- Information
- AI Chat
Chapter 6 & 7 test bank
Psychiatric Nursing (NURS 3127)
University of Memphis
Preview text
Essentials of Psychiatric Mental Health Nursing 7th Edition By
Mary C - Test Bank
To purchase this Complete Test Bank with Answers Click the link
Below
exambanks/?product=essentials-of-psychiatric-mental-health-nursing-7th-edition-by-mary-c
If face any problem or Further information contact us At Exambanks123@gmail
Description
INSTANT DOWNLOAD WITH ANSWERS
Essentials of Psychiatric Mental Health Nursing 7th Edition By Mary C Chapter 6: Relationship Development and Therapeutic Communication
Multiple Choice Identify the choice that best completes the statement or answers the question.
____ 1. What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?
- Clarify personal attitudes, values, and beliefs.
- Obtain thorough assessment data.
- Determine the client’s length of stay.
- Establish personal goals for the interaction.
____ 2. If a client demonstrates transference toward a nurse, how should the nurse respond?
- Promote safety and immediately terminate the relationship with the client.
- Encourage the client to ignore these thoughts and feelings.
- Immediately reassign the client to another staff member.
- Help the client to clarify the meaning of the relationship, based on the present situation.
____ 3. What should be the priority nursing action during the orientation (introductory) phase of the nurse-client relationship?
- Acknowledge the client’s actions, and generate alternative behaviors.
- Establish rapport and develop treatment goals.
- Attempt to find alternative placement.
- Explore how thoughts and feelings about this client may adversely impact nursing care.
____ 4. Which client action should a nurse expect during the working phase of the nurse- client relationship?
- The client gains insight and incorporates alternative behaviors.
- The client establishes rapport with the nurse and mutually develops treatment goals.
- The client explores feelings related to reentering the community.
- The client explores personal strengths and weaknesses that impact behavioral choices.
____ 5. Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship?
- “I can’t bear the thought of leaving here and failing.”
- “I might have a hard time working with you, because you remind me of my mother.”
- “I really don’t want to talk any more about my childhood abuse.”
Client: “My father spanked me often.” Nurse: “Your father was a harsh disciplinarian.”
- Restatement
- Offering general leads
- Focusing
- Accepting
____ 10. Which therapeutic communication technique is being used in the following nurse-client interaction?
Client: “When I am anxious, the only thing that calms me down is alcohol.” Nurse: “Other than drinking, what alternatives have you explored to decrease anxiety?”
- Reflecting
- Making observations
- Formulating a plan of action
- Giving recognition
____ 11. The nurse is interviewing a newly admitted psychiatric client. Whicnursing statements is an example of offering a “general lead”? h of the following
- “Do you know why you are here?”
- “Are you feeling depressed or anxious?”
- “Yes, I see. Go on.”
- “Can you order the specific events that led to your admission?”
____ 12. A nurse says to a client, “Things will look better tomorrow after a good night’s sleep.” This is an example of which communication technique?
The therapeutic technique of giving advice
The therapeutic technique of defending
The nontherapeutic technique of presenting reality
The nontherapeutic technique of giving reassurance
____ 13. A client diagnosed with posttraumatic stress disorder related to a rape is admitan inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic ted to communication technique might a nurse use that is an example of “broad openings”?
- “What occurred prior to the rape, and when did you go to the emergency department?”
- “What would you like to talk about?”
- “I notice you seem uncomfortable discussing this.”
- “How can we help you feel safe during your stay here?”
____ 14. A nurse maintains an uncrossed arm and leg posture when communicating with a client. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening?
- S
- O
- L
- E
- R
____ 15. An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement is the best example of effective feedback?
“Why did you use the client’s name on your clinical worksheet?”
“You were very careless to refer to your client by name on your clinical worksheet.”
“Surely you didn’t do this deliberately, but you breeched confidentiality by using names.”
“It is disappointing that after being told you’re still using client names on your worksheet.”
