Question 1

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-patient relationship?

Accepted Answer

A)   Orientation
B)   Pre-interaction
C)   Termination
D)   Working A

Question 2

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

Accepted Answer

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

Question 3

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

Accepted Answer

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

Question 4

Which personality characteristics may have the greatest negative affect the nurse's ability to function in a therapeutic manner?

Accepted Answer

A)   The nurse is shy.
B)   The nurse becomes angry when criticized.
C)   The nurse has difficulty handling personal conflict.
D)   The nurse tends to avoid social gatherings

Question 5

What is the primary difference between a therapeutic helping relationship and a social relationship?

Accepted Answer

A)   The enjoyment derived.
B)   The amount of listening that is needed.
C)   The degree of worth to participants.
D)   The focus of the relationship.

Question 6

Which statement made by the nurse during the orientation phase of a relationship is non-therapeutic?

Accepted Answer

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."

Question 7

What activity is addressed in the pre-interaction phase of the nurse-patient relationship?

Accepted Answer

A)   Professional goals are communicated directly to the patient.
B)   The content of the interaction is vital and given priority attention
C)   Providing the appropriate physical and interpersonal environment for an optimal relationship.
D)   Application of the nurse's knowledge of principles and responsibilities to guarantees a successful relationship.

Question 8

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

Accepted Answer

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

Question 9

Which statement is true about the helping relationship?

Accepted Answer

A)   The health care provider takes responsibility for maintaining appropriate boundaries.
B)   Both the health care provider and the patient have equal responsibility for the relationship.
C)   Self-disclosure for both the health care provider and the patient is expected.
D)   Understanding should always have to be put into words.

Question 10

Self-disclosure by the nurse refers to the intentional revealing of personal experiences or feelings that are alike or different from those of the patient. What is the purpose of self-disclosure?

Accepted Answer

A)   To be a role model to the patient.
B)   To determine how accepting the patient will be of the nurse.
C)   To demonstrate how healthy people solve problems.
D)   To encourage the patient to manage their own self-care needs.

Question 11

Which of the following examples indicates adherence to patient confidentiality?

Accepted Answer

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

Question 12

The nurse has been working in a long-term care facility for several years but has decided to leave the facility to work elsewhere. What action should the nurse implement when terminating the nurse- patient relationship?

Accepted Answer

A)   Preparing patients in advance for the termination.
B)   Assuring patients that "I will keep in touch."
C)   Affirming that patients have benefited from the relationship.
D)   Discussing feelings with patients during the last encounter.

Question 13

When an appreciative patient offers the nurse a box of chocolates, what action is most appropriate for the nurse to take?

Accepted Answer

A)   Accept all gifts offered to avoid embarrassing the patient.
B)   Refuse to accept the chocolates in a gentle, tactful manner.
C)   Accept or refuse based on the uniqueness of the relationship.
D)   Insist that the candy be shared among staff and patients.

Question 14

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

Accepted Answer

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

Question 15

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

Accepted Answer

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 16

A patient diagnosed with borderline personality disorder, suddenly displays superficial scratches to both forearms after learning that a trusted staff member will be leaving the unit permanently. Which nursing diagnosis, related to losses and endings in the nurse-patient relationship, should be considered for inclusion into the patient's plan of care?

Accepted Answer

A)   Noncompliance
B)   Knowledge deficit
C)   Self-care deficit
D)   Anxiety

Question 17

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

Accepted Answer

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

Question 18

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

Accepted Answer

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 19

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

Accepted Answer

A)   Orientation
B)   Pre-interaction
C)   Identification
D)   Working

Exam 10: Developing Patient Centered Therapeutic Relationships