A nurse is preparing to establish a therapeutic relationship with a grieving family from China. Which nursing intervention would be considered most appropriate?

Correct Answer: D

Rationale: The most appropriate nursing intervention when establishing a therapeutic relationship with a grieving family from China would be to remain objective and empathetic, as Asians generally do not express feelings freely. In Chinese culture, it is common for individuals to be reserved when it comes to displaying their emotions, especially in front of strangers or in formal settings. Therefore, it is important for the nurse to be sensitive to this cultural trait and to offer support and empathy without expecting the family members to openly express their feelings. By remaining objective and empathetic, the nurse can create a safe and supportive environment that allows the family to express themselves in their own time and in their own way.

Correct Answer: B

Rationale: During the preinteraction phase of the nurse-client relationship, the nurse's primary goal is to establish trust and formulate a contract for intervention. This phase involves preparing for the initial meeting with the client, gathering information about the client's background and history, and beginning to establish a therapeutic relationship. By focusing on establishing trust and formulating a contract for intervention, the nurse sets the foundation for a positive and effective therapeutic relationship with the client. This helps create a safe and respectful environment for the client to engage in the therapeutic process and work towards achieving their goals.

Correct Answer: B

Rationale: Genuineness is an essential characteristic in the development of a therapeutic relationship between a nurse and a patient. Being genuine involves being honest, sincere, and authentic in interactions with the patient. If an individual is two-faced, it means they are not genuine and may present different personas to different people, lacking authenticity in their relationships. A nurse identifying genuineness as missing in such an individual can recognize the need to address this aspect to build trust and establish a therapeutic relationship based on honesty and transparency.

Correct Answer: A

Rationale: According to Peplau, in the role of a surrogate, the nurse is expected to function as a nurturing parent in order to build a trusting relationship with the client. This involves providing emotional support, guidance, and care similar to that of a parent figure. By assuming a nurturing role, the nurse can promote a therapeutic relationship where the client feels supported and understood, leading to better outcomes in the nursing care provided. Playing cards with a small group of clients, discussing childhood events, or providing a safe social environment may be important interventions in other nursing roles, but when functioning as a surrogate, creating a nurturing and trusting relationship is the most appropriate intervention according to Peplau's theory.

Correct Answer: C

Rationale: Option C ("Reviewing the changes that have happened during our time together has helped me put things in perspective.") indicates successful termination of the therapeutic nurse-client relationship because it shows that the client has gained insight, processed the progress made during the therapeutic relationship, and is able to reflect on the changes and growth that have occurred. This demonstrates that the therapeutic goals have been achieved, and the client has developed the necessary coping strategies and skills to move forward independently, which is a positive outcome when concluding the nurse-client relationship.