In what way should a nurse expect a traditional Asian American client to view mental illness?

Correct Answer: A

Rationale: In traditional Asian cultures, mental illness may be viewed as bringing shame and dishonor to the family. Seeking outside help for mental health issues can be seen as weakness and may be stigmatized. This can lead to a reluctance to seek professional help and a preference for keeping mental health issues within the family. Additionally, there may be a belief that mental illness is due to personal weakness or lack of self-control, rather than a medical condition that can be treated. This cultural perception can influence how an Asian American client may approach mental health treatment and may impact their willingness to engage in therapy or accept mental health diagnoses.

Correct Answer: A

Rationale: Before forming a therapeutic relationship with a client, a nurse must first clarify their own personal attitudes, values, and beliefs. This is crucial because the nurse's own biases and perspectives can impact how they interact with the client and provide care. By recognizing and understanding their own values and beliefs, the nurse can work towards setting them aside during interactions with clients in order to provide unbiased and effective care. This self-awareness is key to establishing a trusting and therapeutic relationship with clients, as it allows the nurse to approach each client as an individual with unique needs and concerns.

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.