Question 1

A nurse introduces the matter of a contract during the first session with a new patient because contracts:

Accepted Answer

A)  specify what the nurse will do for the patient. 
B)  spell out the participation and responsibilities of each party. 
C)  indicate the feeling tone established between the participants. 
D)  are binding and prevent either party from prematurely ending the relationship. 
A)  specify what the nurse will do for the patient. 
B)  spell out the participation and responsibilities of each party. 
C)  indicate the feeling tone established between the participants. 
D)  are binding and prevent either party from prematurely ending the relationship.

Question 2

Termination of a therapeutic nurse-patient relationship has been successful when the nurse:

Accepted Answer

A)  avoids upsetting the patient by shifting focus to other patients before the discharge. 
B)  gives the patient a personal telephone number and permission to call after discharge. 
C)  discusses with the patient changes that happened during the relationship and evaluates outcomes. 
D)  offers to meet the patient for coffee and conversation three times a week after discharge. 
A)  avoids upsetting the patient by shifting focus to other patients before the discharge. 
B)  gives the patient a personal telephone number and permission to call after discharge. 
C)  discusses with the patient changes that happened during the relationship and evaluates outcomes. 
D)  offers to meet the patient for coffee and conversation three times a week after discharge.

Question 3

A nurse assesses a confused older adult.The nurse experiences sadness and reflects,"The patient is like one of my grandparents…so helpless." Which response is the nurse demonstrating?

Accepted Answer

A)  Transference 
B)  Countertransference 
C)  Catastrophic reaction 
D)  Defensive coping reaction 
A)  Transference 
B)  Countertransference 
C)  Catastrophic reaction 
D)  Defensive coping reaction

Question 4

A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differs from social relationships.Which is the best explanation?

Accepted Answer

A)  "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." 
B)  "The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented." 
C)  "The focus of the relationship is socialization. Mutual needs are met, and feelings are shared openly." 
D)  "The focus is creation of a partnership in which each member is concerned with growth and satisfaction of the other." 
A)  "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." 
B)  "The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented." 
C)  "The focus of the relationship is socialization. Mutual needs are met, and feelings are shared openly." 
D)  "The focus is creation of a partnership in which each member is concerned with growth and satisfaction of the other."

Question 5

Which behavior shows that a nurse values autonomy? The nurse:

Accepted Answer

A)  suggests one-on-one supervision for a patient who has suicidal thoughts. 
B)  informs a patient that the spouse will not be in during visiting hours. 
C)  discusses options and helps the patient weigh the consequences. 
D)  sets limits on a patient's romantic overtures toward the nurse. 
A)  suggests one-on-one supervision for a patient who has suicidal thoughts. 
B)  informs a patient that the spouse will not be in during visiting hours. 
C)  discusses options and helps the patient weigh the consequences. 
D)  sets limits on a patient's romantic overtures toward the nurse.

Question 6

A nurse ends a relationship with a patient.Which actions by the nurse should be included in the termination phase? Select all that apply.

Accepted Answer

A)  Focus dialogues with the patient on problems that may occur in the future. 
B)  Help the patient express feelings about the relationship with the nurse. 
C)  Help the patient prioritize and modify socially unacceptable behaviors. 
D)  Reinforce expectations regarding the parameters of the relationship. 
E)  Help the patient to identify strengths, limitations, and problems. 
A)  Focus dialogues with the patient on problems that may occur in the future. 
B)  Help the patient express feelings about the relationship with the nurse. 
C)  Help the patient prioritize and modify socially unacceptable behaviors. 
D)  Reinforce expectations regarding the parameters of the relationship. 
E)  Help the patient to identify strengths, limitations, and problems.

Question 7

A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia.The nurse should:

Accepted Answer

A)  restate what the patient says. 
B)  use congruent communication strategies. 
C)  use self-revelation in patient interactions. 
D)  consistently interpret the patient's behaviors. 
A)  restate what the patient says. 
B)  use congruent communication strategies. 
C)  use self-revelation in patient interactions. 
D)  consistently interpret the patient's behaviors.

Question 8

Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?

Accepted Answer

A)  "I don't have any problems." 
B)  "It is so difficult for me to talk about problems." 
C)  "I don't know how it will help to talk to you about my problems." 
D)  "I want to find a way to deal with my anger without becoming violent." 
A)  "I don't have any problems." 
B)  "It is so difficult for me to talk about problems." 
C)  "I don't know how it will help to talk to you about my problems." 
D)  "I want to find a way to deal with my anger without becoming violent."

Question 9

What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:

Accepted Answer

A)  self-responsibility and autonomy. 
B)  a greater sense of independence. 
C)  rapport and trust with the nurse. 
D)  resolved transference. 
A)  self-responsibility and autonomy. 
B)  a greater sense of independence. 
C)  rapport and trust with the nurse. 
D)  resolved transference.

Question 10

A patient says,"I'm still on restriction,but I want to attend some off-unit activities.Would you ask the doctor to change my privileges?" What is the nurse's best response?

Accepted Answer

A)  "Why are you asking me when you're able to speak for yourself?" 
B)  "I will be glad to address it when I see your doctor later today." 
C)  "That's a good topic for you to discuss with your doctor." 
D)  "Do you think you can't speak to a doctor?" 
A)  "Why are you asking me when you're able to speak for yourself?" 
B)  "I will be glad to address it when I see your doctor later today." 
C)  "That's a good topic for you to discuss with your doctor." 
D)  "Do you think you can't speak to a doctor?"

Exam 8: Therapeutic Relationships

A nurse introduces the matter of a contract during the first session with a new patient because contracts:

Termination of a therapeutic nurse-patient relationship has been successful when the nurse:

A nurse assesses a confused older adult.The nurse experiences sadness and reflects,"The patient is like one of my grandparents…so helpless." Which response is the nurse demonstrating?

A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differs from social relationships.Which is the best explanation?

Which behavior shows that a nurse values autonomy? The nurse:

A nurse ends a relationship with a patient.Which actions by the nurse should be included in the termination phase? Select all that apply.

A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia.The nurse should:

Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?

What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:

A patient says,"I'm still on restriction,but I want to attend some off-unit activities.Would you ask the doctor to change my privileges?" What is the nurse's best response?

Mental Health and Mental Illness

Relevant Theories and Therapies for Nursing Practice

Biological Basis for Understanding Psychiatric Disorders and Treatments

Settings for Psychiatric Care

Cultural Implications for Psychiatric Mental Health Nursing

Legal and Ethical Guidelines for Safe Practice

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Communication and the Clinical Interview

Understanding and Managing Responses to Stress

Childhood and Neurodevelopmental Disorders

Schizophrenia and Schizophrenia Spectrum Disorders

Bipolar and Related Disorders

Depressive Disorders

Anxiety and Obsessive Compulsive Related Disorders

Trauma, Stressor-Related, and Dissociative Disorders

Somatic Symptom Disorders

Feeding, Eating, and Elimination Disorders

Sleep-Wake Disorders

Sexual Dysfunctions, Gender Dysphoria, and Paraphilias

Impulse Control Disorders

Substance Related and Addictive Disorders

Neurocognitive Disorders

Personality Disorders

Suicide and Non-Suicidal Self-Injury

Crisis and Disaster

Anger, Aggression, and Violence

Child, Older Adult, and Intimate Partner Violence

Sexual Assault

Psychosocial Needs of the Older Adult

Serious Mental Illness

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative Care

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