Exam 10: Therapeutic Relationships

A patient says, "People should be allowed to commit suicide without interference from others." A nurse replies, "You're wrong. Nothing is bad enough to justify death." What is the best analysis of this interchange?

A nurse says, "I am the only one who truly understands this patient. Other staff members are too critical." The nurse's statement indicates which of the following?

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?

A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent 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." What should the nurse do?

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

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 novice psychiatric nurse has a parent with bipolar disorder. This nurse angrily recalls feelings of embarrassment about the parent's behaviour in the community. Select the best ways for this nurse to cope with these feelings. Select all that apply.

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

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A nurse caring for a withdrawn, suspicious patient recognizes development of feelings of anger toward the patient. Which of the following should the nurse do?

A nurse introduces the matter of a contract during the first session with a new patient because of which of the following?

A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. Which of the following should the nurse do?

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

A patient says, "I've done a lot of cheating and manipulating in my relationships." Select a nonjudgemental response by the nurse.

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?

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?

Which of the following behaviours shows that a nurse values autonomy?

As a patient diagnosed with a 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?

An advanced-practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing counter-transference. Which comment by the new nurse confirms this suspicion?

A patient says, "Please don't share information about me with the other people." How should the nurse respond?