Test
Videbeck - Chapter 5
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Preguntas del test (36)
1Chapter 5 The nurse understands that empathy is essential to the therapeutic
relationship. When a patient makes the statement, ìI am just devastated that my marriage
is falling apart,î the nurse can best show empathy through which of the following
responses?- AìI feel so bad for what you are going through.î
- BìYou feel like your world is falling apart right now.î
- CìI have been divorced too. I know how hard it is.î
- DìIt will get better; let's talk about it.î
2The nurse is working with a patient who has quit several jobs and no longer sends
financial support to his two children living with their mother. This behavior is in conflict
with the nurse's values concerning responsible parenting. When discussing family roles
with the patient, the nurse shows positive regard through which statement?- AìHow is not working right now affecting you?î
- BìHow do you expect your kids to be provided for?î
- CìYou need to somehow find a way to support your children.î
- DìCan the children's mother can get by for a while until you get better?î
3Which of the following statements is true of the component of a therapeutic
relationshipóìacceptanceî?- AThe nurse accepts the behavior of any inappropriate behavior.
- BIt is avoiding judgments of the person, no matter what the behavior is.
- CIt involves punishment for inappropriate behavior.
- DIt is the ability of the nurse to perceive the meanings and feelings of the client and
to communicate that understanding to the client.
4Which of the following behaviors by the nurse demonstrate positive regard? Select all
that apply.- ACommunicating judgments about the client's behavior
- BCalling the client by name
- CSpending time with the client
- DResponding openly
- EConsidering the client's ideas and preference when planning care
5The nurse initiating a therapeutic relationship with a client should explain the purpose,
which is to- Aalleviate stressors in life.
- Ballow the client to know the nurse's feelings.
- Cestablish relationships.
- Dfacilitate a positive change.
6Which of the following is the most important skill the nurse must bring to the
therapeutic nurseñclient relationship?- AConfrontation
- BEmpathy
- CHumor
- DReframing
7Which is a standard for establishing a code of conduct for living?
- AAcceptance
- BEmpathy
- CValues
- DPositive regard
8A nurse makes the statement in a treatment team meeting, ìIt's not worth it to try to
teach this patient how to make better choices. He has been here many times before and
goes back home and does the same thing.î The nurse is sharing which of the following?- AValue
- BAwareness
- CBelief
- DAttitude
9The client tells the nurse, ìI don't think you can help me. Every time I talk to you, I am
reminded of my mother, and I hated her.î The nurse should recognize this as- Aconfrontation.
- Bcountertransference.
- Cincongruence.
- Dtransference.
10When preparing for the first clinical experience with patients on a forensic unit at a
psychiatric hospital, the nursing instructor discusses students' beliefs and fears
surrounding forensic patients. The primary reason for discussing personal beliefs is to- Apractice reflective communication skills in a role-play situation.
- Bassign the most compatible patients to the students.
- Cassess the appropriateness of the setting for implementing nursing skills.
- Dbecome aware of possible barriers to developing therapeutic relationships.
11A nurse is working with a patient whose background is very different from hers. A good
question to ask herself to assure she can be effective working with this patient would be,- AìCan this person understand me?î
- BìDo I understand this patient's expectations of me?î
- CìWhat experiences do I have with people with similar backgrounds?î
- DìIs this person going to be able to relate to me?î
12The client says to the nurse, ìI feel really close to you. You are the only true friend I
have.î The most therapeutic response the nurse can make is,- AìI am sure there are other people in your life who are your friends; besides, we just
met.î - BìIt makes me feel good that you trust me so much; it is important for the work we
are doing together.î - CìSince ours is a professional relationship, let's explore other opportunities in your
life for friendship.î - DìWe are not friends. This is strictly professional.î
- AìI am sure there are other people in your life who are your friends; besides, we just
13A client who had been in a substance abuse treatment program asks the nurse for a date
after the client is discharged. The nurse talks to the client about the importance of a
therapeutic relationship and its characteristics. The nurse is using which of the following
techniques?- ADefining boundaries
- BDefining therapy
- CLetting the client down gently
- DReprimanding the client
14The nurse fails to assess personal values surrounding homosexuality before caring for a
patient who is openly gay. The nurse is most at risk for which of the following when
working with this patient?- AHolding a prejudice toward this patient
- BNeglecting to include the patient's desires in the plan of care
- CBeing manipulated by this patient
- DExpressing shock when assessing the patient's history
15Which one of the following statements about the nurse and ethnocentrism is true?
