Videbeck Psychiatric Mental Health Nursing Chapter 5 Therapeutic Relationships NCLEX

Pam is a nursing student experiencing her first clinical rotation in a psychiatric unit her friends and family have told her that all mentally ill patients are dangerous. Because of their comments, Pam is feeling very anxious about having to talk to the patients on the unit. Which of the following terms is used to describe her feelings with regard to the psychiatric patients in general? A. Attitudes B. beliefs C. Values D. Self-awareness

A. Attitudes

Which of the following patterns of nursing knowledge is being utilized when the nurse remains of the client even though the nurses shift has ended? A. Ethical B. Personal knowing C. Aesthetic D. Empirical

A. Ethical

Hey client who suffers from depression is upset that her grandchildren seem to like concern for her. After some discussion with the nurse, the client began to realize that her communication with her children involves complaining and criticizing. The nurse assesses the clients emotional needs during this interview. What should you expect. The outcome will be of this particular working phase. A. Evaluation of mutually identified go B. discussions of the expectation of the relationship C. Discussion regarding termination of the relationship D. Assessment of the client needs

A. Evaluation of mutually identify goals

The nurses role is varied, and one area of the nursing role may supersede another role in importance at any given time during the nurse - client relationship. Which of the following roles is being exhibited when the nurse instruct the client about his medication regime? A. Teacher B. caregiver C. Parent surrogate D. Advocate

A. Teacher

The student nurses are practicing communication techniques with their clients in order to establish a therapeutic method of assessing, planning, implementing and evaluating the client through the art of communication. Which of the following is true regarding the establishment of a therapeutic relationship? A. The nurse and the client agree about the areas to work on and evaluate the outcomes B. The nurse and the client enter into a mutual social relationship C. The client and the nurse are building a friendship D. A nurse focuses on his or her own needs

A. The nurse and the client agree about areas to work on and evaluates the outcomes

Which phase of the nurse - client relationship provides the nurse with the opportunity to establish a professional therapeutic environment for the patient? A. Orientation B. resolution C. Termination D. Working

A. The orientation phase

One of the clients on the psychiatric unit has made comments to the nursing student that he finds her cute and wants to know more about her. Which of the following terms is applied to the situation when the client unconsciously shows the same types of feelings for the nurse that he or she has for a significant other? A. Transference B. Countertransference C. Exploitation D. Self-disclosure

A. Transference

Which phase of the nurse client relationship includes exploration of the clients feelings and participation in identifying his or her own problems? A. Working B. termination C. Orientation D. Beginning

A. Working

When is it appropriate for the nurse to introduce information regarding the termination of the relationship? A. An orientation phase B. right before the last meeting C. When the goals are being identified D. When the client is emotionally ready

A. during the orientation phase

The student nurses are taught that they should have an unconditional and non-judge mental attitude and the relationship with mental health clients. The students are expected to call the client by name and spend time with the client. These actions are examples of which of the following? A. Value B. positive regard C. Empathy D. Excepting

B. positive regard

Even though the client has an active participant, the nurse me assume the role of the counselor and the facilitator to help the client examine problems and to gain insight on achieving solutions. Choose the option that describes his working phase of the nurse - client relationship. A. The nurse assist the client to have a more positive self image B. The client identifies issues or concerns C. The nurse assist the client to develop better coping skills D. The nurse guide the client to examine feelings

B. The client identifies issues or concerns

Which role of the nurse client relationship is being exhibited when the nurse informs the client and then supports him or her and whatever decision he or she makes? A. Caregiver B. advocate C. Parent surrogate D. Teacher

B. advocate

The following our terms used in the art of therapeutic communication between nurses and mental health clients. However which of the following is not considered a step in the values clarification process? A. Choosing B. assessing C. Acting D. Pricing

B. assessing

There were seven student nurses on the psychiatric unit. Mr. P. with a client admitted the diagnosis of paranoid schizophrenia. He had not spoken to anyone in the previous three days of his stay. The students were assigned to engage the clients and therapeutic conversation. Which of the following relationships would be a factor that would encourage Mr. P. To communicate with the student nurses? A. Intimacy B. genuine interest C. Unclear boundaries D. Abuse of power

B. genuine interest

The nurse is responsible for developing a therapeutic relationship with the client. There are many factors that enhance the nurse client relationship. What is the first step the nurse must take in order to prepare to accomplish this goal? A. Desire to form friendship B. Self-awareness C. Previous social skills D. Communication skills

B. self-awareness

The mental health psychiatric nurse uses therapeutic use of self while interacting with mentally L clients. So if disclosure is one technique used to convey support, educate clients, and demonstrate any clients anxiety is normal and that many people deal with stress and problems in their own lives. Which of the following actions will the nurse use the technique of self-disclosure? A. To shift the focus from the client to the nurse B. to meet therapeutic goals C. To meet personal goals D. To initiate conversation

B. to meet therapeutic goals

The nursing only establish a therapeutic relationship with the client when he or she believes that the nurse will be consistent in words and actions and can't be relied upon to do what here she says. Which of the following is gained when the nurse successfully establishes this type of relationship with the client? A. Empathy B. Trust C. Genuine interest D. Congruence

B. trust

The student nurses are talking about a client on the psychiatric unit he looks like the actor George Clooney. During the hours spent with the client, one of the students become physically attracted to him. Which of the following terms describes the relationship that has occurred when the nurse response the client based on personal unconscious needs and conflicts? A. Self-disclosure B. transference C. Countertransference D. Exploitation

C. Countertransference

During which phase of the therapeutic relationship doesn't become the nurses responsibility to define the boundaries of the nurse client relationship? A. Working B. problem identification C. Orientation D. Termination

C. Orientation

Self-awareness is an important concept in the psychiatric - mental health nursing. The nurses must always be aware of their feelings regarding the clients behaviors. Which of the following would be a barrier to the nurse client relationship? A. Trust B. Empathy C. Excepting D. Abuse of power

D. Abuse of power

The students in the concepts and theories course I talked to nursing is better than art and a science. Which pattering of knowing is derived from the art of nursing? A. Ethical B. personal knowing C. Empirical D. Aesthetic

D. Aesthetic is Derived from the art of nursing

Which of the following behaviors occurs when the nurses voice or body language it's consistent with the words he or she speaks A. Empathy B. Genuine interest C. Trust D. Congruence

D. Congruence

Kaplan's social model of behavior supports the theory that social behavior is culturally biased. Behavior that is excepted in one culture may not be excepted by another culture. Which of the following types of behavior are not accepted as part of the nurse - client relationship and the United States? A. Social B. therapeutic C. Professional D. Intimate

D. Intimate

Mr. Lopez, a client, as the preconceived stereotypical idea that all male nurses are homosexual and refuses to have Samuel, a male nurse, take care of him. Samuel has a preconceived stereotypical notion that all Hispanic men you switchblades, so he is relieved that Mr. Lopez has refused to work with him. Which of the following is an accurate statement regarding a preconception? A. It enables the nurse to get an accurate picture of the clients problems B. it allows people to get to know one another C. It provides the nurse at the opportunity to develop a therapeutic relationship with the client D. Is a way of person expects another to behave

D. The way the person expects another to behave

The nurse - client relationships that are formed in a clinical setting are formed for the purpose of helping the client to return to a more healthy state of wellness. Therefore the term used in this type of relationship is classified by the nurse as which type of relationship? A. Social B. intimate C. Friendly D. Therapeutic

D. Therapeutic