Chapter 5 Bank and Book Q's

If a client demonstrates transference toward a nurse, how should the nurse respond?

Help the client to clarify the meaning of the relationship, based on the present situation.

Which of the following individuals are communicating a message? (Select all that apply.)

A mother spanking her son for playing with matches A teenage boy isolating himself and playing loud music A biker sporting an eagle tattoo on his biceps A teenage girl writing, No one understands me

What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

Clarify personal attitudes, values, and beliefs.

Which actions of the nurse convey an attitude of respect toward the client? Select all that apply.

Being honest while interacting with patient Calling patient by name Spending time with the client Promoting an atmosphere of privacy during therapeutic interaction

The nurse communicates with an adolescent client by texting through a secured line. The client types the response, "YOLO" in response to the nurse's test. Which is the likely reason for the client's response to the nurse? Select all that apply.

Developmental level

A client whose spouse died in an accident tells the nurse, "Leave me alone. I can't talk about this to you when you haven't gone through what I have." How would the nurse respond to this client using therapeutic communication techniques?

Do you feel that no one understands your feelings?

Which of the following characteristics should be included in a therapeutic nurse-client relationship? (Select all that apply.)

Ensuring therapeutic termination Promoting client insight into problematic behavior Collaborating to set appropriate goals Meeting both the physical and psychological needs of the client

What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?

Establish rapport and develop treatment goals.

The nurse is in the first phase of relationship development with a client who is misusing alcohol. What should be the goal of the nurse during this phase?

Examining preconceptions

Which therapeutic communication technique is being used in the following nurse-client interaction? Client: When I am anxious, the only thing that calms me down is alcohol. Nurse: Other than drinking, what alternatives have you explored to decrease anxiety?

Formulating a plan of action

When an individual is two-faced, which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?

Genuineness

A client who is admitted to the psychiatric unit states to the nurse, "I don't think I want to continue with the treatment. I would rather just self-medicate." Which response by the nurse exemplified therapeutic communication techniques? Select all that apply.

I find it hard to believe you could do that Tell me more about stopping treatment and self medicating I will try and answer questions and clarify issues regarding the treatment

Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?

I really dont want to talk any more about my childhood abuse.

The nurse is caring for a client with chronic low self-esteem. Which statement made by the nurse indicates an accepting attitude?

I understand what you are saying

The nurse provides care for a client who is currently going through a divorce. Which statement by the nurse is considered a nontherapeutic communication technique and thus should be avoided? Select all that apply.

I'm certain your spouse still loves you. Everything will be fine. It's good you are divorcing your spouse. Let's not talk about that right now.

While providing care for a client who experiences anxiety, the nurse states, "Hang in there. It will all work out." Which is the likely impact of the nurse's statement?

It encourages a like response from the client

A mother who is notified that her child was killed in a tragic car accident states, I cant bear to go on with my life. Which nursing statement conveys empathy?

It must be horrible to lose a child, and Ill stay with you until your husband arrives.

A client exhibiting dependent behaviors says, Do you think I should move from my parents house and get a job? Which nursing response is most appropriate?

Lets discuss and explore all of your options.

A newly admitted client, diagnosed with obsessive-compulsive disorder (OCD), washes his hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation?

Lets figure out a way for you to attend unit activities and still wash your hands.

Which precaution would the nurse follow while caring for a client with different cultural beliefs?

Limit touch with this client

A nurse maintains an uncrossed arm and leg posture when communicating with a client. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?

O

The nurse is counseling a group of clients on a one-to-one basis to obtain information regarding their current health situation. Which type of distance should the nurse maintain while communicating with the clients?

Personal

A client ensures there are always several feet of space between themselves and others around them. Which type of boundary does this exemplify?

Personal boundary

On which task should a nurse place priority during the working phase of relationship development?

Promoting the clients insight and perception of reality

The nurse is assessing a client's condition by asking questions. Which facial expression made by the client indicates that the client is surprised?

Raised eyebrows

What implies special feelings on the part of both the client and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude?

Rapport

Which therapeutic communication technique is being used in the following nurse-client interaction? Client: My father spanked me often. Nurse: Your father was a harsh disciplinarian.

Restatement

An instructor is correcting a nursing students clinical worksheet. Which instructor statement is the best example of effective feedback?

Surely you didnt do this deliberately, but you breeched confidentiality by using names.

The patient tells the nurse, "I don't have anything to live for." Which response by the nurse is most appropriate?

Tell me more.

Which client action should a nurse expect during the working phase of the nurse-client relationship?

The client gains insight and incorporates alternative behaviors.

A nurse says to a client, Things will look better tomorrow after a good nights sleep. This is an example of which communication technique?

The nontherapeutic technique of giving reassurance

What is a nurses purpose for providing appropriate feedback?

To give the client critical information

Which therapeutic communication technique is often used with clients experiencing delusional thinking?

Voicing doubt

A client diagnosed with post-traumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique might a nurse use that is an example of broad openings?

What would you like to talk about?

The nurse is interviewing a newly admitted psychiatric client. Which of the following nursing statements is an example of offering a general lead?

Yes, I see. Go on.

The nurse is caring for a client who complains about their treatment in an aggressive tone of voice. Which statement made by the nurse would encourage the client to continue?

Yes, I see. Please go on.

A mother rescues two of her four children from a house fire. In an emergency department, she cries, I should have gone back in to get them. I should have died, not them. What is the nurses best response?

You're experiencing feelings of guilt, because you werent able to save your children.