- ANurses as people may inwardly view their own culture as superior to others.
- BEthnocentrism is a desirable trait in a nurse.
- CNurses must deny their ethnocentrism.
- DA nurse must not think of his or her own attitudes and beliefs.
16A nurse is using the Johari window to identify the degree to which he feels comfortable
communicating with others. After completing the exercise, the nurse discovers that
quadrant 1 has the longest list of qualities. This indicates which of the following about
the nurse?- AThe nurse conceals personal information about himself.
- BThe nurse needs to increase insight into his own characteristics.
- CThe nurse is open to others.
- DThe patient is sharing more than the nurse in the therapeutic relationship.
17A nurse is assigned to care for a client whose sexual orientation differs from the nurse's
sexual orientation. When should the nurse seek clinical supervision?- AWhen the nurse tries to assist the client to change values
- BTo discuss the nurse's feelings about the client with a supervisor
- CWhen the nurse begins to empathize with the client
- DWhen the nurse identifies anxieties regarding the client's values and sexuality
18A nurse notices a patient sitting quietly alone, eyes downcast, and looking sad. The
nurse says to the patient, ìYou look like something is bothering you.î Which pattern of
knowing did the nurse use to respond to the patient?- AEmpirical knowing
- BPersonal knowing
- CEthical knowing
- DAesthetic knowing
19The nurse assesses fine hand tremors in a patient with a history of heavy alcohol use. If
the nurse understands that the tremors are a direct result of alcohol use, the nurse is
using which pattern of knowing, according to Carper?- AAesthetic knowing
- BEthical knowing
- CPersonal knowing
- DEmpirical knowing
20A nurse openly admits to not being able to relate to a patient's experience. According to
Munhall, this will most likely have what influence on the therapeutic relationship?- AThe nurse will avoid imposing any values on the patient.
- BThe patient will not trust the nurse's professional abilities.
- CThe nurse will more likely be manipulated by the patient.
- DThe patient will be less likely to self-disclose to the nurse.
21The nurse and patient are visiting about upcoming sporting events of which they both
share an interest. This form of interaction has the potential to threaten the nurseñpatient
relationship by- Ainfluencing whether the patient likes the nurse or not.
- Bavoiding serious work that can help the patient change.
- Cletting the patient know that the nurse is genuine with diverse interests.
- Doverstepping ethical boundaries that the nurse should maintain.
22The nurse is mindful of maintaining relationships with patients that are therapeutic.
Certain characteristics of the relationships the nurse will foster include: Select all that
apply.- Aoffering sound advice to the patient.
- Bestablishing boundaries for both the nurse and patient.
- Cmaintaining a patient-focus at all times.
- Dsharing personal feelings openly with the patient.
- Eavoiding concern with whether the patient likes the nurse.
23One of the primary differences between social and therapeutic relationships is the
- Aamount of emotion invested.
- Bdegree of satisfaction obtained.
- Ckind of information given.
- Dtype of responsibility involved.
