Deck 4: The Therapeutic Relationship

Question 1

Which of the following statements about values is true?

A)It is impossible for someone to understand his or her values.
B)Values evolve over time; they are not static.
C)Values assimilated in childhood are those held for a lifetime.
D)Values clarification tells a person how to act.

Answer 1

Values evolve over time; they are not static.

Question 2

A nurse is working with a person to increase his daily exercise and activity.Which of the following statements by the nurse best demonstrates the use of reflection?

A)"I have also struggled with finding time to exercise on a regular basis."
B)"Regular exercise plays an important role in preventing many health problems."
C)"You said that you have difficulty making time in your day for exercise."
D)"It may be helpful if we developed a goal related to daily exercise."

Answer 2

"You said that you have difficulty making time in your day for exercise."

Question 3

Which of the following is the first step in the valuing process?

A)Acting out the choice
B)Selecting from alternatives
C)Being happy with personal beliefs and actions
D)Choosing freely

Answer 3

Choosing freely

Question 4

Which of the following scenarios best describes a nurse using metacommunication?

A)Using both touch and silence when counseling an individual
B)Practicing reflection when interaction with an individual
C)Discussing with an individual how to solve a problem
D)Understanding that an individual needs a break before proceeding

Question 5

An individual reveals to the nurse that he is having an affair with his wife's best friend.Which of the following statements will enhance effective therapeutic communication between him and the nurse?

A)"You know that what you are doing is wrong."
B)"Why would you want do something like that?"
C)"How could you do that to your wife and children?"
D)"This affair seems to be troubling you."

Question 6

Which of the following best describes person-centered communication?

A)The nurse says to the person seeking care, "Why do you continue to drink when you know it is not good for you?"
B)The nurse responds to person seeking care's request for pain medicine by saying, "It is not time for your pain medicine.You had it h ago."
C)The care recipient says to the nurse, "I think my husband is cheating on me." The nurse responds by saying, "You think your husband is cheating on you?"
D)The care recipient says to the nurse, "I can't believe I have cancer." The nurse responds by saying, "One of my closest friends had cancer and had to have chemotherapy."

Question 7

The nurse makes sure that the distance between himself and the care recipient is at least 6 feet before he begins to ask questions related to the care recipient's health history.Which of the following statements is true?

A)This is the ideal space for intimate communication.
B)This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.
C)This is the recommended distance between care recipient and nurse for effective therapeutic communication.
D)The nurse should position himself an additional foot away to facilitate the conversation.

Question 8

A nurse and a man are involved in a conversation.When the person folds his arms across his chest, the nurse almost simultaneously folds her arms across her chest.This behavior is recognized as

A)empathy.
B)reciprocity.
C)flexibility.
D)spacing.

Question 9

The nurse shares with her care recipient the news that she, the nurse, is going to be married soon and tells the care recipient about her wedding plans.Which of the following best describes the nurse's actions?

A)The nurse is sharing inappropriate personal information with her care recipient.
B)The nurse is exhibiting a communication technique called self-disclosure.
C)The nurse is attempting to show empathy with her care recipient.
D)The nurse is violating care recipient confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA).

Question 10

Which of the following statements can be identified as a method for clarifying a message?

A)"I get very upset when you talk to me in that tone."
B)"You make me very angry when you drink alcohol."
C)"I can make you happy.I know I can."
D)"What I want from you is to be left alone!"

Question 11

Which of the following statements is correct concerning Telehealth?

A)It is appropriately used for initial assessment but not for diagnosis or treatment.
B)It can encompass both spoken and written word.
C)Issues of confidentiality continue to prevent its widespread use.
D)All of the above statements are correct.

Question 12

A woman tells the nurse that she is very nervous about their meeting today.Which of the following relationship stages are the nurse and woman most likely experiencing?

A)Orientation phase
B)Working phase
C)Therapeutic phase
D)Termination phase

Question 13

A nurse is counseling someone who has recently been diagnosed with diabetes.The nurse says, "Tell me more about how this diagnosis has affected your daily activities." Which of the following best describes the type of communication the nurse is using?

A)Verbal communication
B)Nonverbal communication
C)Metacommunication
D)Functional communication

Question 14

Which of the following statements about nonverbal communication is true?

A)Nonverbal behavior is not usually contextual.
B)Nonverbal behavior is culturally and situationally bound.
C)Nonverbal communication is the most important type of communication.
D)Nonverbal communication is easy to interpret.

Question 15

A nurse and her care recipient are engaged in meaningful conversation when suddenly there is silence between the two.To facilitate effective care recipient-centered communication, the nurse should

A)ask the person what he is thinking, so they can understand each other.
B)restate what the person said before silence ensued, to get clarification.
C)change the subject to one that is more pleasant for the person to discuss.
D)wait quietly to give the person time to reflect where he wants to lead the conversation.

Question 16

A nurse has started admitting a new person on home care and is beginning to establish a relationship.Which of the following would be the most important thing for the nurse to do?

A)Complete the paperwork in a timely fashion.
B)Establish open communication.
C)Conduct a complete physical health assessment.
D)Provide feedback to the person's questions.

Question 17

A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence.Which of the following should the nurse recommend the care recipients do first to improve their self-awareness?

A)Use self-disclosure to share aspects of self.
B)Listen to and learn from others.
C)Listen to oneself and pay attention to emotions, thoughts, and reactions.
D)Use others to bounce back your own thoughts and recollections.

Question 18

Which of the following would be an example of countertransference occurring in the context of a professional relationship?

A)The nurse reminds the patient of his mother with whom he had longstanding conflict.
B)The patient is distorting his interaction with his physician.
C)The nurse reacts to the patient in a manner reminiscent of interaction with her father.
D)The nurse finds the patient's humorous comments to be racist and offensive.

Question 19

Which of the following scenarios described is correct concerning feedback?

A)It is a monitoring system, which controls and accommodates responses to behavior.
B)Negative feedback counterproductive and should be avoided.
C)Positive feedback encourages homeostasis.
D)A feedback loop refers to a static process where the parties are "stuck" in a pattern.

Question 20

A person has just been admitted to the hospital.In talking with the person, the nurse is able to elicit from her that the reason for her hospitalization is that her husband beat her up.Which characteristic of the therapeutic relationship is being demonstrated?

A)Empathy
B)Trust
C)Rapport
D)Purposeful communication

Question 21

A nurse is in the process of establishing a therapeutic relationship with a person.Which of the following techniques should be used by the nurse? (Select all that apply.)

A)Learn about the person's interests.
B)Sit close to the person.
C)Show interest in the person's concerns.
D)Define the parameters of the relationship with the person.

Question 22

Which of the following is an essential question that nurses should encourage individuals to ask at every health visit? (Select all that apply.)

A)"What is my main problem?"
B)"What health information do I not understand?"
C)"What do I need to do?"
D)"What is the plan for the next visit?"

Question 23

A nurse is working on values clarification with a person who has chosen to smoke during her pregnancy.Which of the following statements would be the most appropriate for the nurse to assist in this process? (Select all that apply.)

A)"Why do you smoke cigarettes?
B)"What do you value most in life?"
C)"Who has influenced your decision to smoke?"
D)"Is your decision to smoke consistent with your values?"