NURS 172 Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
Which of the following characteristics should be included in a therapeutic nurse-client relationship? -
CORRECT ANSWER - Meeting both the physical and psychological needs of the client
Collaborating to set appropriate goals
Ensuring therapeutic termination
Promoting client insight into problematic behavior
The nurse-client therapeutic relationship should include promoting client insight into problematic
behavior, collaboration to set appropriate goals, meeting the physical and psychological needs of the
client, and ensuring therapeutic termination. Meeting the nurse's psychological needs should never be
addressed within the nurse-client relationship.
Which of the following individuals are communicating a message? - CORRECT ANSWER - A
teenage girl writing, "No one understands me"
A mother spanking her son for playing with matches
A teenage boy isolating himself and playing loud music
A biker sporting an eagle tattoo on his biceps
The nurse should determine that spanking, isolating, getting tattoos, and writing are all ways in which
people communicate messages to others. It is estimated that about 70% to 80% of communication is
nonverbal.
A nurse attends an interdisciplinary team meeting regarding a newly admitted client. Which of the
following individuals are typically included as members of the interdisciplinary treatment team in
psychiatry? - CORRECT ANSWER - The interdisciplinary treatment team in psychiatry consists of
a psychologist, occupational therapist, recreational therapist, art therapist, mental health technician, and
chaplain. In addition, a psychiatrist, psychiatric nurse, psychiatric social worker, music therapist,
psychodramatist, and dietitian also participate in the interdisciplinary treatment team. Respiratory
therapists and hospital volunteers are not included in the interdisciplinary treatment team in psychiatry.
Which of the following conditions promote a therapeutic community? - CORRECT ANSWER - A
democratic form of government exists.
Unit responsibilities are assigned according to client capabilities
,A therapeutic community is promoted when unit responsibilities are assigned according to client
capability and a democratic form of government exists. Therapeutic communities are structured and
provide therapeutic interventions that focus on communication and relationship-development skills.
Which of the following behavioral skills should a nurse implement when leading a group that is
functioning in the orientation phase of group development? - CORRECT ANSWER - Work with
group members to establish rules that will govern the group.
Emphasize the need for and importance of confidentiality within the group.
Ensure that group rules do not interfere with goal fulfillment.
During the orientation phase of group development, the nurse leader should work together with members
to establish rules that will govern the group. The leader should ensure that group rules do not interfere
with goal fulfillment and establish the need for and importance of confidentiality within the group.
Members need to establish trust and cohesion in order to move into the working phase.
A ______________________ is a collection of individuals whose association is founded on shared
commonalities of interest, values, norms, or purpose. - CORRECT ANSWER - group
A scientific structuring of the environment in order to effect behavioral changes and to improve the
psychological health and functioning of the individual is defined as ________________________
therapy. - CORRECT ANSWER - Milieu
___________________ refers to a nurse's behavioral and emotional response to a client. These responses
may be related to unresolved feelings toward significant others from the nurse's past. - CORRECT
ANSWER - Countertransference
The term ________________________ implies special feelings on the part of both the client and the
nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental
attitude. - CORRECT ANSWER - rapport
pre-interaction phase - CORRECT ANSWER - -obtain info about client from chart, significant
others, or other health team members
-examine one's ow feelings, fears, and anxieties about working with a particular client
, orientation (introductory) phase - CORRECT ANSWER - -create an environment for trust and
rapport
- establish contract for intervention
- gather assessment data
- identify client's strengths and limitations
- formulate nursing diagnoses
- set mutually agreeable goals
- develop a realistic plan of action
- explore feelings of both client and nurse
- phases of a therapeutic nurse client relationship
working phase - CORRECT ANSWER - - maintain trust and rapport
- promote client's insight and perception of re;ity
- use problem solving model to work toward achievement of established goals
- overcome resistance behaviors
- continuously evaluate progress toward goal attainment
-phases of therapeutic nurse-client relationship contid
termination phase - CORRECT ANSWER - therapeutic conclusion of relationship occur
- progress has been made toward attainment of the goals
- a plan of action for more adaptive coping with future stressful situations has been established
- feelings about termination of the relationship are recognized and explored
transference - CORRECT ANSWER - occurs when the client unconsciously displaces to the nurses
feelings formed toward a person from the past
countertransference - CORRECT ANSWER - refers to the nurse's behavioral and emotional
response to the client
Questions and CORRECT Answers
Which of the following characteristics should be included in a therapeutic nurse-client relationship? -
CORRECT ANSWER - Meeting both the physical and psychological needs of the client
Collaborating to set appropriate goals
Ensuring therapeutic termination
Promoting client insight into problematic behavior
The nurse-client therapeutic relationship should include promoting client insight into problematic
behavior, collaboration to set appropriate goals, meeting the physical and psychological needs of the
client, and ensuring therapeutic termination. Meeting the nurse's psychological needs should never be
addressed within the nurse-client relationship.
