Therapeutic communication is defined as communication strategies that support a patient’s feeling of well-being. The goals of therapeutic communication are to help a patient feel cared for and understood and establish a relationship in which the patient feels free to express any concerns. Show
What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a patient?Rationale: The most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client is to clarify personal attitudes, values, and beliefs. Understanding one’s own attitudes, values, and beliefs is called self-awareness. Which is the primary nursing goal when establishing a therapeutic relationship with a client?1. Which is the primary nursing goal when establishing a therapeutic relationship with a client? The goal of a therapeutic nursing interaction is to promote client insight and behavioral change directed toward client growth. Why does the therapeutic relationship matter?Why does the therapeutic relationship matter? … This relationship is essential to establishing and promoting willingness for the client to share and engage within the therapeutic space. The relationship will hopefully allow the client to move toward more open behaviours and an increased level of self-awareness. Share Tweet Pin it LinkedIn Chapter 7. Relationship Development1. What is the most essential task for a nurse to accomplish prior to forming a therapeuticrelationship with a client?A. To clarify personal attitudes, values, andbeliefsB. To obtain thorough assessment dataC. To determine the client’s length of stayD. To establish personal goals for theinteractionThe most essential task for a nurse to accomplish prior to forming a therapeutic relationshipwith a client is to clarify personal attitudes, values, and beliefs. Understanding one’s ownattitudes, values, and beliefs is called self-awareness. 1. What is the most essential task for a nurse to accomplish prior to forming atherapeutic relationship with a client?A. To clarify personal attitudes, values, and beliefsB. To obtain thorough assessment dataC. To determine the client's length of stayD. To establish personal goals for the interactionANS: AThe most essential task for a nurse to accomplish prior to forming a therapeutic relationship witha client is to clarify personal attitudes, values, and beliefs. Understanding one's own attitudes,values, and beliefs is called self-awareness.
A. To clarify personal attitudes, values, and beliefs B. To obtain thorough assessment data C. To determine the client’s length of stay D. To establish personal goals for the interaction ANSWER: A
A. To clarify personal attitudes, values, and beliefs
A hungry, homeless client, diagnosed with schizophrenia, refuses to participate in an admission interview. When the nurse postpones the admission interview, verbally assures safety, and provides a warm meal, he or she is promoting which of the following?
Which is the best nursing action when a client demonstrates transference toward a nurse?
D. Helping the client to clarify the meaning of the current nurse–client relationship
What is the priority nursing action during the orientation (introductory) phase of the nurse–client relationship?
B. Establish rapport and develop treatment goals.
Which client response should a nurse expect during the working phase of the nurse–client relationship?
A. The client gains insight and incorporates alternative behaviors.
What should be the nurse’s primary goal during the preinteraction phase of the nurse–client relationship?
C. To explore self-perceptions
Which phase of the nurse–client relationship begins when the individuals first meet and is characterized by an agreement to continue to meet and work on setting client-centered goals?
Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse–client relationship?
C. “I can’t tell my husband how I feel; he wouldn’t listen anyway.”
A client has made the decision to leave her alcoholic husband. She is feeling very depressed. Which nontherapeutic statement by the nurse conveys sympathy?
A. “You are feeling very depressed. I felt the same way when I decided to leave my husband.”
A mother who has learned 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?
D. “It must be horrible to lose a child; I’ll stay with you until your husband arrives.”
If an individual is “two-faced,” which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?
On which task should a nurse place priority during the working phase of relationship development?
D. Promoting the client’s insight and perception of reality
A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game. The client responds, “Do you want to be my girlfriend?” Which nursing response is most appropriate?
B. “Remember, we have a professional relationship. Are you feeling uncomfortable?”
A nurse moving out of state speaks to a client about the need to work with a new nurse. The client states, “I’m not well enough to switch to a different nurse.” What does this client response indicate to the nurse?
C. The client is having trouble terminating the relationship.
According to Peplau, which nursing action demonstrates the nurse’s role as a resource person?
D. The nurse explains, in language the client can understand, information related to the client’s health care.
According to Peplau, which nursing intervention is most appropriate when the nurse is functioning in the role of a surrogate?
A. The nurse functions as a nurturing parent in order to build a trusting relationship.
As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship, which is the nurse’s most therapeutic statement?
C. “Which identified problems would you like for us to initially address?”
What is the main goal of the working phase of the nurse–client therapeutic relationship?
B. Resolution of the client’s problems
Which client statement may indicate a transference reaction?
A. “I need a real nurse. You are young enough to be my daughter and I don’t want to tell you about my personal life.”
Which nursing action demonstrates the role of the teacher in a therapeutic milieu?
B. The nurse holds a group meeting to present common side effects of psychiatric medications.
Which client statement indicates that termination of the therapeutic nurse–client relationship has been handled successfully?
C. “Reviewing the changes that have happened during our time together has helped me put things in perspective.”
When is self-disclosure by the nurse appropriate in a therapeutic nurse–client relationship?
D. When it is judged that the information may benefit the client
The nurse–client therapeutic relationship includes which of the following characteristics? Select all that apply.A. Meeting the psychological needs of the nurse and the clientB. Ensuring therapeutic terminationC. Promoting client insight into problematic behaviorD. Collaborating to set appropriate goalsE. Meeting both the physical and psychological needs of the client |