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Chapter 11: Bridges and Barriers in Therapeutic Relationships Arnold: Interpersonal Relationships, 8th Edition

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Chapter 11: Bridges and Barriers in Therapeutic Relationships Arnold: Interpersonal Relationships, 8th Edition

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Interpersonal Relationships 8th Edition Arnold Test Bank
,
Chapter 11: Bridges and Barriers in Therapeutic Relationships
Arnold: Interpersonal Relationships, 8th Edition


MULTIPLE CHOICE

1. Conveying genuine respect for his patients assists a nurse in doing what?
a. Avoiding the casualness depicted in bad TV shows
b. Building a professional relationship
c. Eliminating the sense of devaluation most nurses begin to feel
d. Avoiding feelings of helplessness and inadequacy
ANS: B
Conveying genuine respect for your patients assists in building professional relationships.
Because your mutual goal is to maximize your patient’s health status, you need to convey
respect for their values and opinions. Asking them what they prefer to be called and always
addressing them as such is a correct initial step. We try to remember that hospitalized patients
feel a loss of control in relation to interpersonal relationships with staff.

DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care

2. Which of the following should be achieved first in establishing the nurse-patient relationship?
a. Trust
b. Empathy
c. Mutuality
d. Empowerment
NURSINGTB.COM
ANS: A
Establishing trust is the foundation in all relationships. The development of a sense of
interpersonal trust, a sense of feeling safe, is the keystone in the nurse-client relationship.
Empathy is used by the nurse after trust is established. Mutuality is important in establishing
patient goals. Empowerment occurs when the client actively participates in his or her care
plan.

DIF: Cognitive Level: Comprehension TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity

3. Which of the following describes mutual goals?
a. Mutuality is based on patient goals.
b. Mutuality is based on interdisciplinary health team goals.
c. Mutuality is based on the nurse’s goals.
d. Mutuality is based on the physician’s goals.
ANS: A
In coming years there will be an increased focus on assisting patients in assuming more
responsibility for their health conditions. We will increasingly teach them new roles and skills
to manage their illnesses. Your method for empowering patients should include a number of
key strategies, including the establishment of mutual goals for health care through the forming
of an alliance and mutually deciding their care.




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, Interpersonal Relationships 8th Edition Arnold Test Bank

DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: Planning
MSC: Client Needs: Management of Care

4. Which of the following might create a mistrust between patient and nurse?
a. Calming a fearful child by saying that an injection “won’t hurt at all.”
b. A patient promising a nurse that she’ll perform required postsurgical walking twice
a day, and then feigning sleep or illness when it is time to do so.
c. Constant requests by a patient to his nurse to run unnecessary errands.
d. A nurse disassociating himself from a patient so much that he fails to provide
essential health education.
ANS: D
Mistrust has an effect not only on communication but on healing process outcomes. Trust can
be replaced with mistrust, as might occur if the nurse violates patient confidentiality. Having
confidence in the nurse’s skills, commitment, and caring allows the patient to place full
attention on the health situation requiring resolution. Of course, patients can also jeopardize
the trust a nurse has in them. A nurse disassociating himself from a patient is not an example
of mistrust, but of a lack of empathy.

DIF: Cognitive Level: Analyzing TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity

5. Stereotypes are learned during
a. exposure to early education.
b. childhood and reinforced by life experiences.
c. limited contact with other cultures.
d. uncomfortable experiences with culturally diverse patients.
NURSINGTB.COM
ANS: B
Stereotypes are learned during childhood and reinforced by life experiences.

DIF: Cognitive Level: Knowledge TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Management of Care

6. Which of the following describes proxemics?
a. Study of relationship between message and topic at hand
b. Study of implied meanings within individuals
c. Study of an individual’s use of space
d. Study of the emotional personal space boundary
ANS: C
Proxemics is the study of an individual’s use of space. When institutionalized patients are able
to incorporate parts of their rooms into their personal space, it increases their self-esteem and
helps them to maintain a sense of identity. Freedom from worry about personal space allows
the patient to trust the nurse and fosters a therapeutic relationship.

DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: All Phases
MSC: Client Needs: Psychosocial Integrity

7. Which of the following is a barrier to a meaningful effective nurse-patient relationship?
a. Intrusion into personal space
b. Unconditional acceptance



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https://www.coursehero.com/file/84589067/11pdf/ NURSINGTB.COM

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