Deck 11: Self-Disclosure

Question 1

The nurse cares for an elderly patient in a long-term care center.Which would be inappropriate for the nurse to share with the client?

A)Reminisce about birthday celebrations and inquire about the client's traditions.
B)Use high levels of intimacy to help the client feel more comfortable with the nurse.
C)Establish a helping relationship based on trust by sharing a personal story with the client.
D)Share with the client how meditation decreased nausea during chemotherapy treatment.

Answer 1

Use high levels of intimacy to help the client feel more comfortable with the nurse.

Question 2

The nursing supervisor instructs a group of novice nurses about the appropriate use of self-disclosure with patients.The nursing supervisor determines that teaching was successful if the novice nurse makes which statement?

A)"Self-disclosure provides an opportunity for the patient to understand the nurse."
B)"It is better to disclose stories about others to maintain professional boundaries."
C)"Self-disclosure may be used to build a trusting relationship with the patient."
D)"A fabricated personal experience can be shared if the patient remains the main focus."

Answer 2

"Self-disclosure may be used to build a trusting relationship with the patient."

Question 3

A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen).Which response by the nurse is most appropriate?

A)"You should check with a doctor;I cannot give you advice about drugs."
B)"My friend has taken estrogen for more than five years without any problems."
C)"I can answer any questions you have but it is up to you to make this decision."
D)"Herbal supplements were much better for me than prescription-strength estrogen."

Answer 3

"I can answer any questions you have but it is up to you to make this decision."

Question 4

A patient is attracted to the nurse and attempts to initiate a social relationship.It is most appropriate for the nurse to take which action?

A)Encourage the client's behavior to develop a trusting nurse-client relationship.
B)Inform the charge nurse of the situation and ask for a different patient assignment.
C)Tell the patient that the relationship must remain professional at all times.
D)Determine if the patient can be transferred to another nursing care unit.

Question 5

The nurse plans to use self-disclosure to aid a mother and father in the grieving process after the death of their child.The steps of a helpful self-disclosure appear below.Arrange the steps in the correct order of use.

A)Succinctly share a personal experience that is a similar grieving experience.
B)Listen to the parents talk about their child and observe their movements and gestures.
C)Reflect upon the parent's statements to communicate understanding.
D)Seek verification that the self-disclosure was helpful to the child's parents.