RN Building Therapeutic Relationships Assessment

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following statements should the nurse make to affirm the client's behavior change?

Answer: "You completed your antibiotic regimen. You are serious about improving your health." Rationale: This statement by the nurse affirms the client's behavior and offers positive reinforcement

A nurse wants to improve their therapeutic communication by implementing the use of bias-free language. Which of the following actions should the nurse take to provide bias-free language?

Answer: Ask the client how they prefer to be addressed. Rationale: If a nurse is unsure about how to address a client, the nurse should ask the client for clarification.

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a different culture than the nurse. Which of the following statements should the nurse make?

Answer: "I am wondering what you believe the cause of the problem is." Rationale: While using the CFI, the nurse should elicit the client's perspective of what they believe is causing the problem.

A nurse is caring for a client who states, "I really like you. Can we get together socially after I am discharged?" Which of the following responses should the nurse make?

Answer: "I appreciate your comment. However, I am your nurse, and it would be inappropriate for us to engage socially outside of treatment." Rationale: The client might not be familiar with the boundaries of the professional nurse-client relationship. The nurse should reiterate the boundaries of the relationship while acknowledging the client's statement.

A nurse is interviewing a client who states they are unsure whether they should continue with their medication therapy. Which of the following responses should the nurse make to evoke client motivation?

Answer: "On a scale of 0 to 10, how confident are you that you could adhere to your medication regimen if you tried?" Rationale: This is a question the nurse would use to evoke client motivation.

A nurse is interviewing a client who is contemplating a behavior change. Which of the following statements should the nurse make to engage with the client?

Answer: "Tell me about the things that are important to you in your life." Rationale: This open-ended statement engages the client to discuss topics that are important in their life and related to the potential change of behavior.

A nurse is caring for a client who states, "I don't think medications are for me." Which of the following statements should the nurse make?

Answer: "Tell me more about what you feel would work best for you." Rationale: This statement bu the nurse is an open-ended therapeutic statement that invites the client to share their ideas or emotions.

A nurse is interviewing a client who states they are thinking about smoking cessation by using patches. Which of the following responses should the nurse use to focus with the cleit?

Answer: "This may not be the best method for you, but we can discuss some options that others have found helpful."

A nurse manager is providing teaching to a group of newly licensed nurses about organizational culture. Which of the following statements by a newly licensed nurse indicates an understanding of organizational culture?

Answer: "This organization believes that each client should be the center of their own care." Rationale: This statement by the nurse represents the beliefs of the organization, which refers to organizational culture.

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to encourage the client to continue sharing feelings and information?

Answer: "What are some of the stressors that you have in your life?" Rationale: Open-ended questions allow the client to elaborate on what is important to them in their own words. It is an open invitation to share feelings and information.

A nurse is seeking to improve outcomes in mental health by incorporating technology as part of primary prevention interventions. Which of the following actions should the nurse take?

Answer: Distribute a video discussing risk factors for suicide and depression at a local high school. Rationale: This action by the nurse represents a strategy for incorporating technology as a primary prevention intervention.

A nurse is working in a mental health facility in an occupational role. Which of the following activities is a function of the occupational role of the nurse?

Answer: Educating a client on risk factors Rationale: The occupational role of a nurse includes education, group facilitation, and care management.

A nurse is admitting a new client. Which of the following actions should the nurse take during the orientation phase of the nurse-client relationship?

Answer: Establish boundaries Rationale: In the orientation phase, the nurse sets the tone for the relationship by setting boundaries and developing mutual goals.

A nurse is researching methods of incorporating technology in their nursing practice. Which of the following strategies should the nurse use to incorporate technology in nursing?

Answer: Implement a client-centered self-scheduled smartphone application. Rationale: The nurs can utilize electronic healhy records, educational videos, and smartphone applications to improve mental health care outcomes.

A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve inclusion among the tream team?

Answer: Include discussions of the clients spiritual needs in team meetings. Rationale: Recommending this action supports inclusion. Inclusion refers to the ability of all care team members, including the clients, to voice their concerns with treatment and influence the decision-making process based on their needs.

A nurse is preparing to discharge a client. Which of the following actions should the nurse plan to take to improve the client's level of functioning beyond the nurse-client relationship?

Answer: Provide community resource referrals Rationale: The nurse should provide community referrals and resources in the reoslution phase of the nurse-client relationship

A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve equity among the clients?

Answer: Provide free or low-cost treatment options for all clients. Rationale: Recommending this action will support equity among the clients. Equity ensures that each client has equal opportunity to initiate and continue fair treatment.

A nurse is seeking to improve outcomes in mental health care by integrating technology in a local clinic. Which of the following actions should the nurse take to incorporate technology as part of tertiary prevention interventions

Answer: Refer clients to a support group that meets on social media Rationale: This action by the nurse represents a strategy for incorporating technology as a tertiary prevention intervention.

A nurse is helping a client develop a plan for successful behavior change. Which of the following interventions should the nurse include in the plan?

Answer: Schedule an appointment with a provider who lives within walking distance of the client. Rationale: The nurse should plan to work within the constrains of available resources for the client.

A nurse manager is teaching a newly licensed nurse about ways to provide culturally competent care for clients. Which of the following instructions should the nurse manager include in the teaching?

Answer: Seek assistance from an interpreter for language barriers. Rationale: The nurse manager should instruct the newly licensed nurse to contact an interpreter if they detect a language barrier or if the client does not respond to nonverbal cues of communication.

A nurse is reflecting on their performance after engaging with a client in an interview. Which of the following actions should the nurse plan to implement to improve receptiveness in their next client interview?

Answer: Sit at a slight angle across from the client. Rationale: If a client is feeling vulnerable, sitting directly in front of them might be perceived as confrontational. The nurse should sit across from the client at a slight angle to create a comfortable environment.

A nurse is assisting a client to develop a plan to reduce caloric intake. Which of the following interventions should the nurse include in the plan as a measurable goal for this client?

Answer: The client will record consuming no more than 1,800 calories per day. Rationale: This is an example of a measurable goal. The nurse should plan to use objectives measurements, like calories consumed per day, or used a tool to translate subjective experiences into something that is measurable.

A nurse is seeking to improve outcomes in mental health care by integrating technology in a local clinic. Which of the following actions should the nurse take to incorporate technology as part of secondary prevention interventions?

Answer: Utilize a video conferencing application to perform a suicide risk screening. Rationale: This action by the nurse represents a strategy for incorporating technology as a secondary prevention intervention.