Exam 6: Relationship Development and Therapeutic Communication

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A newly admitted client, diagnosed with obsessive-compulsive disorder (OCD), washes his hands continually. This behavior prevents unit activity attendance. Which nursing statement best addresses this situation?

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D

___________________ refers to a nurse's behavioral and emotional response to a client. These responses may be related to unresolved feelings toward significant others from the nurse's past.

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Countertransference

When an individual is "two-faced," which characteristic-essential to the development of a therapeutic relationship-should a nurse identify as missing?

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B

What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?

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A client exhibiting dependent behaviors says, "Do you think I should move from my parent's house and get a job?" Which nursing response is most appropriate?

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Which therapeutic communication technique is being used in the following nurse-client interaction? Client: "When I am anxious, the only thing that calms me down is alcohol." Nurse: "Other than drinking, what alternatives have you explored to decrease anxiety?"

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Which of the following individuals are communicating a message?

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Which client action should a nurse expect during the working phase of the nurse-client relationship?

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What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

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A mother who is notified that her child was killed in a tragic car accident states, "I can't bear to go on with my life." Which nursing statement conveys empathy?

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If a client demonstrates transference toward a nurse, how should the nurse respond?

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Which therapeutic communication technique is being used in the following nurse-client interaction? Client: "My father spanked me often." Nurse: "Your father was a harsh disciplinarian."

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The nurse is interviewing a newly admitted psychiatric client. Which of the following nursing statements is an example of offering a "general lead"?

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A nurse says to a client, "Things will look better tomorrow after a good night's sleep." This is an example of which communication technique?

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A nurse maintains an uncrossed arm and leg posture when communicating with a client. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?

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An instructor is correcting a nursing student's clinical worksheet. Which instructor statement is the best example of effective feedback?

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A client diagnosed with posttraumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique might a nurse use that is an example of "broad openings"?

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Which of the following characteristics should be included in a therapeutic nurse-client relationship?

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The term ________________________ implies special feelings on the part of both the client and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.

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A mother rescues two of her four children from a house fire. In an emergency department, she cries, "I should have gone back in to get them. I should have died, not them." What is the nurse's best response?

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