Exam 9: Therapeutic Relationships and the Clinical Interview

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

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B

A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. The nurse should:

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D

A new nurse tells a mentor, "I want to convey to my patients that I am interested in them and that I want to listen to what they have to say." Which behaviors are helpful in meeting the nurse's goal? (Select all that apply.)

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B, C, D

As a nurse escorts a patient being discharged after treatment for major depressive disorder, the patient gives the nurse a gold necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?

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A nurse assesses a confused older adult. The nurse experiences sadness and reflects, "The patient is like one of my grandparents, so helpless." What feelings does the nurse describe?

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

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A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. A new nurse who begins work with this patient will:

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Which statement shows a nurse has empathy for a patient who made a suicide attempt?

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During the first interview, a nurse notices that the patient does not make eye contact. The nurse can correctly analyze that:

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A nurse wants to enhance the growth of a patient by showing positive regard. The action consistent with this wish is:

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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?

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During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?

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Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?

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A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, "I really need to talk to you right now." The nurse should:

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At what point in the nurse-patient relationship should a nurse plan to first address termination?

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A new psychiatric nurse has a parent diagnosed with bipolar disorder. This nurse angrily recalls embarrassing events concerning the parent's behavior in the community. Select the best ways for this nurse to cope with these feelings. (Select all that apply.)

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Which descriptors exemplify consistency regarding therapeutic nurse-patient relationships? (Select all that apply.)

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

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As a patient diagnosed with mental illness is being discharged from a facility, a nurse invites the patient to the annual staff picnic. What is the best analysis of this scenario?

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As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse's best action?

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