Question 1

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?

Accepted Answer

A)  Recognize the effectiveness of the relationship and patient's thoughtfulness. Accept the card. 
B)  Inform the patient that accepting gifts violates policies of the facility. Decline the card. 
C)  Acknowledge the patient's transition through the termination phase but decline the card. 
D)  Accept the card and invite the patient to return to participate in other arts and crafts groups. 
A)  Recognize the effectiveness of the relationship and patient's thoughtfulness. Accept the card. 
B)  Inform the patient that accepting gifts violates policies of the facility. Decline the card. 
C)  Acknowledge the patient's transition through the termination phase but decline the card. 
D)  Accept the card and invite the patient to return to participate in other arts and crafts groups.

Question 2

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?

Accepted Answer

A)  The invitation facilitates dependency on the nurse. 
B)  The nurse's action blurs the boundaries of the therapeutic relationship. 
C)  The invitation is therapeutic for the patient's diversional activity deficit. 
D)  The nurse's action assists the patient's integration into community living. 
A)  The invitation facilitates dependency on the nurse. 
B)  The nurse's action blurs the boundaries of the therapeutic relationship. 
C)  The invitation is therapeutic for the patient's diversional activity deficit. 
D)  The nurse's action assists the patient's integration into community living.

Question 3

Which comment best indicates that a patient perceived the nurse was caring? "My nurse

Accepted Answer

A)  always asks me which type of juice I want to help me swallow my medication." 
B)  explained my treatment plan to me and asked for my ideas about how to make it better." 
C)  spends time listening to me talk about my problems. That helps me feel like I am not alone." 
D)  told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner." 
A)  always asks me which type of juice I want to help me swallow my medication." 
B)  explained my treatment plan to me and asked for my ideas about how to make it better." 
C)  spends time listening to me talk about my problems. That helps me feel like I am not alone." 
D)  told me that if I take all the medicines the doctor prescribes, then I will get discharged sooner."

Question 4

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 5

A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship?

Accepted Answer

A)  Begin at the orientation phase. 
B)  Resume the working relationship. 
C)  Initially establish a social relationship. 
D)  Return to the emotional catharsis phase. 
A)  Begin at the orientation phase. 
B)  Resume the working relationship. 
C)  Initially establish a social relationship. 
D)  Return to the emotional catharsis phase.

Question 6

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 countertransference. Which comment by the new nurse confirms this suspicion?

Accepted Answer

A)  "This patient continues to deny problems resulting from drinking." 
B)  "My parents were alcoholics and often neglected our family." 
C)  "The patient cannot identify any goals for improvement." 
D)  "The patient said I have many traits like her mother." 
A)  "This patient continues to deny problems resulting from drinking." 
B)  "My parents were alcoholics and often neglected our family." 
C)  "The patient cannot identify any goals for improvement." 
D)  "The patient said I have many traits like her mother."

Question 7

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

Accepted Answer

A)  "I will not share information with your family or friends without your permission, but I will share information about you with other staff." 
B)  "A therapeutic relationship is just between the nurse and the patient. It is up to you to tell others what you want them to know." 
C)  "It depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others." 
D)  "I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us." 
A)  "I will not share information with your family or friends without your permission, but I will share information about you with other staff." 
B)  "A therapeutic relationship is just between the nurse and the patient. It is up to you to tell others what you want them to know." 
C)  "It depends on what you choose to tell me. I will be glad to disclose at the end of each session what I will report to others." 
D)  "I cannot tell anyone about you. It will be as though I am talking about my own problems, and we can help each other by keeping it between us."

Question 8

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?"

Question 9

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

Accepted Answer

A)  "Accepting gifts violates the policies and procedures of the facility." 
B)  "I'm glad you feel so much better now. Thank you for the beautiful necklace." 
C)  "I'm glad I could help you, but I can't accept the gift. My reward is seeing you with a renewed sense of hope." 
D)  "Helping people is what nursing is all about. It's rewarding to me when patients recognize how hard we work." 
A)  "Accepting gifts violates the policies and procedures of the facility." 
B)  "I'm glad you feel so much better now. Thank you for the beautiful necklace." 
C)  "I'm glad I could help you, but I can't accept the gift. My reward is seeing you with a renewed sense of hope." 
D)  "Helping people is what nursing is all about. It's rewarding to me when patients recognize how hard we work."

Question 10

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."

Exam 8: Therapeutic Relationships

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?

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?

Which comment best indicates that a patient perceived the nurse was caring? "My nurse

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

A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship?

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 countertransference. 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?

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

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

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