Chapter 7 Flashcards
What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?
A. To clarify personal attitudes, values, and beliefs
A hungry, homeless client, diagnosed with schizophrenia, refuses to participate in an admission interview. When the nurse postpones the admission interview, verbally assures safety, and provides a warm meal, he or she is promoting which of the following?
B. Trust
Which is the best nursing action when a client demonstrates transference toward a nurse?
D. Helping the client to clarify the meaning of the current nurse–client relationship
What is the priority nursing action during the orientation (introductory) phase of the nurse–client relationship?
B. Establish rapport and develop treatment goals.
Which client response should a nurse expect during the working phase of the nurse–client relationship?
A. The client gains insight and incorporates alternative behaviors.
What should be the nurse’s primary goal during the preinteraction phase of the nurse–client relationship?
C. To explore self-perceptions
Which phase of the nurse–client relationship begins when the individuals first meet and is characterized by an agreement to continue to meet and work on setting client-centered goals?
B. Orientation
Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse–client relationship?
C. “I can’t tell my husband how I feel; he wouldn’t listen anyway.”
A client has made the decision to leave her alcoholic husband. She is feeling very depressed. Which nontherapeutic statement by the nurse conveys sympathy?
A. “You are feeling very depressed. I felt the same way when I decided to leave my husband.”
A mother who has learned that her child was killed in a tragic car accident states, “I can’t bear to go on with my life.” Which nursing statement conveys empathy?
D. “It must be horrible to lose a child; I’ll stay with you until your husband arrives.”
If an individual is “two-faced,” which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?
B. Genuineness
On which task should a nurse place priority during the working phase of relationship development?
D. Promoting the client’s insight and perception of reality
A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game. The client responds, “Do you want to be my girlfriend?” Which nursing response is most appropriate?
B. “Remember, we have a professional relationship. Are you feeling uncomfortable?”
A nurse moving out of state speaks to a client about the need to work with a new nurse. The client states, “I’m not well enough to switch to a different nurse.” What does this client response indicate to the nurse?
C. The client is having trouble terminating the relationship.
According to Peplau, which nursing action demonstrates the nurse’s role as a resource person?
D. The nurse explains, in language the client can understand, information related to the client’s health care.
