Exam 2: Therapeutic Nurse-Patient Relationship

A nurse tells the unit supervisor,"I'm having a difficult time empathizing with my patient especially since he is so unwilling to change.Talking with him makes me feel both frustrated and depressed." The supervisor may suspect that the cause of the barrier in this nurse-client relation is the:

Which statement is true of planning the timing for the use of confrontation?

In the initial sessions a patient frequently asks the nurse for money and expresses doubt about the nurse's ability to help.Which principle provides guidance for the nurse in this situation?

A nurse makes observations that a depressed patient is more energetic and is smiling much more.Still,the nurse shares with the unit manager that when thinking about the patient a sense of hopelessness surfaces.The nurse manager replies:

When asked to contrast social superficiality with therapeutic intimacy,an experienced nurse mentor explains to a new nurse that the termination component in therapeutic intimacy is:

A new nurse has the following thoughts: "How will I handle things if my patient walks away from me? How will I react if the patient is sexually provocative? How will I cope with a patient who cries?" These thoughts indicate that the nurse is engaged in:

A nurse engaged in the preinteraction phase of the nurse-patient relationship will:

Which task would be most appropriate to focus on during the introductory phase of work with a teenage patient with low self-esteem?

A patient is admitted to the unit and complains of being depressed.The patient says,"I want to feel like my old self again." Which nursing response will be most therapeutic?

A teenager being treated for oppositional defiance behavior states: "I wish my parents would stop treating me like an irresponsible child." The nurse implements confrontation as a therapeutic technique when responding:

According to transactional analysis theory,when a patient finally recognizes the importance of being medication-compliant,which type of transaction has occurred?

A young adult has been receiving treatment for an anxiety disorder.Which statement by the patient confirms that the nurse and patient are most likely entering the terminal phase of the therapeutic relationship?

A patient admitted with a diagnosis of schizophrenia,paranoid type,coldly tells a nurse during the admission interview,"I am here because my family brought me here and locked me up." The nurse's best response would be:

A novice nurse states,"Psychiatric nursing can't be very difficult.After all,I believe in showing care and in mutual exchange with my friends." The experienced nurse's understanding of the difference between a social and a therapeutic relationship is primarily based on the:

A chronically depressed patient has been diagnosed with having a dependent personality.The nurse suspects that the situation has resulted in dependence transference when the patient shares that:

When a patient is late for three consecutive therapy sessions,the nurse implements perception sharing as a communication technique when stating:

A nurse tells a patient who is feeling guilty about an infidelity to call the spouse and beg for forgiveness.According to the transactional model of communication,the nurse's response originated from which state?

A person who has always wished to care for "special children" adopts a biracial child and another child who has spina bifida.What is the highest step of the value clarification process that this person has achieved?

A patient says to a nurse,"My spouse and I get along just fine.We usually agree on everything." The nurse observes nonverbal communication that disagrees with what the patient has verbally communicated.Which of the patient's actions is incongruent with her statement?

A psychiatric nurse will recognize which action as demonstration of resistance behavior?