurse-client relationship
B) Knowledge deficit about impending termination of nurse-client relationship
C) Self-care deficit related to impending termination of nurse-client relationship
D) Anxiety related to impending termination of nurse-client relationship

Question 14

Which of the following is true about the helping relationship?

A) The health care provider takes responsibility for maintaining appropriate boundaries.
B) Both the health care provider and the client have equal responsibility for the relationship.
C) Self-disclosure for both the health care provider and the client is expected.
D) Understanding does not always have to be put into words.

Question 15

Which of the following personality characteristics can affect the nurse's ability to function in a therapeutic manner,if disclosed to the client?

A) The nurse is shy.
B) The nurse becomes angry when criticized.
C) The nurse has difficulty handling conflict.
D) The nurse struggles with getting up in the morning.

Question 16

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

A) confidentiality, trust, and empathy.
B) listening, hearing, and feeling.
C) preinteraction, orientation, working phase, and termination phase.
D) getting details, thoughts, and answers.

Question 17

Self-disclosure by the nurse refers to the intentional revealing of personal experiences or feelings that are similar to or different from those of the client.The purpose of self-disclosure is to

A) deepen trust, to be a role model of self-disclosure as a beneficial mode of communicating.
B) to find out how the client would like to be.
C) to determine how things would be if the problems were solved.
D) to work toward resolution of the client's self-care needs.

Question 18

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

A) Diagnosis
B) Assessment
C) Implementation
D) Planning

Question 19

The nurse has been working in a long-term care facility for several years.The nurse has decided to leave the facility to work elsewhere.When terminating her relationship with clients,the nurse should

A) prepare clients for termination.
B) inform clients that she will "keep in touch."
C) inform clients that they have benefited from the relationship.
D) discuss feelings with clients during the last encounter.