1. When a nurse and patient meet informally or have an otherwise limited
but helpful relationship, the relationship is referred to as a(n): Therapeutic
encounter
2. A psychiatric nurse who works in a day treatment program for patients
with serious and persistent mental illness helps a group of patients to plan
a Halloween party. One patient says, "Halloween is a celebration of demons
and evil." What is the nurse's most therapeutic response?: "Maybe it would be
better if we provided you with alternative activities on the day of the party."
3. How does the nurse best engage in self-analysis that will benefit a specific
nurse-patient relationship?: Asking, "What barriers exist that make it difficult for
me to provide effective care for this patient?"
4. A patient with a leg fracture shares her feeling about the accident with a
nurse and says, "I am feeling guilty because of the accident. I am unable to
support my family." What is the therapeutic response by the nurse?: Sit beside
the patient, and listen attentively
5. Which factor promoting patient growth describes the ability to view another
person as being worthy of caring and as someone who has strengths and
achievement potential?: Positive regard
6. Which factor promoting patient growth refers to the nurse's ability to be
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open, honest, and authentic in interactions with patients?: Genuineness
7. During a one-to-one session a patient is crying while telling the nurse of
his or her father's recent death from a car accident. Which nursing response
illustrates empathy?: "That must have been such a hard situation to deal with."
8. Which factor promoting patient growth occurs when the nurse attempts to
understand the world from the patient's perspective?: Countertransference
9. The orientation phase of the nurse-patient relationship focuses on: The
nurse and patient identifying patient needs
10. A nurse who grew up in an abusive family often is preoccupied with the
needs of abused patients. After a team member says to this nurse during
a staff meeting, "You always defend people who have had a hard life," this
nurse responds with anger and hostility. What is the nurse leader's best
action?: Refocus the meeting on the topic at hand. Afterward, meet privately with
the staff nurse to provide clinical supervision.
11. After work, a psychiatric nurse makes these comments to a family member.
Which comment indicates that this nurse needs clinical supervision?: "I am
taking care of a very prominent political person from our community."
12. A nurse asks an adult patient, "Are you going to finish eating your dinner?"
The patient yells at the nurse, "You are just like my mother; always trying to
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make me feel guilty if I don't eat my entire meal." Which occurrence is evident
in the patient's statement?: Transference
13. A patient with paranoid schizophrenia tells the nurse, "I'm here on a top-se-
cret mission for the President. Don't tell anyone I am here." Which response
by the nurse would be most therapeutic?: It sounds like you have some concerns
about your privacy. You are safe here."
14. A patient is very upset about her newborn being diagnosed with erythrob-
lastosis fetalis. What is an appropriate response by the nurse?: "You must be
feeling very upset."
15. Which statement by the nurse reflects the process occurring in the clinical
interview?: "You are frowning. What are you feeling?"
16. Which of the following is true regarding verbal and nonverbal commu-
nication?: Nonverbal and verbal communication may be different; nurses must
pay attention to the nonverbal communication being presented to get an accurate
message.
Communication is roughly 10% verbal and 90% nonverbal, so nurses must pay close
attention to nonverbal cues to accurately assess what the patient is really feeling.
The other options are all untrue of verbal and nonverbal communication and are
actually the opposite of what is believed of communication.
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