When the nurse has developed a therapeutic relatio

Question 1 of 5

When the nurse has developed a therapeutic relationship with the client, what is a true statement about nursing care?

A. The nurse remains friends with the client after discharge from care. B. The nurse considers the client a partner in care planning. C. The nurse adheres to the plan of care without change. D. The nurse avoids a directive approach at all times.

Correct Answer: B

Rationale: The correct answer is B because when the nurse has a therapeutic relationship with the client, it means they work collaboratively. The nurse considers the client a partner in care planning, involving them in decision-making and respecting their autonomy. This approach fosters trust and empowers the client in their care. A: The nurse should maintain professional boundaries and not become friends with the client to avoid conflicts of interest. C: Adhering strictly to the plan of care without flexibility may not meet the client's individual needs and preferences. D: While avoiding a directive approach is important, there are times when the nurse needs to provide guidance and direction for the client's benefit.

Question 2 of 5

A nurse in a hospital cafeteria overhears two assistive personnel (AP) discussing a client. They are using the client's name and discussing details of his diagnosis. Which of the following actions should the nurse take first?

A. Report the AP's behavior to the supervisor. B. Complete an incident report regarding the AP's conversation. C. Provide the AP with written documentation regarding client confidentiality. D. Tell the AP to discontinue their conversation.

Correct Answer: D

Rationale: The correct action for the nurse to take first is to tell the AP to discontinue their conversation (Choice D). This is because addressing the issue directly with the individuals involved is the most immediate and effective way to stop the breach of client confidentiality. Reporting to the supervisor (Choice A) can be done after addressing the immediate situation. Completing an incident report (Choice B) should come after resolving the issue in real-time. Providing written documentation (Choice C) may be necessary for education but is not the most immediate response to stop the confidentiality breach.

Question 3 of 5

Which statement made to the grieving patient demonstrates effective therapeutic communication? Select all that apply.

A. Your loved one was irreplaceably special. B. It must be comforting to know they are with God now. C. You can be very grateful for the time you had together. D. I would like to take the flowers from the funeral home to your house.

Correct Answer: A

Rationale: The correct answer is A because it acknowledges and validates the patient's feelings without making assumptions or imposing personal beliefs. It focuses on the patient's emotions and provides empathy and support. B: Imposes a religious belief that may not align with the patient's beliefs. C: Implies the patient should feel a certain way, which can be invalidating. D: Assumes what the patient wants without considering their feelings or preferences.

Question 4 of 5

The nurse is assessing a young adult and determines that the individual has achieved successful resolution of the previous stage of growth and development, evidenced by demonstrating which of the following?

A. Drive and hope B. Direction and purpose C. Devotion and fidelity D. Production and care

Correct Answer: C

Rationale: The correct answer is C: Devotion and fidelity. This indicates that the individual has successfully resolved the stage of growth and development according to Erikson's theory of psychosocial development. Devotion refers to the ability to form solid relationships and commitments, while fidelity means being able to maintain loyalty and trust in these relationships. These qualities show that the individual has successfully navigated the intimacy vs. isolation stage, which is characteristic of young adulthood. Now, let's analyze why the other choices are incorrect: A: Drive and hope - These qualities are more related to the stage of initiative vs. guilt in early childhood, not the young adulthood stage. B: Direction and purpose - While important, these qualities are more reflective of the previous stage of identity vs. role confusion in adolescence. D: Production and care - These qualities are more associated with the later stage of generativity vs. stagnation in middle adulthood, not young adulthood.

Question 5 of 5

Which principle usually applies? Giving advice

A. is rarely helpful. B. fosters independence. C. lifts the burden of personal decision making. D. helps the patient develop feelings of personal adequacy.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Giving advice can create dependency on the advisor. 2. It may hinder the individual's ability to think for themselves. 3. Encouraging self-reliance and problem-solving is more effective. 4. Therefore, giving advice is rarely helpful in promoting independence and personal growth. Summary of other choices: B. Fostering independence would involve guiding individuals to make their own decisions. C. Lifting the burden of decision-making could lead to reliance on external opinions rather than self-reflection. D. Developing feelings of personal adequacy is better achieved through self-discovery and empowerment rather than being told what to do.