Answer Options:
a. How to complete an application for employment?
b. The importance of correctly taking your medication.
c. How to dress when attending community events?
d. How to give and receive compliments?
e. Ways to quit smoking.
Answer: b. The importance of correctly taking your medication.
e. Ways to quit smoking.
Question: Which issues should a nurse address during the first interview with a patient diagnosed with a psychiatric disorder?
Answer Options:
a. Trust, congruence, attitudes, and boundaries
b. Goals, resistance, unconscious motivations, and diversion
c. Relationship parameters, the contract, confidentiality, and termination
d. Transference, countertransference, intimacy, and developing resources
Answer: C. Relationship parameters, the contract, confidentiality, and termination
Question: A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably present what behavior?
Answer Options:
a. Readily seek psychiatric counseling.
b. Being resistant to accepting psychiatric help.
c. Attending psychotherapy sessions without encouragement.
d. Being eager to discover the true reasons for physical symptoms.
Answer: B. Being resistant to accepting psychiatric help.
Question: Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse–patient relationship?
Answer Options:
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. “I want to find a way to deal with my anger without becoming violent.”
Question: At what point in the nurse-patient relationship should a nurse plan to first address termination?
Answer Options:
a. In the orientation phase
b. During the working phase
c. In the termination phase
Answer: A. In the orientation phase
Question: A nurse interacts with a newly hospitalized patient. Which nursing statement reflects the communication technique of ‘offering self’?
Answer Options:
a. “I’ve also had traumatic life experiences. Maybe it would help if I told you about them.”
b. “Why do you think you had so much difficulty adjusting to this change in your life?”
c. “I hope you will feel better after getting accustomed to how this unit operates.”
d. “I’d like to sit with you for a while to help you get comfortable talking to me.”
Answer: D. “I’d like to sit with you for a while to help you get comfortable talking to me.”
Question: What patient behavior is the desirable outcome for the orientation stage of a nurse-patient relationship?
Answer Options:
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. Building rapport and trust with the nurse
Question: After the termination of a long-term relationship, the patient and new nurse usually have to begin at ground zero, the orientation phase, to build a new relationship. If termination is successfully completed, then the orientation phase sometimes progresses quickly to the working phase. Other times, even after successful termination, the orientation phase may be prolonged. Which stage is the nurse returning to with this patient?
Answer Options:
a. Beginning at the orientation phase
b. Returning the working relationship
c. Entering into a social relationship
d. Returning to the emotional catharsis phase
Answer: A. Beginning at the orientation phase
Question: A nurse wants to enhance the growth of a patient by showing positive regard. What nursing action is consistent with this wish?
Answer Options:
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. Staying with a tearful patient
Question: A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which statement is an example of “attending”?
Answer Options:
a. “We all have stress in life. Being in a psychiatric hospital is not the end of the world.”
b. “Tell me why you felt you had to be hospitalized to receive treatment for your depression.”
c. “You will feel better after we get some antidepressant medication started for you.”
d. “I’d like to sit with you for a while, so you may feel more comfortable talking with me.”
Answer: B. “Tell me why you felt you had to be hospitalized to receive treatment for your depression.”
Question: A nurse says, “I am the only one who truly understands this patient. Other staff members are too critical.” What does the nurse’s statement indicate?
Answer Options:
a. Boundary blurring
b. Sexual harassment
c. Positive regard
d. Advocacy
Answer: A. Boundary blurring
Question: During which phase of the nurse-patient relationship can the nurse anticipate that identified patient issues will be explored and resolved?
Answer Options:
a. Preorientation
b. Orientation
c. Working
d. Termination
Answer: C. Working
Question: A nurse ends a relationship with a patient. Which actions by the nurse should be included in the termination phase? (Select all that apply.)
Answer Options:
a. Focus dialog with the patient on problems that may occur in the future.
b. Help the patient express feelings about the relationship with the nurse.
c. Help the patient prioritize and modify socially unacceptable behaviors.
d. Reinforce expectations regarding the parameters of the relationship.
e. Help the patient identify strengths, limitations, and problems.
Answer: B. Help the patient express feelings about the relationship with the nurse.
C. Help the patient prioritize and modify socially unacceptable behaviors.
D. Reinforce expectations regarding the parameters of the relationship.
E. Help the patient identify strengths, limitations, and problems.
Question: A bill introduced in Congress would reduce funding for the care of people diagnosed with mental illnesses. A group of nurses write letters to their elected representatives in opposition to the legislation. Which role have the nurses fulfilled?
Answer Options:
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice
Answer: A. Advocacy
Question: Why should the nurse introduce the matter of a contract during the first session with a new patient?
Answer Options:
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. To explain the participation and responsibilities of each party
Question: How should the nurse who wants to demonstrate genuineness with a patient diagnosed with schizophrenia do so most effectively?
Answer Options:
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. By using congruent communication strategies.