CH 8 Final Exam
"My patient has been abusing alcohol. I told her that the only way to recover was to go 'cold turkey' and to get away from her dysfunctional family and to do it now!"
A nurse on the psychiatric unit has a past history of alcoholism and has regular meetings with a mentor. Which statement made to the nurse's mentor would indicate the presence of countertransference?
"That must have been such a hard situation for you to deal with."
A patient who recently loss a parent begins crying during a one-to-one session with the nurse. Which response by the nurse illustrates empathy?
Authentic
A term is a synonym for the characteristic of genuineness?
Type of responsibility involved
What is the primary difference between a social and a therapeutic relationship?
As not seeming genuine to the client
When a client states "That nurse never seems comfortable being with me." How is the client characterizing the nurse?
Therapeutic encounter A therapeutic encounter is a short but helpful interaction between the nurse and client.
When a nurse and client meet informally or have an otherwise limited but helpful relationship, what term is used to identify this relationship?
Termination phase
Which phase of the nurse-client relationship may cause client anxieties to reappear and past losses to be reviewed?
In a social relationship, both parties' needs are met; in a therapeutic relationship, only the patient's needs are to be considered. Giving advice is done in social relationships; in therapeutic relationships giving advice is not usually therapeutic. In a social relationship, both parties come up with solutions to problems and solutions may be implemented by both (a friend may lend the other money, etc.); in a therapeutic relationship, solutions are discussed but are only implemented by the patient.
Which statements are true regarding the differences between a social relationship and a therapeutic relationship? (Select all that apply.)
"You are suffering with guilt over what you did. Let's talk about some goals we could work on that may make you want to keep living."
A client has been admitted to an inpatient psychiatric unit with suicidal ideation. In a one-to-one session with the nurse, he shares the terrible guilt he feels over sexually abusing his stepdaughter and wanting to die because of it. Which response reflects a helpful trait in a therapeutic relationship?
positive transference
A client tells the nurse "I really feel close to you. You are like the friend I never had." The nurse can assess this statement as indicating the client may be experiencing which unconscious emotion?
"Now that we've discussed your reasons for being here and how often we will meet; I'd like to talk about what we will do at the time of your discharge."
Consider the nurse-patient relationship on an inpatient psychiatric unit. Which statement made by the nurse reflects an accurate understanding of when the issue of termination should first be discussed?
Orientation
During what stage of the therapeutic nurse-client relationship is a formal or informal contract between the nurse and client established?
Boundary blurring
The nurse is finding it difficult to provide structure and set limits for a client. The nurse should self-evaluate for which characteristic of a dysfunctional nurse-patient relationship?
Facilitating communication of distressing thoughts and feelings Helping patients examine self-defeating behaviors and test alternatives Promoting self-care and independence Assisting patients with problem solving to help facilitate activities of daily living
The nurse would address which of the following goals in attempting to establish a therapeutic nurse-client relationship? (Select all that apply.)
Decreased client communication
The outcome of the nurse's expressions of sympathy instead of empathy toward the client often leads to which outcome?