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Cancel anytime. What occurs during the working phase of the nurse-client relationship? Get answer to your question and much more During an individual therapy session, a nurse is listening to a client describe her drugaddiction. The client says, “I know I am doing the wrong thing for my kids, but I just can't stopusing drugs.” The nurse maintains eye contact and nods occasionally. The nurse responds bysaying, “You're going through a difficult time.” The nurse's actions and words are an exampleof: Get answer to your question and much more Which of the following is a nurse's primary tool for treating clients with mental disorders? Get answer to your question and much more The nurse is caring for a client recently diagnosed with a psychiatric illness. Which key areasshould the nurse focus on while caring for this client? Select all that apply. Get answer to your question and much more Which of the following would indicate that the nurse–client relationship has passed from theorienting phase to the working phase? Get answer to your question and much more Which of the following clinical situations provides an example of transference? 1. A novice nurse states, “Psychiatric nursing can’t be very difficult. After all, I believe in showing care and in mutual exchange with my friends.” The experienced nurse’s understanding of the difference between a social and a therapeutic relationship is primarily based on the: ANS: D 3. Which strategy can the nursing student use to foster authenticity in therapeutic relationships with patients? a. Reading and discussing textbook assignments with a study group ANS: D 4. A person who has always wished to care for “special children” adopts a biracial child and another child who has spina bifida. What is the highest step of the value
clarification process that this person has achieved? ANS: A 5. A nurse makes observations that a depressed patient is more energetic and is smiling much more. Still, the nurse shares with the unit manager that when thinking about the patient a sense of hopelessness surfaces. The nurse manager replies: ANS: B 6. A new nurse has the following thoughts: “How will I handle things if my patient walks away from me? How will I react if the patient is sexually provocative? How will I cope with a patient who cries?” These thoughts indicate that the nurse is engaged in: ANS: B 7. A nurse’s most appropriate initial action during the preinteraction phase of a relationship with a homosexual patient should be to: ANS: A 8. A nurse engaged in the preinteraction phase of the nurse-patient relationship will: ANS: D 9. When asked to contrast social superficiality with therapeutic intimacy, an experienced nurse mentor
explains to a new nurse that the termination component in therapeutic intimacy is: ANS: C 10. Which task would be most appropriate to focus on during the introductory phase of work with a teenage patient with low self-esteem? ANS: A 11. A patient admitted with a diagnosis of schizophrenia, paranoid type, coldly tells a nurse
during the admission interview, “I am here because my family brought me here and locked me up.” The nurse’s best response would be: ANS: C 12. A patient is admitted to the unit and complains of being depressed. The patient says, “I
want to feel like my old self again.” Which nursing response will be most therapeutic? ANS: D 13. In the initial sessions a patient frequently asks the nurse for money and expresses doubt about the
nurse’s ability to help. Which principle provides guidance for the nurse in this situation? ANS:
D 14. A young adult has been receiving treatment for an anxiety disorder. Which statement by the patient confirms that the nurse and patient are most likely entering the terminal phase of the therapeutic relationship? ANS: B 15. A psychiatric nurse will
recognize which action as demonstration of resistance behavior? ANS: D 16. During the working phase of the relationship, the nurse assesses that the patient may be
demonstrating resistance. The most appropriate way to deal with this would be to: ANS: B 17. A patient reports seeing a “frightening” face on the wall of the dayroom. A nurse attempts to calm her by providing an explanation for the flawed perception of what she saw. The nurse would implement this strategy by stating: ANS: B 18. A patient says to a nurse, “My spouse and I get along just fine. We usually agree on everything.” The nurse observes nonverbal communication that disagrees with what the patient has verbally communicated. Which of the patient’s actions is incongruent with her statement? ANS: C 19. A nurse tells a patient who is feeling guilty about an infidelity to call the spouse and beg for forgiveness. According to the transactional model of communication, the nurse’s response originated from which state? ANS: C 20. According to transactional analysis theory, when a patient finally recognizes the
importance of being medication-compliant, which type of transaction has occurred? ANS: D 21. When the nurse suggests the patient communicate to her employer how overwhelmed she is by the workload, the patient responds, “Yes but I’ll get fired if I do that.” According to transactional analysis theory, this is an example of a(n) _____ transaction. ANS: A 22. A patient who is currently in an abusive marriage shares, “Some days I think it’s just not worth
it. I’d be better off if we separated.” The nurse uses restating as a therapeutic communication technique when responding: ANS:
C 23. When a patient is late for three consecutive therapy sessions, the nurse implements perception sharing as a communication technique when stating: ANS: D 24. The therapeutic communication technique of suggesting is appropriate to use when it: ANS: C 25. A teenager being treated for oppositional defiance behavior states: “I wish my parents would stop treating me like an irresponsible child.” The nurse implements confrontation as a therapeutic technique when responding: ANS: B 26. Which statement is true of planning the timing for the use of confrontation? ANS: B 27. The nurse suspects that a client has a problem with the action dimension of immediacy when she states, “You can’t tell people very much about yourself; it gives them too much power over you.” The nurse responds: ANS: B 28. A chronically depressed patient has been diagnosed with having a dependent personality. The nurse suspects that the situation has resulted in dependence transference when the patient shares that: ANS:
D 29. A nurse tells the unit supervisor, “I’m having a difficult time empathizing with my patient especially since he is so
unwilling to change. Talking with him makes me feel both frustrated and depressed.” The supervisor may suspect that the cause of the barrier in this nurse-client relation is the: ANS: A What is the prePreinteraction phase
The Preinteraction phase starts when the nurse is given the responsibility to start a therapeutic relationship with a patient. It also includes the thought process, planning, and feeling of a nurse before the first meeting with the patient.
Which of the following is the nurses primary goal during the preThe nurse's primary goal of the preinteraction phase should be to explore self-perceptions. The nurse should be aware of how any preconceptions may affect his or her ability to care for individual clients.
What are the phases of nurse patient interaction?Hildegarde Peplau describes four sequential phases of a nurse-client relationship, each characterized by specific tasks and interpersonal skills: preinteraction; orientation; working; and termination.
Which of the following nursing actions is the priority during the introductory phase of the nurse patient relationship?Rationale: The priority nursing action during the orientation phase of the nurse-client relationship should be to establish rapport and develop treatment goals. Rapport implies feelings on the part of both the nurse and the client, based on respect, acceptance, a sense of trust, and a nonjudgmental attitude.
What is the first step in developing a therapeutic nurse patient relationship?Orientation: In the beginning of the therapeutic relationship, the nurse and client are strangers to each other, yet each individual has preconceptions of what to expect – based on previous relationships, experiences, attitudes and beliefs.
What is the first step in developing a therapeutic nurse patient relationship quizlet?What is the first step in developing a therapeutic nurse patient relationship?. change dressings in the same step by step manner each time.. be nonjudgmental in patient communication.. avoid questions that be answered yes or no.. take vital signs before administering each medication.. |