Psych ch 5 Qs

A female psychiatric client is talking to the nurse about her reasons for being hospitalized. The client begins to discuss her relationship with her female significant other. She is describing the things in her relationship that are making her uncomfortable, and she asks the nurse, "Should I break up with my partner?" Which response by the nurse would be most effective in building rapport between the client and nurse? "Of course you should; being a lesbian is just not natural." "Yes, I think you should pursue building a relationship with a man." "It sounds like you're beginning to be uncomfortable in this relationship." "You need to focus on yourself rather than the relationship right now."

"It sounds like you're beginning to be uncomfortable in this relationship."

Which statement is the most empathic response to a client's disclosure that the client's father abandoned the family when the client was a young child? "What do you think motivated your father to do that." "You will find that one of the constants in life is that people will often let you down." "I too have been disappointed by important people in my life." "That must have been terribly hurtful experience for you."

"That must have been terribly hurtful experience for you."

The client presents with signs and symptoms of anxiety. What conversation initiated by the nurse demonstrates an ineffective therapeutic use of self? "Do you take a vegetarian or nonvegetarian diet?" "Do you want me to inform your spouse about your illness?" "How did the pain start?" "What types of dresses do you like wearing?"

"What types of dresses do you like wearing?" =Asking the client about the client's preferences on fashion and dressing indicate that the nurse is trying to build a social relationship with client, not engaging in a therapeutic use of self. This conversation does not influence the client care in any way. Asking the client about pain indicates that the nurse is gathering information about the client's illness. Asking about the client's food preference indicates that the nurse is finding about the nutrition habits of the client. Asking if the client has informed the spouse about the illness indicates that the nurse is allowing the client to take decisions regarding revealing the condition to other people. These questions indicate that the nurse is engaging in therapeutic communication with the client.

A nurse is speaking to a client who attempted suicide. The client says, "It is my dream to become a doctor, and I failed the entrance exam. I am so mad at myself." Which statement indicates genuine interest by the nurse? "You were killing yourself for this?" "What would you gain by killing yourself?" "You must have been really upset." "It is wrong to commit suicide."

"You must have been really upset."

A client with a diagnosis of bipolar I disorder has been presented with a coping strategy by the therapist that may help the client manage behavior during manic episodes. The client has responded to the therapist's suggestion by saying, "What's the use? I don't ever see this changing." The client's statement is suggestive of a potential problem with what factor that influences communication? Knowledge Ability to relate to others Attitude Values

Attitude

A 68-year-old parent is the sole care provider for a 39-year-old child who has a diagnosis of bipolar disorder. The 39-year-old has been experiencing worsening of the illness over several years. The nurse should recognize that the parent is at risk for what? Decompensation Bipolar disorder Failure to thrive Compassion fatigue

Compassion fatigue

The nurse has a client who seems like the nurse's sister, with whom the nurse has a close and positive relationship. This phenomenon is best characterized by which term? Countertransference Free association Reaction formation Transference

Countertransference

A nurse interviews a new client in the day room of the psychiatric unit. The nurse is wearing a jacket and a bag and frequently asks the client to repeat the last statement. The nurse's demeanor with the client is reflective of what? Lacking genuine interest Professionalism Confidentiality Unknowing

Lacking genuine interest

A nurse is caring for a client on an inpatient mental health unit of a hospital. The nurse tells the client, "You are scheduled to attend therapy sessions every morning at 9:00 a.m. Please make sure that you complete your morning routine, such as using the restroom, bathing, and eating breakfast, before you come for the sessions." Which phase of the nurse-client relationship does this communication indicate, according to the Peplau's model? Identification phase Exploitation phase Orientation phase Termination phase

Orientation phase

The nurse is caring for a client recently diagnosed with a psychiatric illness. Which key areas should the nurse focus on while caring for this client? Select all that apply. Promoting mental health Personal safety Preventing deterioration of mental status Promoting physical health Ensuring adequate sedation with medication

Preventing deterioration of mental status Promoting mental health Promoting physical health

A nurse is meeting a client for the first time. The nurse observes that the client smiles appropriately but is using rambling speech while answering the nurse's questions. Which would most likely be the reason for this behavior? The client is experiencing symptoms of a disorder. The client is nervous and insecure. The client is attempting to engage in a social relationship. The client is demonstrating a normal reaction.

The client is nervous and insecure.

Avoiding which outcome is the primary reason for establishing professional boundaries with clients? The likelihood of a client becoming too dependent on the nurse The possibility of losing control of the milieu The loss of therapeutic effectiveness The possibility of inappropriate sexual tension developing

The loss of therapeutic effectiveness

Which situation would most likely indicate a violation of professional boundaries? Select all that apply. A nurse begins to spend increasing amounts of time with one client on the unit. A nurse tells other staff that the nurse is the only one who understands the client. The nurse strongly defends a client's behavior during a staff meeting. A nurse reports information to the physician after the client asks that it be kept a secret. The nurse refuses a gift from a client and the client's family.

The nurse strongly defends a client's behavior during a staff meeting. A nurse tells other staff that the nurse is the only one who understands the client. A nurse begins to spend increasing amounts of time with one client on the unit.

Which is a nurse's primary tool for treating clients with mental disorders? Psychotropic medications Family education and therapy The therapeutic use of self Self-help groups

The therapeutic use of self

The psychiatric nurse recognizes that excessive social communication with a client is to be avoided primarily due to which reason? To prevent the client from viewing the nurse as a friend rather than health care provider To avoid making the client feel that the client's problems are not viewed as being serious To prevent disruption of the time that is to be used for therapeutic communication To avoid giving the client the impression that the nurse is not interested in providing effective care

To prevent the client from viewing the nurse as a friend rather than health care provider

A nursing student is working with a client who has a history of abusing alcohol. Although the nurse has an aversive feeling toward people who abuse alcohol, the nurse feels that the client is worthy of respect and attention regardless of the nurse's own personal feelings. Which correctly describes the nurse's response to the client? Genuineness Unconditional positive regard Countertransference Partnership

Unconditional positive regard

During an individual therapy session, a nurse is listening to a client describe the client's drug addiction. The client says, "I know I am doing the wrong thing for my kids, but I just can't stop using drugs." The nurse maintains eye contact and nods occasionally. The nurse responds by saying, "You're going through a difficult time." The nurse's actions and words are an example of: sympathy. nontherapeutic communication. empathy. apathy.

empathy.

When engaged in a therapeutic relationship, the nurse's focus is on what? The self The family The environment The client

the client

During which phase of the nurse-client relationship does the client identify and explore specific problems? Orientation Debriefing Resolution Working

working

The client tells the nurse, "I am regularly doing my sitting breathing exercises. Why do I still feel breathless while walking?" The nurse replies, "Sitting breathing exercises alone may not achieve the desired effects. You also should perform daily deep breathing exercises while walking. This should help you to reduce breathlessness while walking." According to Peplau's model, the nurse and client are in which phase? Resolution Termination Working Orientation

working