chapter 14

During an admission intake assessment, a nurse uses open-ended questions to gather information. An example of an open-ended question is:

"What did your health care provider tell you about your need to be admitted?"

Which best describes an element of the nurse-client relationship?

The nurse self-discloses only what is necessary for the client's benefit.

What is the goal of the nurse in a helping relationship with a client?

To assist the client to identify and achieve goals

A client was recently diagnosed with metastatic lung cancer. The nurse finds the client crying in the room. Which statement made by the nurse best demonstrates the use of empathy?

"I see you are upset. Would you like to talk?"

The nurse is caring for a client who is being treated following a drug overdose. The client states, "My life is over, I cannot stop using heroin." Which statement would the nurse employ to strengthen the nurse-client relationship?

"Perhaps we can talk about your feelings some more."

A nurse is completing a health history with a client being admitted for a mastectomy. During the interview the client states, "I do not know what to do. I am not sure if I really need this surgery." Which response by the nurse demonstrates active listening?

"You seem unsure. Tell me your concerns about your surgery."

What nursing care behavior by the nurse engenders a client to trust the nurse?

A nurse answers the client's questions about an upcoming test in a calm gentle voice while making eye contact with the client.

A nurse is caring for an older adult client. Which strategy should the nurse utilize to confirm the client's understanding of instructions?

Ask the client to repeat the instructions.

A dialysis nurse is educating a client on caring for the dialysis access that was inserted into the client's right arm. The nurse assesses the client's fears and concerns related to dialysis, the dialysis access, and care of the access. This information is taught over several sessions during the course of the client's hospitalization. Which phase of the working relationship is best described in this scenario?

the working phase

A group of students is reviewing information about important components of the nurse-client relationship. The students demonstrate understanding of the information when they describe positive regard as:

viewing the client unconditionally.

Which action by the nurse would facilitate the nurse-client relationship during the orientation phase?

Introducing oneself to the client by name

A nurse during orientation notices that the preceptor gives all subcutaneous injections on a 45-degree angle. When the new nurse asks the preceptor the rationale for the practice the preceptors states, "This is how I do it, and this is how you will do it." The new nurse recognizes this behavior to be:

aggressive