Chapter 7 Nurse-Client Relationship

Question 1

What are several nurse responsibilities within the nurse-client relationship?

Answer 1

1) Possess current knowledge
2) Be aware of unique age-related differences.
3) Perform technical skills safely
4) Be committed to client care
5) Be available and courteous
6) Facilitate participation of clients and family in decisions
7) Remain objective
8) Advocate on the client’s behalf
9) Provide explanations in easily understood language
10) Promote the client’s independence

Question 2

What are several client responsibilities within the nurse-client relationship?

Answer 2

1) Identify the current problem
2) Describe desired outcomes
3) Answer questions honestly
4) Provide accurate historical and subjective data
5) Participate to the fullest extent possible
6) Be open and flexible to alternatives
7) Comply with the plan for care
8) Keep appointments for follow-up care.

Question 3

List the phases of the nurse-client relationship.

Answer 3

Introductory
Working
Terminating

Question 4

The INTRODUCTORY phase of the nurse-client relationship.

Answer 4

The period of getting acquainted

Question 5

The WORKING phase of the nurse-client relationship.

Answer 5

The period during which tasks are performed

Question 6

The TERMINATING phase of the nurse-client relationship.

Answer 6

The period when the relationship comes to an end

Question 7

List several techniques used in therapeutic communication.

Answer 7

1) ACTIVE LISTENING
2) REFLECTING
3) Focusing
4) Allowing Time
5) Using Silence
6) Observation
7) Empathy
8) Open-Ended Questions
9) Clarification
10) Paraphrase

Question 8

List several things a Nurse “SHOULD NOT” do when using therapeutic communication.

Answer 8

(1) False Reassurance
(2) Cliches
(3) Giving Approval or Disapproval
(4) Agreeing
(5) Disagreeing
(6) Demanding an Explanation
(7) Giving Advice
(8) Belittling
(9) Patronizing
(10) Changing the Subject

Question 9

four categories of client needs as the structure for the test plan:

Answer 9

(1) safe and effective care environment
(2) health promotion and maintenance
(3) psychosocial integrity
(4) physiologic integrity.

Question 10

Nurses have four basic roles:

Answer 10

Caregiver
Educator
Collaborator
Delegator.

Question 11

Four categories of client needs are designated by The National Council of State Boards of Nursing.

Answer 11

(1) Safe, effective care environment
(2) Health promotion and maintenance
(3) Psychosocial Integrity
(4) Physiologic integrity

Question 12

Nurse as Caregiver

Answer 12

(1) Performs health-related activities, contemporary caregiving role
(2) Develops close emotional relationships
(3) Understand that illness and injury cause insecurity; use empathy-awareness of what the client is experiencing.

Question 13

Nurse as Educator

Answer 13

(1) Educates client about complex healthcare arena
(2) Provides health teaching pertinent to each client’s needs, knowledge base
(3) Avoids giving advice
(4) Lets the client choose his healthcare
(5) Share information and potential alternatives
(6) Empowers client involvement- Self-help groups, rehabilitation, financial assistance, emotional support Nursing is considered a practice “without walls” because it extends beyond the original treatment facility. Consequently, nurses are resources for information about health services available in the community.

Question 14

Nurse as Collaborator

Answer 14

(1) Works with the team toward achieving a common goal
(2) Responsible for managing care
(3) Share information with other healthcare workers

Question 15

Nurse as Delegator

Answer 15

(1) One who assigns a task to someone
(2) Legal, appropriate delegation
(3) Inspects completed, delegated task
(4) Accountable for inadequate care