QUESTION The nurse is caring for a client who is extremely dependent on the approval of others, causing them to discount their own needs. The nurse recognizes that the client is demonstrating a. self-differentiation. b. emotional cutoff. c. poor self-differentiation. d. rigid boundaries. ANSWER: ANS: C Self-differentiation refers to a person’s capacity to define […]
QUESTION 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: ANS: D The working phase focuses on self-direction and self-management to whatever extent is possible in promoting the client’s health and well-being. Orientation is the assessment phase. The client […]
QUESTION 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 ANSWER: ANS: C The exploitation phase corresponds to the implementation phase of the nursing process, where the purpose is to work toward resolution of the client’s […]
QUESTION 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 […]
QUESTION 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 […]
QUESTION 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 ANSWER: ANS: A Orientation phase: The therapeutic alliance begins with the […]
QUESTION 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 […]
QUESTION 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 […]
QUESTION 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 […]
QUESTION 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 […]
