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Therapeutic Relationships And The Clinical Interview

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Question 1
Free
Multiple Choice

A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe?

Choose correct answer/s
A

Transference

B

Countertransference

C

Catastrophic reaction

D

Defensive coping reaction

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Question 2
Free
Multiple Choice

Which statement shows a nurse has empathy for a patient who made a suicide attempt?

Choose correct answer/s
A

"You must have been very upset when you tried to hurt yourself."

B

"It makes me sad to see you going through such a difficult experience."

C

"If you tell me what is troubling you, I can help you solve your problems."

D

"Suicide is a drastic solution to a problem that may not be such a serious matter."

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Question 3
Free
Multiple Choice

After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?

Choose correct answer/s
A

The patient's reactions toward the nurse seem realistic and appropriate.

B

The patient states, "Talking to you feels like talking to my parents."

C

The nurse feels unusually happy when the patient's mood begins to lift.

D

The nurse develops a trusting relationship with the patient.

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Question 4
Free
Multiple Choice

A patient says, "Please don't share information about me with the other people." How should the nurse respond?

Choose correct answer/s
A

"I won't share information with others without your permission, but I will share information about you with other staff members."

B

"A therapeutic relationship is just between the nurse and the patient. It's up to you to tell others what you want them to know."

C

"It really depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others."

D

"I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us."

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Question 5
Free
Multiple Choice

A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you right now." The nurse should:

Choose correct answer/s
A

say to the interrupting patient, "I am not available to talk with you at the present time."

B

end the unproductive session with the current patient and spend time with the patient who has just interrupted.

C

invite the interrupting patient to join in the session with the current patient.

D

tell the patient who interrupted, "This session is 5 more minutes; then, I will talk with you."

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Question 6
Multiple Choice

Termination of a therapeutic nurse-patient relationship with a patient has been successful when the nurse:

Choose correct answer/s
A
avoids upsetting the patient by shifting focus to other patients before the discharge.
B
gives the patient a personal telephone number and permission to call after discharge.
C
discusses with the patient changes that have happened during the relationship and evaluates the outcomes.
D
offers to meet the patient for coffee and conversation three times a week after discharge.
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Question 7
Multiple Choice

What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:

Choose correct answer/s
A
great sense of independence.
B
rapport and trust with the nurse.
C
self-responsibility and autonomy.
D
resolution of feelings of transference.
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Question 8
Multiple Choice

During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?

Choose correct answer/s
A
Preorientation
B
Orientation
C
Working
D
Termination
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Question 9
Multiple Choice

At what point in the nurse-patient relationship should a nurse plan to first address termination?

Choose correct answer/s
A
In the orientation phase
B
During the working phase
C
In the termination phase
D
When the patient initially brings up the topic
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Question 10
Multiple Choice

A nurse should introduce the matter of a contract during the first session with a new patient because contracts:

Choose correct answer/s
A
specify what the nurse will do for the patient.
B
spell out the participation and responsibilities of each party.
C
indicate the feeling tone established between the participants.
D
are binding and prevent either party from prematurely ending the relationship.
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Question 11
Multiple Choice

As a nurse escorts a patient being discharged after treatment for major depressive disorder, the patient gives the nurse a gold necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?

Choose correct answer/s
A
"Accepting gifts violates the policies and procedures of the facility."
B
"I'm glad you feel so much better now. Thank you for the beautiful necklace."
C
"I'm glad I could help you, but I can't accept the gift. My reward is seeing your renewed sense of hope."
D
"Helping people is what nursing is all about. It's rewarding to me when patients recognize how hard we work."
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Question 12
Multiple Choice

Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse-patient relationship?

Choose correct answer/s
A
"I don't have any problems."
B
"It is so difficult for me to talk about my problems."
C
"I don't know how talking about things twice a week can help."
D
"I want to find a way to deal with my anger without becoming violent."
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Question 13
Multiple Choice

A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?

Choose correct answer/s
A
"The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient."
B
"The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented."
C
"The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared."
D
"The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other."
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Question 14
Multiple Choice

A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurse should:

Choose correct answer/s
A
restate what the patient says.
B
use congruent communication strategies.
C
use self-disclosure in patient interactions.
D
consistently interpret the patient's behaviors.
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Question 15
Multiple Choice

A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. The nurse should:

Choose correct answer/s
A
suppress the angry feelings.
B
express the anger openly and directly with the patient.
C
tell the nurse manager to assign the patient to another nurse.
D
discuss the anger with a clinician during a supervisory session.
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Question 16
Multiple Choice

A nurse wants to enhance the growth of a patient by showing positive regard. The action consistent with this wish is:

Choose correct answer/s
A
making rounds daily.
B
staying with a tearful patient.
C
administering daily medication as prescribed.
D
examining personal feelings about a patient.
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Question 17
Multiple Choice

A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgmental response by the nurse.

Choose correct answer/s
A
"How do you feel about that?"
B
"It's good that you realize this."
C
"That's not a good way to behave."
D
"Have you outgrown that type of behavior?"
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Question 18
Multiple Choice

A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?

Choose correct answer/s
A
The patient is correct.
B
The nurse is correct.
C
Neither person is totally correct.
D
Differing values are reflected in the two statements.
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Question 19
Multiple Choice

Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?

Choose correct answer/s
A
Trust, congruence, attitudes, and boundaries
B
Goals, resistance, unconscious motivations, and diversion
C
Relationship parameters, the contract, confidentiality, and termination
D
Transference, countertransference, intimacy, and developing resources
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Question 20
Multiple Choice

During the first interview, a nurse notices that the patient does not make eye contact. The nurse can correctly analyze that:

Choose correct answer/s
A
the patient is not truthful.
B
the patient is feeling sad.
C
the patient has a poor self-concept.
D
more information is needed to draw a conclusion.
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