Chapter 04 The Therapeutic Relationship

Chapter 04  The Therapeutic Relationship

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following statements about values is true?
a.
It is impossible for someone to understand his or her values.
b.
Values evolve over time; they are not static.
c.
Values assimilated in childhood are those held for a lifetime.
d.
Values clarification tells a person how to act.

ANS: B
Values take time to develop, and they may change with education, experience, exposure, or a combination of these.

DIF: Cognitive Level: Understand (Comprehension) REF: p. 83

2. A nurse is providing education about improving self-awareness to a small group of women who have been victims of domestic violence. Which of the following should the nurse recommend the clients do first to improve their self-awareness?
a.
Use self-disclosure to share aspects of self.
b.
Listen to and learn from others.
c.
Listen to oneself and pay attention to emotions, thoughts, and reactions.
d.
Use others to bounce back your own thoughts and recollections.

ANS: C
To achieve a high self-awareness, three steps must be taken. The first step is listening to oneself and paying attention to emotions, thoughts, memories, reactions, and impulses. The second step is listening to and learning from others. The third step is using self-disclosure to share aspects of self.

DIF: Cognitive Level: Apply (Application) REF: p. 84

3. The nurse shares with her client the news that she, the nurse, is going to be married soon and tells the client about her wedding plans. Which of the following best describes the nurse’s actions?
a.
The nurse is sharing inappropriate personal information with her client.
b.
The nurse is exhibiting a communication technique called self-disclosure.
c.
The nurse is attempting to show empathy with her client.
d.
The nurse is violating client confidentiality rights of the Health Insurance Portability and Accountability Act (HIPAA).

ANS: B
Sharing aspects of the self enriches interpersonal life and is a use of the technique labeled self-disclosure.

DIF: Cognitive Level: Apply (Application) REF: pp. 84-85

4. A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do?
a.
Complete the paperwork in a timely fashion
b.
Establish open communication
c.
Conduct a complete physical health assessment
d.
Provide feedback to the person’s questions

ANS: B
Communication is the foundation for any professional relationship. It is the cornerstone of a positive nurse-person relationship. It refers to a set of strategies and actions to enhance reciprocity, mutual understanding, and decision making.

DIF: Cognitive Level: Apply (Application) REF: p. 85 | p. 87

5. Which of the following best describes person-centered communication?
a.
The nurse says to the person seeking care, “Why do you continue to drink when you know it is not good for you?”
b.
The nurse responds to person seeking care’s request for pain medicine by saying, “It is not time for your pain medicine. You had it hours ago.”
c.
The client says to the nurse, “I think my husband is cheating on me.” The nurse responds by saying, “You think your husband is cheating on you?”
d.
The client says to the nurse, “I can’t believe I have cancer.” The nurse responds by saying, “One of my closest friends had cancer and had to have chemotherapy.”

ANS: C
The nurse recognizes that the person seeking care has some concerns that she would like to discuss and paraphrases her statement to give the person an opportunity to elaborate on thoughts that are important to him or her.

DIF: Cognitive Level: Analyze (Analysis) REF: p. 87