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One concern that nurses have when using self-disclosure during therapeutic interactions is that:
A. revealing oneself assists in developing a helping relationship.
B. it may cross a boundary from a professional to a personal relationship.
C. care recipients value nurses who engage in interactions as real people.
D. it creates reciprocity involving a mutual exchange between the nurse and the care recipient. -
(Correct Answer)B. it may cross a boundary from a professional to a personal relationship.
Self-disclosure involves sharing experiences that the nurse has had with a care recipient who has
had a similar experience, to assist the person in recognizing that the nurse demonstrates
understanding of his or her need. Self-disclosure
心的坚强决定了我们的命运。当 is an indicator of a healthy personality and a
strategy for developing rapport with an individual. Therapeutic interactions characterized by
我们面对挫折时,是一颗不屈的
reciprocity involve a mutual exchange between the nurse and the care recipient. Traditionally,
nurses have been wary of self-disclosure
心让我们勇敢前行because it may cross a boundary from a professional to
a personal relationship with care recipients. The nurse must recognize when self-disclosure is
inappropriate and when it is needed in a therapeutic relationship. Literature documents that self-
disclosure is an effective clinical strategy when developing a helping relationship. People value
nurses who engage in interactions as real people and who are willing to share information about
themselves.
Reference: p. 85
A woman is scheduled for ambulation in the early morning of the first day after undergoing an
abdominal hysterectomy. The nurse uses consensual validation of the individual's understanding
of the plan of care by stating:
A. "I will be back at 9 AM to take you on a walk."
B. "The doctor wants you to walk one time this morning."
C. "Tell me where you would like to walk this morning."
D. "Walking soon after a surgical procedure prevents complications." - (Correct Answer)C. "Tell
me where you would like to walk this morning."
,Consensual validation is a confirmation that both the sender and receiver understand the same
information. The nurse should ask the woman to explain her sense of the message and of how to
ask the nurse for further information. Consensual validation in communication is essential when
providing health-promotion interventions. Without validating that the individual understands the
information and its importance, and that she has a behavioral plan to follow, health-promotion
efforts invariably are likely to fail. "Tell me where you would like to walk this morning" is the
only response that asks the care recipient for her input regarding her understanding of the plan of
care. The other options stated by the nurse contain information given to the care recipient.
Reference: p. 90
The nurse demonstrates empathy toward a crying mother whose baby was stillborn by stating:
A. "I know exactly how you feel; that happened to me once."
B. "You are young and will be able to have another baby."
C. "It was God's will that your baby was taken to heaven with him."
心的坚强决定了我们的命运。当
D. "Loss of a baby is truly a sad occurrence." - (Correct Answer)D. "Loss of a baby is truly a sad
我们面对挫折时,是一颗不屈的
occurrence."
心让我们勇敢前行
Empathy involves the ability to understand another's feelings without losing personal identity
and perspective. It is the critical element creating the caring climate through therapeutic use of
self. Empathy decreases a person's distress. When the nurse acknowledges the content of the
person's communication, she transmits empathy. It is important that the nurse remains with
clients, spending time listening and assisting them to discuss problems, fears, and anxieties.
Nurses do not empathize by switching the focus of the interaction to themselves, like in response
a, or by sympathizing. The only statement that demonstrates empathy is d, which states an
observation reflective of the mother's crying. Response b does not focus on the loss of this baby,
which is important for the grieving process. Response c does not take the mother's beliefs into
consideration.
Reference: p. 93
Which question best assists the nurse who is helping a person to formulate the problem as a step
in the problem-solving process?
A. "What pattern is there?"
,B. "What do you want to see changed?"
C. "What would you do the next time?"
D. "What meaning does this have for you?" - (Correct Answer)B. "What do you want to see
changed?"
"What do you want to see changed?" assists the individual to focus on formulating the problem,
by having the person state what he wants to see changed to resolve the problem. Asking about
pattern and meaning both assist the person to analyze the parts of the experience and see
relationships to other events. "What would you do the next time?" assists the individual to
identify how another, similar problem could be resolved.
Reference: p. 95
A nurse tells a childbirth education class consisting of pregnant women and their coaches that
alcohol use poses serious risks to the fetus. After the class, one woman comments, "Do you
really think that having a drink once in a while is bad for the baby? I'm sick of being told that I
心的坚强决定了我们的命运。当
can't do things because of the baby." This is an example of:
我们面对挫折时,是一颗不屈的
A. self concept.
心让我们勇敢前行
B. bias.
C. values clarification.
D. empowering beliefs. - (Correct Answer)C. values clarification.
Values clarification is a method for discovering one's values and the importance of these values.
Values clarification does not tell a person how to act, but it helps people recognize what values
they hold and evaluate how those values influence their actions.
In this example an apparent conflict in values between the nurse and the individual exists.
Intervention is needed to examine how this woman's wish for freedom from restrictions clashes
with her desire to have a healthy child. Nurses must consider their own values related to health
promotion for the individual and the fetus and must weigh the importance of respecting
individuals' rights to make decisions about their own health behaviors. Self-concept is a picture
of self. This scenario does not utilize bias unless the nurse exhibits judgmental behaviors and
empowering beliefs is not associated.
Reference: p. 83
, The nurse utilizes strategies associated with client-centered communication by doing which of
the following? (select all that apply)
A. Not being "too busy" to talk
B. Focusing on the nurse's views
C. Developing mutual understanding
D. Emphasizing the technical aspects of care
E. Using a conversational interviewing style
F. Tuning in to the client's preferences and style - (Correct Answer)A. Not being "too busy" to
talk
C. Developing mutual understanding
E. Using a conversational interviewing style
F. Tuning in to the client's preferences and style
心的坚强决定了我们的命运。当
我们面对挫折时,是一颗不屈的
All of those responses focus attention on the client. The other two options focus on the nurse,
心让我们勇敢前行
and emphasizing the technical aspects of care is for information giving, again with the major
focus on the nurse.
Reference: p. 87
In health promotion, the nurse-person relationship is the context for care. Which of the following
elements of communication are important considerations? (select all that apply)
A. Health promotion requires sensitivity to the goals and values of the nurse and the care
recipient's family.
B. Helping a person adopt health-promoting behaviors is a matter of providing education.
C. Successful health promotion involves interpersonal skills.
D. Health promotion requires communication skills.
E. Values clarification is an essential element of communication and health promotion. - (Correct
Answer)C. Successful health promotion involves interpersonal skills.
D. Health promotion requires communication skills.