Which of the following individuals are communicating a message? - CORRECT ANSWER - A
teenage girl writing, "No one understands me"
A mother spanking her son for playing with matches
A teenage boy isolating himself and playing loud music
A biker sporting an eagle tattoo on his biceps
The nurse should determine that spanking, isolating, getting tattoos, and writing are all ways in which
people communicate messages to others. It is estimated that about 70% to 80% of communication is
nonverbal.
A nurse attends an interdisciplinary team meeting regarding a newly admitted client. Which of the
following individuals are typically included as members of the interdisciplinary treatment team in
psychiatry? - CORRECT ANSWER - The interdisciplinary treatment team in psychiatry consists of
a psychologist, occupational therapist, recreational therapist, art therapist, mental health technician, and
chaplain. In addition, a psychiatrist, psychiatric nurse, psychiatric social worker, music therapist,
psychodramatist, and dietitian also participate in the interdisciplinary treatment team. Respiratory
therapists and hospital volunteers are not included in the interdisciplinary treatment team in psychiatry.
Which of the following conditions promote a therapeutic community? - CORRECT ANSWER - A
democratic form of government exists.
Unit responsibilities are assigned according to client capabilities
,A therapeutic community is promoted when unit responsibilities are assigned according to client
capability and a democratic form of government exists. Therapeutic communities are structured and
provide therapeutic interventions that focus on communication and relationship-development skills.
Which of the following behavioral skills should a nurse implement when leading a group that is
functioning in the orientation phase of group development? - CORRECT ANSWER - Work with
group members to establish rules that will govern the group.
Emphasize the need for and importance of confidentiality within the group.
Ensure that group rules do not interfere with goal fulfillment.
During the orientation phase of group development, the nurse leader should work together with members
to establish rules that will govern the group. The leader should ensure that group rules do not interfere
with goal fulfillment and establish the need for and importance of confidentiality within the group.
Members need to establish trust and cohesion in order to move into the working phase.
A ______________________ is a collection of individuals whose association is founded on shared
commonalities of interest, values, norms, or purpose. - CORRECT ANSWER - group
A scientific structuring of the environment in order to effect behavioral changes and to improve the
psychological health and functioning of the individual is defined as ________________________
therapy. - CORRECT ANSWER - Milieu
___________________ refers to a nurse's behavioral and emotional response to a client. These responses
may be related to unresolved feelings toward significant others from the nurse's past. - CORRECT
ANSWER - Countertransference
The term ________________________ implies special feelings on the part of both the client and the
nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental
attitude. - CORRECT ANSWER - rapport
pre-interaction phase - CORRECT ANSWER - -obtain info about client from chart, significant
others, or other health team members
-examine one's ow feelings, fears, and anxieties about working with a particular client
, orientation (introductory) phase - CORRECT ANSWER - -create an environment for trust and
rapport
- establish contract for intervention
- gather assessment data
- identify client's strengths and limitations
- formulate nursing diagnoses
- set mutually agreeable goals
- develop a realistic plan of action
- explore feelings of both client and nurse
- phases of a therapeutic nurse client relationship
working phase - CORRECT ANSWER - - maintain trust and rapport
- promote client's insight and perception of re;ity
- use problem solving model to work toward achievement of established goals
- overcome resistance behaviors
- continuously evaluate progress toward goal attainment
-phases of therapeutic nurse-client relationship contid
termination phase - CORRECT ANSWER - therapeutic conclusion of relationship occur
- progress has been made toward attainment of the goals
- a plan of action for more adaptive coping with future stressful situations has been established
- feelings about termination of the relationship are recognized and explored
transference - CORRECT ANSWER - occurs when the client unconsciously displaces to the nurses
feelings formed toward a person from the past
countertransference - CORRECT ANSWER - refers to the nurse's behavioral and emotional
response to the client