“Everyone diagnosed with OCD needs to control their ritualistic behaviors.”
“It is important for you to discontinue these ritualistic behaviors.”
“Why are you asking for help, if you won’t participate in unit therapy?”
“Let’s figure out a way for you to attend unit activities and still wash your hands.”
Multiple Response Identify one or more choices that best complete the statement or answer the question.
____ 20. Which of the following characteristics should be included in a therapeutic nurse-client relationship? ( Select all that apply. )
- Meeting the psychological needs of the nurse and the client
- Ensuring therapeutic termination
- Promoting client insight into problematic behavior
- Collaborating to set appropriate goals
- Meeting both the physical and psychological needs of the client
____ 21. Which of the following individuals are communicating a message? ( Select all that apply. )
- A mother spanking her son for playing with matches
- A teenage boy isolating himself and playing loud music
- A biker sporting an eagle tattoo on his biceps
- A teenage girl writing, “No one understands me”
- A father checking for new email on a regular basis
Completion Complete each statement.
The term ________________________ implies special feelings on the part of both the client and the nurse, based on acceptance, warmth, friendliness, common interest, a sense of trust, and a nonjudgmental attitude.
___________________ refers to a nurse’s behavioral and emotional response to a client. These responses may be related to unresolved feelings toward significant others from the nurse’s past.
Chapter 6: Relationship Development and Therapeutic Communication Answer Section
MULTIPLE CHOICE
- ANS: 1 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Identify and discuss essential conditions for a therapeutic relationship to occur. Page: 126 Heading: The Therapeutic Use of Self > Therapeutic Use of Self Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Patient-Centered Care Difficulty: Easy
3 This option would not be therapeutic to the client, who may continue to displace feelings onto others.
4
The nurse should respond to a client’s transference by clarifying the meaning of the nurse-client relationship based on the present situation. Transference occurs when the client unconsciously displaces feelings about a person from the past toward the nurse.
PTS: 1 CON: Patient-Centered Care
- ANS: 2 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Describe the phases of relationship development and the tasks associated with each phase. Page: 129 Heading: Phases of Therapeutic Nurse-Client Relationship > The Orientation (Introductory) Phase Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback 1 Acknowledging the client’s actions and generating alternative behaviors can occur after rapport has been established. 2 The priority nursing action during the orientation phase of the nurse-client relationship should be to establish rapport and develop treatment goals. Rapport implies feelings on the part of both the nurse and the client, based on respect, acceptance, a sense of trust, and a nonjudgmental attitude. It is the essential
foundation of the nurse-client relationship. 3 Attempting to find alternative placement can occur after rapport has been established. 4 Exploring how thoughts and feelings about this client may adversely impact nursing care can occur after rapport has been established.
PTS: 1 CON: Communication
- ANS: 1 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Describe the phases of relationship development and the tasks associated with each phase. Page: 129 Heading: Phases of Therapeutic Nurse-Client Relationship > The Working Phase Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback 1 The nurse should expect that the client will gain insight and incorporate alternativebehaviors during the working phase of the nurse-client relationship. 2 Establishing rapport with the nurse and mutually developing treatment goals occurs before the working phase. 3 Exploring feelings related to reentering the community does not occur during the working phase. 4 Exploring personal strengths and weaknesses that impact behavioral choices does
PTS: 1 CON: Communication
- ANS: 4 Chapter: Chapter Relationship Development and Therapeutic Communication Objective: Identify and discuss essential conditions for a therapeutic relationship to occur. Page: 127– Heading: Empathy Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback 1 Stating, “This situation is very sad, but time is a great healer,” does not convey empathy and would not be therapeutic to the mother. 2 Stating, “You are sad, but you must be strong for your other children,” does not convey empathy and would not be therapeutic to the mother. 3 Stating, “Once you cry it all out, things will seem so much better,” does not convey empathy and would not be therapeutic to the mother.
