Question: A patient with severe depression states, “God is punishing me for my past sins.” What is the nurse’s best response?
Answer Choices: a. “Why do you think that?” b. “You sound very upset about this.” c. “You believe God is punishing you for your sins?” d. “If you feel this way, you should talk to a member of your clergy.”
Answer: b
Question: A patient cries as the nurse explores the patient’s relationship with a deceased parent. The patient says, “I shouldn’t be crying like this. It happened a long time ago.” Which responses by the nurse will facilitate communication? (Select all that apply.)
Answer Choices: a. “Why do you think you are so upset?” b. “I can see that you feel sad about this situation.” c. “The loss of your parent is very painful for you.” d. “Crying is a way of expressing the hurt you’re experiencing.” e. “Let’s talk about something else because this subject is upsetting you.” Correct Answers: a, b, c, d
Answer: Not provided in source.
Question: A patient cries as the nurse explores the patient’s relationship with a deceased parent. The patient says, “I shouldn’t be crying like this. It happened a long time ago.” Which responses by the nurse will facilitate communication? (Select all that apply.)
Answer Choices: a. “Why do you think you are so upset?” b. “I can see that you feel sad about this situation.” c. “The loss of your parent is very painful for you.” d. “Crying is a way of expressing the hurt you’re experiencing.” e. “Let’s talk about something else because this subject is upsetting you.” Correct Answers: b, c, d
Answer: Not provided in source.
Question: Which benefits are most associated with the use of telehealth? (Select all that apply.)
Answer Choices: a. Cost savings for patients b. Maximization of care management c. Access to services for patients in rural areas d. Prompt reimbursement by third-party payers e. Rapid development of trusting relationships with patients Correct Answers: a, b, c
Answer: Not provided in source.
Question: A nurse assesses a confused older adult. The nurse experiences sadness and reflects, “The patient is like one of my grandparents, so helpless.” What feelings does the nurse describe?
Answer Choices: a. Transference b. Countertransference c. Catastrophic reaction d. Defensive coping reaction
Answer: b
Question: Which statement shows a nurse has empathy for a patient who made a suicide attempt?
Answer Choices: a. “You must have been very upset when you tried to hurt yourself.” b. “It makes me sad to see you going through such a difficult experience.” c. “If you tell me what is troubling you, I can help you solve your problems.” d. “Suicide is a drastic solution to a problem that may not be such a serious matter.”
Answer: a
Question: After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of countertransference?
Answer Choices: a. The patient’s reactions toward the nurse seem realistic and appropriate. b. The patient states, “Talking to you feels like talking to my parents.” c. The nurse feels unusually happy when the patient’s mood begins to lift. d. The nurse develops a trusting relationship with the patient.
Answer: c
Question: A patient says, “Please don’t share information about me with the other people.” How should the nurse respond?
Answer Choices: a. “I won’t share information with others without your permission, but I will share information about you with other staff members.” b. “A therapeutic relationship is just between the nurse and the patient. It’s up to you to tell others what you want them to know.” c. “It really 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.”
Answer: a
Question: A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent for most of the session. Another patient comes to the door of the room, interrupts, and says to the nurse, “I really need to talk to you right now.” What action is most appropriate?
Answer Choices: a. Saying to the interrupting patient, “I am not available to talk with you at the present time.” b. Ending the unproductive session with the current patient and spend time with the patient who has just interrupted. c. Inviting the interrupting patient to join in the session with the current patient. d. Telling the patient who interrupted, “This session will end in 5 minutes; then, I will talk with you.”
Answer: d
Question: Termination of a therapeutic nurse-patient relationship with a patient has been successful when nurse engages in what action?
Answer Choices: a. Avoids upsetting the patient by shifting focus to other patients before the discharge. b. Gives the patient a personal telephone number and permission to call after discharge. c. Discusses with the patient changes that have happened during the relationship and evaluates the outcomes. d. Offers to meet the patient for coffee and conversation three times a week after discharge.
Answer: c
Question: What patient behavior is the desirable outcome for the orientation stage of a nurse-patient relationship?
Answer Choices: a. Gaining a sense of independence b. Building rapport and trust with the nurse c. Assuming self-responsibility and autonomy d. Effective resolution of feelings of transference
Answer: b
Question: During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
Answer Choices: a. Preorientation b. Orientation c. Working d. Termination
Answer: c
Question: At what point in the nurse-patient relationship should a nurse plan to first address termination?
Answer Choices: a. In the orientation phase b. During the working phase c. In the termination phase
Answer: a
Question: Why should the nurse introduce the matter of a contract during the first session with a new patient?
Answer Choices: a. To specify what the nurse will do for the patient b. To explain the participation and responsibilities of each party c. To indicate the feeling tone established between the participants d. To prevent either party from prematurely ending the relationship
Answer: b
Question: As a nurse escorts a patient being discharged after treatment for major depressive disorder, the patient gives the nurse a gold necklace with a heart pendant and says, “Thank you for helping mend my broken heart.” Which is the nurse’s best response?
Answer Choices: 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 your 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.”
Answer: c
Question: Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse-patient relationship?
Answer Choices: a. “I don’t have any problems.” b. “It is so difficult for me to talk about my problems.” c. “I don’t know how talking about things twice a week can help.” d. “I want to find a way to deal with my anger without becoming violent.”
Answer: d
Question: A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. Which is the best explanation?
Answer Choices: a. “The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient.” b. “The focus shifts from nurse to patient as the relationship develops. Advice is given by both, and solutions are implemented.” c. “The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared.” d. “The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other.”
Answer: a
Question: How should the nurse who wants to demonstrate genuineness with a patient diagnosed with schizophrenia do so most effectively?
Answer Choices: a. By restating what the patient says. b. By using congruent communication strategies. c. By using self-disclosure in patient interactions. d. By consistently interpreting the patient’s behaviors.
Answer: b
Question: A nurse caring for a withdrawn, suspicious patient recognizes the development of feelings of anger toward the patient. How should the nurse respond?
Answer Choices: a. By suppressing the angry feelings. b. By expressing the anger openly and directly with the patient. c. By telling the nurse manager to assign the patient to another nurse. d. By discussing the anger with a clinician during a supervisory session.
Answer: d
Question: A nurse wants to enhance the growth of a patient by showing positive regard. What nursing action is consistent with this wish?
Answer Choices: a. Making patient rounds daily b. Staying with a tearful patient c. Administering daily medication as prescribed d. Examining personal feelings about a patient
Answer: b