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Exam 8: The Nurse-Patient Relationship and Therapeutic Communication

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Question 1

Multiple Choice

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The novice nurse is attempting to incorporate both verbal and nonverbal communication to her practice. What does the nurse recognize as the best definition of the purpose of verbal communication?

A) To establish and maintain relationships
B) To establish and maintain interactions
C) To communicate information about external events
D) To communicate information about internal events

E) All of the above
F) A) and D)

Correct Answer

verified

C

Question 2

Multiple Choice

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The psychiatric-mental health nurse is receiving a report on a patient who is being transferred to the hospital from a local emergency department (ED) after expressing suicidal ideations. The ED nurse tells the psychiatric-mental health nurse that the patient is "crazy, just like my aunt!" Which quality that commonly occurs in the pre-interaction stage of the nurse-patient relationship does the ED nurse's statement demonstrate?

A) Transference
B) Ethnocentrism
C) Cultural relativism
D) Countertransference

E) C) and D)
F) A) and B)

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Question 3

Multiple Choice

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What is the key concept that allows the nurse to maintain professional boundaries when first developing the nurse-patient relationship?

The nurse is caring for a patient who is experiencing dysfunctional grieving following the traumatic death of spouse due to an automobile accident. The nurse also experienced the death of a loved one in the same manner. What statement made by the nurse best exemplifies the nurse using empathy toward the patient?

The psychiatric-mental health nurse is learning about various tools that can be used to help the nurse establish a therapeutic nurse-patient relationship. The nurse learns that taping offers what advantage to establishing a therapeutic relationship?

The nurse is caring for a patient who has been diagnosed with postpartum depression. The patient tells the nurse, "I can't seem to get out of bed and take care of my baby." Which responses by the nurse best demonstrate therapeutic communication? Select all that apply.

A patient experiencing psychosis tells the nurse, "I am in charge. Who are you and why are you here?" What is the most therapeutic response by the nurse?

A patient tells the nurse, "I don't think I can deal with feeling so sad much longer." What is the nurse's best response?

A novice nurse is learning about various tools that nurses may use to aid in therapeutic communication in the nurse-patient relationship. What does the nurse recognize as true regarding the concept of process recording?

A novice nurse is learning how to effectively communicate within a therapeutic nurse-patient relationship. What struggle is most harmful when the nurse is new to therapeutic relationships?

The nurse is developing a plan of care for a patient. Which intervention must the nurse be careful to avoid?

The nurse validates the patient's response to an intervention prior to documenting in the progress note. What does validation ensure?

What process is used as a tool in developing a therapeutic relationship but is not used in developing a social relationship?

The psychiatric-mental health novice nurse asks "What is mental health?" Which qualities will her superior include when describing mental health? Select all that apply.

The novice nurse is learning about the various types of relationships and how these affect the role of the nurse when providing care to patients with mental illness. What tool do therapeutic relationships use that is not used in social relationships?

The nurse is planning care for a newly admitted patient. Which concepts are considered essential in establishing a therapeutic nurse-patient relationship? Select all that apply.

The psychiatric-mental health nurse wishes to build upon the professional skill of using therapeutic communication during the nurse-patient relationship. Using the acronym RULE, which action by the nurse will best demonstrate active listening?

Which intervention promotes mindful listening in any health care setting?

While reviewing therapeutic communication techniques, a nursing student reviews statements and actions that are nontherapeutic. Which statement best represents nontherapeutic communication?

The nurse is establishing a therapeutic environment with a newly admitted patient with a severe mental illness. Which statement best demonstrates empathetic communication?