24During the orientation phase of the nurseñpatient relationship, the nurse directs the
patient to do which of the following?- AIdentify problems to examine
- BExpress needs and feelings
- CDevelop interpersonal skills
- DIdentify self-care strategies
25The nurse has been working with a patient with an eating disorder for one week. During
the morning treatment team meeting, the treatment plan is updated. Which of the
following would be appropriate interventions at this time in the nurseñpatient
relationship? Select all that apply.- AExploring perceptions of reality
- BPromoting a positive self-concept
- CExplaining the boundaries of the relationship
- DWorking through resistance
- EAssisting in identifying problems
26A patient being discharged appears angry with the nurse when the nurse attempts to
review discharge instructions with the patient. The nurse can best assist the patient in
this stage of the relationship with which of the following responses?- AìWe have to go over these instructions before you can go. Please try to listen.î
- BìWould you rather not be discharged today?î
- CìI can sense you are angry this morning. Tell me how you feel about being
discharged today.î - DìYou should be able to regulate your feelings better by now. Why are you angry?î
27During a regular home health visit to an elderly client, the nurse observes that the client
has feelings of hopelessness and despair. The client says, ìI'm old, and my life has no
purpose anymore. But promise me you won't tell anyone.î How should the nurse
respond?- AìDon't worry, I won't tell anyone else.î
- BìI'm sorry, but I can't keep that kind of secret.î
- CìLet's talk about something to cheer you up.î
- DìWhat can we do to help you feel better?î
28What would be the most appropriate action by the student nurse when the client asked
the student nurse to keep it secret that the client plans to kill a family member?- AThe student nurse must respect the client's privacy and not tell anyone.
- BThe student nurse must tell the client that the student nurse cannot keep that secret
and then report it to the instructor and/or staff members. - CThe student nurse must tell the client that the student nurse will keep the secret
and then tell the instructor and/or staff members. - DThe student nurse must tell the instructor and then ask the instructor to keep it
secret.
29During the working phase of a therapeutic relationship, which of the following actions
by the nurse would best help the client to explore problems?- AComparing past and present coping strategies
- BEncouraging the client to clarify feelings and behavior
- CIdentifying possible solutions for the client's problems
- DReferring the client to a self-help group
30Which of the following occurrences is considered a breach of professional boundaries?
- APatient asking a nurse for her phone number
- BRefusing a gift from a patient
- CChanging the subject in response to a patient complement
- DHaving a lengthy social conversation with a patient
31Which of the following statements correctly depict the problem of feeling sympathy
toward the client? Select all that apply.- AThis can cause the nurse to feel sad and be unable to help the client.
- BWhen the nurse's behavior is rooted in sympathy, the client finds it easier to
manipulate the nurse's feelings. - CThe client is discouraged from exploring his or her problems, thoughts, and
feelings. - DThe client is discouraged from growth.
- EThe client feels dependent on the nurse.
32How can a nurse avoid the possibility of finding the client's behavior unacceptable or
distasteful?- ABy being aware of the client's behavior and background before beginning the
relationship; and exploring the possibility of a conflict of a colleague. - BBy using silence instead of verbal responses for all instance of the client
describing their behavior - CBy using facial expressions of annoyance if the client expresses behavior that the
nurse disapproves of - DBy turning away from the client when the nurse does not want the client to see his
or her facial expression
- ABy being aware of the client's behavior and background before beginning the
33A nurse and patient have just completed reviewing the patient's take-home medications.
The nurse is exemplifying which role during this intervention?- AAdvocate
- BCaregiver
- CTeacher
- DParent Surrogate
34An adolescent patient has just been found to have broken one of the unit rules. The
nurse imposes the consequence of losing phone privileges. In this instance, the nurse is
acting as- Aadvocate.
- Bcaregiver.
- Cteacher.
- Dparent surrogate.
35Which role of the nurse is most likely to create difficulty for the nurseñclient
relationship if the client confuses physical care with intimacy and sexual interest?- ATeacher
- BCaregiver
- CAdvocate
- DParent surrogate
36Which of the following statements is true about a nurse's self-disclosure?
- AIt is the basis for effective communication.
- BSelf-disclosure should be used with all clients to some degree.
- CThe more the nurse discloses, the more the client will disclose.
- DSelf-disclosure on the nurse's part should benefit the client.
Información
- Descripción
- NCLEX (N21) Nursing Test sobre Videbeck - Chapter 5, creado por N R el 05/03/2022.
- Autor
- N R
- Idioma
- English
- Visitas
- 2
- Etiquetas
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