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1. Transference is best defined as:
A. The nurse’s emotional response to a client based on past experiences
B. The displacement of feelings toward significant individuals onto the clinician
C. A conscious attempt to avoid emotional engagement
D. The use of empathy to build rapport
Correct Answer: B
2. Countertransference occurs when:
A. A client projects feelings onto the nurse
B. The nurse responds emotionally to a client based on personal past experiences
C. The nurse uses therapeutic reflection
D. The client resists treatment
Correct Answer: B
3. Which therapeutic communication technique involves redirecting the client’s
ideas back to them to clarify emotions and experiences?
A. Interpretation
B. Reflection
C. Confrontation
D. Clarification
Correct Answer: B
,4. Interpretation in therapeutic communication refers to:
A. Restating the client’s words verbatim
B. Offering advice based on clinical judgment
C. Putting into words what the client is implying or feeling
D. Redirecting conversation to factual content
Correct Answer: C
5. Which of the following is NOT a characteristic of a therapeutic nurse–client
relationship?
A. Empathy
B. Professional boundaries
C. Nonjudgment
D. Personal disclosure
Correct Answer: D
6. The introductory phase of the nurse–client relationship includes:
A. Disengaging from the relationship
B. Reviewing progress and outcomes
C. Establishing trust, boundaries, and treatment goals
D. Evaluating long-term outcomes
Correct Answer: C
7. Which activity primarily occurs during the working phase of the therapeutic
relationship?
A. Establishing boundaries
B. Reviewing termination plans
C. Implementing the treatment plan and evaluating outcomes
D. Disengagement
Correct Answer: C
,8. The termination phase of the therapeutic relationship focuses on:
A. Diagnostic evaluation
B. Establishing rapport
C. Reviewing progress and planning for self-management
D. Initiating treatment goals
Correct Answer: C
9. Denial is best described as:
A. Conscious refusal to accept reality
B. Unconscious avoidance of unpleasant realities
C. Justifying unacceptable behavior
D. Redirecting emotions toward safer targets
Correct Answer: B
10. Projection involves:
A. Returning to earlier developmental behaviors
B. Attributing one’s unacceptable thoughts or feelings to others
C. Replacing unacceptable impulses with acceptable ones
D. Consciously suppressing distressing thoughts
Correct Answer: B
11. Regression occurs when an individual:
A. Justifies irrational behavior
B. Reverts to earlier developmental behaviors during stress
C. Acts out unacceptable impulses
D. Uses logic to avoid emotion
Correct Answer: B
, 12. Repression is defined as:
A. Conscious avoidance of distressing thoughts
B. Unconscious exclusion of disturbing thoughts or emotions from awareness
C. Overcompensating for unacceptable feelings
D. Rational explanation of behavior
Correct Answer: B
13. Reaction formation is characterized by:
A. Acting on unacceptable impulses
B. Demonstrating the opposite behavior of an unacceptable impulse
C. Redirecting impulses into socially acceptable outlets
D. Conscious denial of emotions
Correct Answer: B
14. Rationalization refers to:
A. Logical problem-solving
B. Justifying unreasonable thoughts or behaviors with acceptable explanations
C. Avoiding emotional awareness
D. Replacing impulses with altruistic actions
Correct Answer: B
15. Which defense mechanism involves attempting to undo an unacceptable
behavior or thought?
A. Suppression
B. Undoing
C. Sublimation
D. Intellectualization
Correct Answer: B