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

(BOLDED IN RED):
- giving reassurance: may discourage a client from further expression of feelings if the client believes the feelings will only be downplayed or ridiculed
- rejecting, approving or disapproving, agreeing or disagreeing, giving advice, probing, defending, requesting an explanation, indicating the existence of an external source of power, belittling feelings, making stereotyped comments, cliches & trite expressions, using denial, interpreting & introducing an unrelated topic

Nội dung chính

  • What is most effective when the nurse is developing a therapeutic relationship with a patient?
  • Which factor is most important in therapeutic communication?
  • Which task is the nurse's priority during the working phase of a therapeutic relationship?
  • Which of the following characteristics should be included in a therapeutic nurse

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What is most effective when the nurse is developing a therapeutic relationship with a patient?

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 factor is most important in therapeutic communication?

Therapeutic communication, including listening, is the most important skill in establishing interpersonal relationship with patients in psychiatric wards. During therapeutic communication, a relationship is built between patient and student through empathy.

Which task is the nurse's priority during the working phase of a therapeutic relationship?

Rationale: The nurse should place priority on promoting the client's insight and perception of reality during the working phase of relationship development. Establishing a contract for intervention would occur in the orientation phase.

Which of the following characteristics should be included in a therapeutic nurse

The nurse-client therapeutic relationship should include promoting client insight into problematic behavior, collaboration to set appropriate goals, meeting the physical and psychological needs of the client, and ensuring therapeutic termination.

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

Clarify personal attitudes, values, and beliefs.

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

Help the client to clarify the meaning of the relationship, based on the present situation. 

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

Establish rapport and develop treatment goals.

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

The client gains insight and incorporates alternative behaviors.

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?

“I really don’t want to talk any more about my childhood abuse.”

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?

“It must be horrible to lose a child, and I’ll stay with you until your husband arrives.” 

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

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

refers to the nurse’s ability to be open and honest and maintain congruence between what is felt and what is communicated.

On which task should a nurse place priority during the working phase of relationship development?

Promoting the client’s insight and perception of reality

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.”

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?”

Formulating a plan of action

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

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?

The nontherapeutic technique of giving reassurance

A client diagnosed with post-traumatic 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”? 

“What would you like to talk about?”

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? 

sitting squarely facing the client (S), observing and open posture (O), leaning forward toward the client (L), establishing eye contact (E), and relaxing (R). 

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

“Surely you didn’t do this deliberately, but you breeched confidentiality by using names.”

What is a nurse’s purpose for providing appropriate feedback?

To give the client critical information

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?

“Let’s discuss and explore all of your options.”

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?

You’re experiencing feelings of guilt, because you weren’t able to save your children.”

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?

“Let’s figure out a way for you to attend unit activities and still wash your hands.”

Which of the following characteristics should be included in a therapeutic nurse-client relationship? (Select all that apply.)

2. Ensuring therapeutic termination
3. Promoting client insight into problematic behavior
4. Collaborating to set appropriate goals
5. Meeting both the physical and psychological needs of the client

Which of the following individuals are communicating a message? (Select all that apply.)

1. A mother spanking her son for playing with matches
2. A teenage boy isolating himself and playing loud music
3. A biker sporting an eagle tattoo on his biceps
4. A teenage girl writing, “No one understands me”

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.

___________________ 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.

Which of the following are characteristics of the nurse

There are five components to the nurse-client relationship: trust, respect, professional intimacy, empathy and power. Regardless of the context, length of interaction and whether a nurse is the primary or secondary care provider, these components are always present.

Which of the following is a characteristic of a therapeutic relationship?

Edward Bordin, defined a good therapeutic relationship as consisting of three essential qualities: an emotional bond of trust, caring, and respect; agreement on the goals of therapy; and collaboration on the "work" or tasks of the treatment.

What are the 5 components of the therapeutic relationship?

The five key components of the therapeutic nurse-client relationship are professional intimacy, power, empathy, respect and trust.

What is a therapeutic nurse

A therapeutic nurse-patient relationship is defined as a helping relationship that's based on mutual trust and respect, the nurturing of faith and hope, being sensitive to self and others, and assisting with the gratification of your patient's physical, emotional, and spiritual needs through your knowledge and skill.