Deck 2: The Client-Nurse Relationship: a Helping Relationship

Question 1

The nurse cares for a client who is scheduled for a breast biopsy.Which is the main purpose of the client-nurse relationship?

A)To develop a mutually satisfying experience for the client and nurse.
B)To assist the client in achieving and maintaining optimal health.
C)To provide excellent client service and improve quality of care.
D)To allow the client to receive important health information.

Answer 1

To assist the client in achieving and maintaining optimal health.

Question 2

The community health nurse is listening to a client talk about a personal problem.Which of these actions by the nurse is most appropriate?

A)The nurse should increase the physical distance from the client.
B)The nurse should lean toward the client and make eye contact.
C)The nurse should periodically interrupt the client to ask questions.
D)The nurse should initiate the physical assessment to distract the client.

Answer 2

The nurse should lean toward the client and make eye contact.

Question 3

The nurse cares for a client with abdominal pain who is scheduled for exploratory surgery.Which statement(s),if made by the nurse,indicates that the client's rights in the helping relationship have been violated? Select all that apply.

A)"I do not have time right now to help you call your family."
B)"I am available to answer questions that you may have about your surgery."
C)"You seem frightened.I will stay with you until your family arrives."
D)"Your neighbors called,and I told them that you will have surgery."
E)"If you do not let me start your IV,I will not give you pain medication."

Answer 3

"I do not have time right now to help you call your family."
"Your neighbors called,and I told them that you will have surgery."
"If you do not let me start your IV,I will not give you pain medication."

Question 4

The nurse is performing a well-child assessment on a 15-month-old child.The child's mother and father are present.Which action by the nurse will best determine the health beliefs and values of the parents?

A)Have the parents independently complete the Myers-Briggs Type Indicator survey.
B)Read the documented health histories of the child's parents and grandparents.
C)Actively listen to the parents talk about their lives and health concerns.
D)Review the traditional health practices of the ethnic group identified by the parents.

Question 5

While admitting a patient to the medical unit,the nurse should take which action?

A)Demonstrate human caring by hugging the patient for brief intervals.
B)Disclose shared intimate details with other health care providers.
C)Maintain a physical distance of at least 3 to 4 feet at all times.
D)Develop the plan of care and measurable objectives with the patient.

Question 6

The nurse cares for a patient who has type 2 diabetes mellitus and does not consistently follow the dietary restrictions and exercise recommendations.The patient takes a daily oral hypoglycemic agent as prescribed.Which statement by the nurse is most appropriate?

A)"It is great that you take your medicine as prescribed."
B)"It wouldn't be that hard to walk a few blocks every other day."
C)"You are definitely not one of my good patients."
D)"It is a waste of time to help you,because you will never change."

Question 7

The nurse cares for a patient who has just been diagnosed with lung cancer.Which statement by the nurse is therapeutic?

A)"You sound really frightened about your diagnosis of cancer."
B)"You will get better because the treatment will be started this week."
C)"I think you should take a vacation and try to forget about the cancer."
D)"An apple a day will keep the doctor away."

Question 8

The home care nurse visits a mother and her newborn two days after discharge from the hospital.The mother states,"My baby cries all the time.I must not be a very good mother." Which response by the nurse is nontherapeutic?

A)"It sounds as if you are concerned about your ability to care for your baby."
B)The nurse moves closer to the mother and places a hand on her shoulder.
C)"You just need to get away for a few hours.Find a babysitter and go to a movie."
D)"I am not sure that I understand what you mean.Tell me more about how you feel."

Question 9

The nurse cares for a female patient who is trying to gain understanding of her life and her diagnosis of metastatic breast cancer.Which approach by the nurse would best meet this patient's needs?

A)Suggest the patient join a breast cancer support group.
B)Provide the patient with reading material on death and dying.
C)Contact the patient's spiritual leader to request daily visits.
D)Listen to the patient's stories about her past experiences.