4
The nurse’s response, “It must be horrible to lose a child, and I’ll stay with you until your husband arrives,” conveys empathy to the client. Empathy is the ability to see the situation from the client’s point of view. Empathy is considered to be one of the most important characteristics of the therapeutic relationship.
PTS: 1 CON: Communication
- ANS: 2 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Identify and discuss essential conditions for a therapeutic relationship to occur. Page: 127 Heading: Conditions Essential to Development of a Therapeutic Relationship > Genuineness Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback 1 Respect is not the characteristic missing when an individual is “two-faced.”
2
When an individual is “two-faced,” which means double-dealing or deceitful, the nurse should identify that genuineness is missing in the relationship. Genuineness refers to the nurse’s ability to be open and honest and maintain congruence between what is felt and what is communicated. When a nurse fails to bring genuineness to the relationship, trust cannot be established. 3 Sympathy is not the characteristic missing when an individual is “two-faced.” 4 Rapport is not the characteristic missing when an individual is “two-faced.”
PTS: 1 CON: Communication
- ANS: 4
Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback
1
The nurse is using the therapeutic communication technique of restatement. Restatement involves repeating the main idea of what the client has said. It allows the client to know whether the statement has been understood and provides an opportunity to continue. 2 Offering general leads does not involve summarizing the client’s statement. 3 Offering focusing does not involve summarizing the client’s statement. 4 Offering accepting does not involve summarizing the client’s statement.
PTS: 1 CON: Communication
- ANS: 3 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Describe therapeutic and nontherapeutic verbal communication techniques. Page: 137– Heading: Table 6-3 Therapeutic Communication Techniques Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication
Difficulty: Easy
Feedback 1 Reflecting does not explore behavior alternatives. 2 Making observations does not explore behavior alternatives. 3 The nurse is using the therapeutic communication technique of formulating a plan of action to help the client explore alternatives to drinking. The use of this technique may serve to prevent anger or anxiety from escalating. 4 Giving recognition does not explore behavior alternatives.
PTS: 1 CON: Communication
- ANS: 3 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Describe therapeutic and nontherapeutic verbal communication techniques. Page: 137 Heading: Table 6-3 Therapeutic Communication Techniques; Giving broad openings Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback 1 This is a specific question, not a general lead. 2 This is a closed ended question; it does not encourage the client to elaborate.
PTS: 1 CON: Communication
- ANS: 2 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Describe therapeutic and nontherapeutic verbal communication techniques. Page: 137 Heading: Table 6-3 Therapeutic Communication Techniques; Giving broad openings Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback 1 This question asks specific information about the rape.
2
The nurse’s statement, “What would you like to talk about?” is an example of the therapeutic communication technique of a broad opening. Using broad openings allows the client to take the initiative in introducing the topic and emphasizes the importance of the client’s role in the interaction. 3 This question is not an example of a broad opening. 4 While this question is important, it is not an example of a broad opening.
PTS: 1 CON: Communication
- ANS: 2
Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Describe active listening. Page: 136 Heading: Interpersonal Communication > Active Listening Integrated Processes: Nursing Process Client Need: Psychosocial integrity Cognitive Level: Application [Applying] Concept: Communication Difficulty: Easy
Feedback 1 The acronym SOLER includes: sitting squarely facing the client (S). 2 The nurse should identify that maintaining an uncrossed arm and leg posture is nonverbal behavior that reflects the O in the active-listening acronym SOLER. 3 The acronym SOLER includes: leaning forward toward the client (L). 4 The acronym SOLER includes: establishing eye contact (E). 5 The acronym SOLER includes: relaxing (R).
PTS: 1 CON: Communication
- ANS: 3 Chapter: Chapter 6, Relationship Development and Therapeutic Communication Objective: Discuss therapeutic feedback. Page: 138 Heading: Interpersonal Communication > Feedback
Chapter 6 & 7 test bank
Course: Psychiatric Nursing (NURS 3127)
University: University of Memphis
- Discover more from:
