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Homework answers / question archive / Chapter 7: Relationship Development Multiple Choice Identify the choice that best completes the statement or answers the question
Chapter 7: Relationship Development
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1) What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?
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A. |
To clarify personal attitudes, values, and beliefs |
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B. |
To obtain thorough assessment data |
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C. |
To determine the client’s length of stay |
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D. |
To establish personal goals for the interaction |
____ 2. A hungry, homeless client, diagnosed with schizophrenia, refuses to participate in an admission interview. A nurse streamlines the assessment, verbally assures safety, and provides a warm meal. What is the nurse promoting by these actions?
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A. |
Sympathy |
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B. |
Trust |
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C. |
Veracity |
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D. |
Manipulation |
____ 3. Which is the best nursing action when a client demonstrates transference toward a nurse?
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A. |
Promoting safety and immediately terminating the relationship with the client |
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B. |
Encouraging the client to ignore these thoughts and feelings |
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C. |
Immediately reassigning the client to another staff member |
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D. |
Helping the client to clarify the meaning of the current nurse–client relationship |
____ 4. What is the priority nursing action during the orientation (introductory) phase of the nurse–client relationship?
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A. |
Acknowledge the client’s actions and generate alternative behaviors |
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B. |
Establish rapport and develop treatment goals |
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C. |
Attempt to find alternative placement |
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D. |
Explore how thoughts and feelings about this client may adversely impact care |
____ 5. Which client response should a nurse expect during the working phase of the nurse–client relationship?
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A. |
The client gains insight and incorporates alternative behaviors. |
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B. |
The client and nurse establish rapport and mutually develop treatment goals. |
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C. |
The client explores feelings related to reentering the community. |
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D. |
The client explores personal strengths and weaknesses that impact behaviors. |
____ 6. What should be the nurse’s primary goal during the preinteraction phase of the nurse–client relationship?
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A. |
To evaluate goal attainment and ensure therapeutic closure |
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B. |
To establish trust and formulate a contract for intervention |
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C. |
To explore self-perceptions |
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D. |
To promote client change |
____ 7. Which phase of the nurse–client relationship begins when the individuals first meet and is characterized by an agreement to continue to meet and work on setting client-centered goals?
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A. |
Preinteraction |
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B. |
Orientation |
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C. |
Working |
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D. |
Termination |
____ 8. Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse–client relationship?
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A. |
“I can’t bear the thought of leaving here and failing.” |
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B. |
“I might have a hard time working with you. You remind me of my mother.” |
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C. |
“I really don’t want to talk any more about my childhood abuse.” |
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D. |
“I’m not sure that I can count on you to protect my confidentiality.” |
____ 9. A client has made the decision to leave her alcoholic husband. She is feeling very depressed. Which nontherapeutic statement by the nurse conveys sympathy?
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A. |
“You are feeling very depressed. I felt the same way when I decided to leave my husband.” |
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B. |
“I can understand you are feeling depressed. It was a difficult decision. I’ll sit with you.” |
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C. |
“You seem depressed. It was a difficult decision to make. Would you like to talk about it?” |
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D. |
“I know this is a difficult time for you. Would you like a prn medication for anxiety?” |
____ 10. A mother notified that her child was killed in a tragic car accident states, “I can’t bear to go on with my life.” Which nursing statement conveys empathy?
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A. |
“This situation is very sad, but time is a great healer.” |
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B. |
“You are sad, but you must be strong for your other children.” |
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C. |
“Once you cry it all out, things will seem so much better.” |
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D. |
“It must be horrible to lose a child; I’ll stay with you until your husband arrives.” |
____ 11. If an individual is “two-faced,” which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?
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A. |
Respect |
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B. |
Genuineness |
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C. |
Sympathy |
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D. |
Rapport |
____ 12. On which task should a nurse place priority during the working phase of relationship development?
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A. |
Establishing a contract for intervention |
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B. |
Examining feelings about working with a particular client |
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C. |
Establishing a plan for continuing aftercare |
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D. |
Promoting the client’s insight and perception of reality |
____ 13. A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game. The client responds, “Do you want to be my girlfriend?” Which nursing response is most appropriate?
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A. |
“You are upset now. It would be best if you go to your room until you feel better.” |
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B. |
“Remember, we have a professional relationship. Are you feeling uncomfortable?” |
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C. |
“We have discussed this before. I am not allowed to date clients.” |
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D. |
“I think you should discuss your fantasies with your therapist.” |
____ 14. A nurse moving out of state speaks to a client about the need to work with a new nurse. The client states, “You’re the only one who can make me well.” What does this client response indicate to the nurse?
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A. |
The client is using manipulation to receive secondary gain. |
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B. |
The client is using the defense mechanism of denial. |
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C. |
The client is having trouble terminating the relationship. |
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D. |
The client is using “splitting” as a way to remain dependent on the nurse. |
____ 15. According to Peplau, which nursing action demonstrates the nurse’s role as a resource person?
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A. |
The nurse balances a safe therapeutic environment to increase the client’s sense of belonging. |
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B. |
The nurse holds a group meeting with the clients on the unit to discuss common feelings about mental illness. |
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C. |
The nurse monitors the administration of medications and watches for signs of “cheeking.” |
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D. |
The nurse explains, in language the client can understand, information related to the client’s health care. |
____ 16. According to Peplau, which nursing intervention is most appropriate when the nurse is functioning in the role of a surrogate?
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A. |
The nurse functions as a nurturing parent in order to build a trusting relationship. |
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B. |
The nurse plays cards with a small group of clients. |
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C. |
The nurse discusses childhood events that may affect personality development. |
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D. |
The nurse provides a safe social environment. |
____ 17. As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship, which is the nurse’s most therapeutic statement?
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A. |
“I want to assure you that I will maintain your confidentiality.” |
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B. |
“A long-term goal for someone your age would be to develop better job skills.” |
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C. |
“Which identified problems would you like for us to initially address?” |
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D. |
“I think first we need to focus on your relationship issues.” |
____ 18. What is the main goal of the working phase of the nurse–client therapeutic relationship?
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A. |
Role modeling to improve interaction with others |
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B. |
Resolution of the client’s problems |
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C. |
Using therapeutic communication to clarify perceptions |
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D. |
Helping the client access outpatient treatment |
____ 19. Which client statement may indicate a transference reaction?
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A. |
“I need a real nurse. You are young enough to be my daughter and I don’t want to tell you about my personal life.” |
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B. |
“I deserve more that I am getting here. Do you know who I am and what I do? Let me talk to your supervisor.” |
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C. |
“I don’t seem to be able to relate to people. I would rather stay in my room and be by myself.” |
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D. |
“My mother is the source of my problems. She has always told me what to do and what to say.” |
____ 20. Which nursing action demonstrates the role of the teacher in a therapeutic milieu?
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A. |
The nurse implements a self-affirmation exercise during a one-to-one client interaction. |
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B. |
The nurse holds a group meeting to present common side effects of psychiatric medications. |
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C. |
The nurse introduces the concept of fair play while playing cards with a group of clients. |
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D. |
The nurse models adaptive and effective coping mechanisms with clients on the psychiatric unit. |
____ 21. Which client statement indicates that termination of the therapeutic nurse–client relationship has been handled successfully?
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A. |
“I know I can count on you for continued support.” |
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B. |
“I am looking forward to discharge, but I am surprised that we will no longer work together.” |
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C. |
“Reviewing the changes that have happened during our time together has helped me put things in perspective.” |
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D. |
“I don’t know how comfortable I will feel when talking to someone else.” |
____ 22. When is self-disclosure by the nurse appropriate in a therapeutic nurse–client relationship?
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A. |
When it is judged that the information may benefit the nurse and client |
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B. |
When the nurse has a duty to warn |
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C. |
When the nurse feels emotionally indebted toward the client |
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D. |
When it is judged that the information may benefit the client |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 23. The nurse–client therapeutic relationship includes which of the following characteristics? (Select all that apply.)
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A. |
Meeting the psychological needs of the nurse and the client |
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B. |
Ensuring therapeutic termination |
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C. |
Promoting client insight into problematic behavior |
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D. |
Collaborating to set appropriate goals |
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E. |
Meeting both the physical and psychological needs of the client |
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