ch 10

Which of the following examples indicates adherence to client confidentiality?

Sharing client information with other members of the health care team as needed

When you are administering medications to a client with human immunodeficiency virus (HIV), the client states, "I should just stop taking them and get it over with." A therapeutic response by the nurse would be

" Tell me more about what you're feeling."

A client has been informed by her physician that she requires emergency surgery. The client tells the nurse, "I will have the surgery after I attend my family vacation." Which of the following is the most appropriate mutual goal for the client?

The client will alternate activity with rest throughout the day.

A nurse whose father was an alcoholic is assigned to care for a client who is in alcohol withdrawal. The nurse's best therapeutic action would be to

examine personal vulnerabilities, strengths, and limitations.

A nurse returns to work to find that a substitute nurse has changed the treatment plan of her favorite client. In the presence of the client, the nurse becomes angry and critical of the other nurse. This is an example of

overinvolvement.

The professional relationship goes through a developmental process characterized by overlapping yet distinct stages, which are

preinteraction, orientation, working phase, and termination phase.

Which of the following personality characteristics can affect the nurse's ability to function in a therapeutic manner, if disclosed to the client?

The nurse becomes angry when criticized.

In the preinteraction phase of the nurse-client relationship

the nurse develops the appropriate physical and interpersonal environment for an optimal relationship.

Which of the following is a nontherapeutic statement during the orientation phase of a relationship?

"My job is to make you better."

The nurse practices "here and now" focus on problem identification, with an emphasis on quickly understanding the context in which the problem is embedded during which of the following phases of the nurse-client relationship?

orientation

Self-disclosure by the nurse refers to the intentional revealing of personal experiences or feelings that are similar to or different from those of the client. The purpose of self-disclosure is to

deepen trust, to be a role model of self-disclosure as a beneficial mode of communicating.

The client becomes more self-directed during which of the following phases of the nurse-client relationship?

Working

Which stage of the nursing process corresponds to the exploitation part of the working phase of the therapeutic relationship?

Implementation

When should the nurse first start planning for termination of the nurse-client relationship?

From the initial encounter

A primary difference between a therapeutic helping relationship and a social relationship is

the focus.

Which of the following is true about the helping relationship?

The health care provider takes responsibility for maintaining appropriate boundaries.

An appreciative client offers the nurse a box of chocolates. The nurse should

accept or refuse based on the uniqueness of the relationship.

The nurse has been working in a long-term care facility for several years. The nurse has decided to leave the facility to work elsewhere. When terminating her relationship with clients, the nurse should

prepare clients for termination.

The student nurse has finished her rotation on the outpatient psychiatric unit. Her client, who was diagnosed with borderline personality disorder, suddenly displays superficial scratches to both forearms. Which of the following is a nursing diagnosis for the client related to losses and endings in the nurse-client relationship?

Anxiety related to impending termination of nurse-client relationship