PrepU- Chapter 9

How can a nurse avoid the possibility of finding the client's behavior unacceptable or distasteful? A. By being aware of the client's behavior and background before beginning the relationship, and exploring with a colleague the possibility of a conflict. B. By using silence instead of verbal responses for all instances of the client describing his or her behavior. C. By using facial expressions of annoyance if the client expresses behavior that the nurse disapproves of. D. By turning away from the client when the nurse does not want the client to see his or her facial expression.

A. By being aware of the client's behavior and background before beginning the relationship, and exploring with a colleague the possibility of a conflict.

A nursing instructor is teaching a class on empathy. The instructor determines that the class needs additional education when the students identify that empathy involves what? A. Feeling the same emotions that the client is feeling at a given time B. Having insight into the meaning of clients' thoughts, feelings, and behaviors C. Careful listening D. Being in touch with what the client is saying

A. Feeling the same emotions that the client is feeling at a given time

A client expresses worry about the client's child's aggressive behavior. The nurse says "You are in a very challenging situation. Your child's aggressive behavior is very stressful for you, is this correct?" What does this nurse's statement indicate? A. The nurse is empathizing with the client. B. The nurse is sympathizing with the client. C. The nurse is showing genuine interest in the client. D. The nurse is comforting the client.

A. The nurse is empathizing with the client.

A nurse is assigned to care for a client whose sexual orientation differs from the nurse's sexual orientation. At which time should the nurse seek guidance from the supervisor? A. When the nurse desires to assist the client to change values B. When the nurse wants to discuss goals and the plan of care C. When the nurse begins to empathize with the client D. When the nurse accepts the client's values and sexuality

A. When the nurse desires to assist the client to change values

In a nontherapeutic relationship, the nurse and client both feel very frustrated and keep varying their approach with each other in an attempt to establish a meaningful relationship. A deteriorating relationship starts with which phase? A. withholding B. struggling with and making sense of C. ignoring D. avoiding

A. Withholding

Which is often considered the most difficult yet most effective communication technique? A. silence B. restating C. reflecting D. clarifying

A. silence

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? A. Exploitation phase B. Orientation phase C. Termination phase D. Identification phase

B. Orientation phase

A psychiatric-mental health nurse is working to develop a therapeutic relationship with a client. When doing so, which element would the nurse integrate as critical to building this relationship? A. Previous social skills B. Self-awareness C. Communication skills D. Desire to form friendships

B. Self-awareness

A nurse knows rapport has been established when the client: A. begins speaking with a more rapid, repetitive speech. B. displays decreased anxiety and feels comfortable in the presence of the nurse. C. acknowledges that they wish to keep many topics off limit and private. D. develops a sense of sharing. E. tries to isolate him- or herself from others in the group.

B. displays decreased anxiety and feels comfortable in the presence of the nurse D. develops a sense of sharing

What should the nurse avoid when demonstrating genuine interest for a client by making a self-disclosure? A. being too general with the details of the story B. shifting the emphasis to the nurse C. using situations that have occurred on the unit D. providing advice on how to manage a problem

B. shifting the emphasis to the nurse

The nurse uses a variety of therapeutic communication skills when working with clients. Which is a therapeutic goal that can be accomplished through the use of therapeutic communication skills? A.Inform the client of priority problems B. Assist the client to control emotions C. Assess the client's perception of a problem D. Provide the client with a plan of action

C. Assess the client's perception of a problem

The nurse fails to assess personal values surrounding homosexuality before caring for a client who is openly gay. The nurse is most at risk for what when working with this client? A. Expressing shock when assessing the client's history B. Being manipulated by this client C. Holding a prejudice toward this client D. Neglecting to include the client's desires in the plan of care

C. Holding a prejudice toward this client

While working with a client, a nurse assists the client in feeling less alone and isolated. As a result, the client begins to open up and talk about himself. The nurse has developed which of the following? A. Empathy B. Boundaries C. Rapport D. Closure

C. Rapport

Which behavior of the nurse indicates that the nurse has a therapeutic relationship with the client? A. The nurse asks the client if the client prefers to have the nurse as a nurse over other staff. B. The nurse gives the nurse's phone number and asks the client to give a call whenever needed. C. The nurse expresses empathy to a client who has recently lost the client's son in an accident. D. The nurse speaks with the client on topics such as fashion and sports.

C. The nurse expresses empathy to a client who has recently lost the client's son in an accident.

Nurses develop empathy with their clients while gathering information about the client. Which of the following hinders the development of empathy? A. asking leading questions B. asking the client to restate for clarity C. interjecting personal experiences D. focusing on one issue

C. interjecting personal experiences

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

C. the client

The nurse asks the client, "What was it like for you when you first knew you had no place to go?" The client looks down and pauses for quite some time. Which action by the nurse is most therapeutic? A. Change the subject to something the patient will discuss B. Apologize for asking such a personal question C. Encourage the patient to express any unpleasant feelings D. Sit quietly until the patient responds

D. Sit quietly until the patient responds

A nurse is communicating with a client who is highly anxious. During the conversation, the nurse notices that the nurse's speech is matching the fast pace of the client's speech, and the nurse's heart rate is increasing. The nurse identifies this as:

empathetic linkage