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Exam 11: The Therapeutic Relationship

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Question 1

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A nurse is working with a male client in a mental health outpatient clinic.The client voices a desire to become more autonomous.Which goal will assist the client in becoming more autonomous?

A) The client will check his calendar each night to plan for commitments scheduled on the following day.
B) The nurse will remind the client weekly of his appointment at the clinic for the following week.
C) The client will ask the nurse to call him to remind him of his appointment.
D) The nurse will complete the client's calendar of daily commitments scheduled for the week.

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

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Question 2

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During the preparation phase of a therapeutic relationship with a client,what is the main task to be completed by the nurse?

A) To establish with the client the purpose of the relationship
B) To gather and review all possible information regarding the client
C) To build trust with the client
D) To obtain agreement from the client to work in conjunction with the nurse

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

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Question 3

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A male client is being discharged from a mental health facility and is worried about what to tell his friends and co-workers regarding his time away.The nurse helps the client plan what to say to others about his disease.The nurse is functioning in the role of:

A female client with obsessive-compulsive disorder is undergoing treatment in an outpatient setting and is attending group therapy sessions.She is working on controlling the compulsion of touching her head three times every time she talks.To maintain the therapeutic relationship established with the client,by which action can the nurse show acceptance?

A female client is admitted with suicidal tendencies.The client is placed in suicide precautions for the first 24 hours of her stay.Ensuring client safety is included in the therapeutic role of:

As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety,the client states,"You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be

Which of the following are characteristics of a therapeutic relationship? (Select all that apply. )

The characteristic of genuineness helps in establishing a therapeutic relationship with a client.Which nurse response is the best example of a display of genuineness to a client who is going through a difficult divorce?

The nurse is caring for a female client with a diagnosis of severe bipolar disorder.Out of many treatment methods,the one treatment that the client and the team have found to be most effective is the medication lithium.The client voices concern about her future with this diagnosis.Which nurse response best represents the concept of hope?

A 22-year-old woman with depression misses her scheduled meeting with the nurse.Although they have established a contract to meet on an agreed upon schedule,the nurse understands that the client is still testing the relationship and working on trusting her care provider.This behavior usually manifests itself during which phase of the therapeutic relationship?

A therapeutic relationship has four phases.Place these phases in proper order. A)Orientation B)Termination C)Preparation D)Working

A client response to the termination phase of the therapeutic relationship is withdrawal.This response most often is manifested by client behaviors such as:

A 19-year-old male client is being treated for a drug addiction.He continually voices his dread of being discharged because he knows he will have to live with his parents and follow their rules until he can earn enough money to live on his own.He is showing increasing resistance to treatment measures,such as attending group sessions,and is refusing to acknowledge that he has an addiction or that he needs treatment.Which behavior is the client demonstrating?

The acronym TEACH represents the components of a therapeutic relationship: __________,__________,__________,__________,and __________.

When should the nurse begin preparations for the termination phase of a therapeutic relationship?

The new nurse confides to his supervisor,"I am feeling frustrated.Mr.J has been doing so well in dealing with his issues over the last month,and today he refused to discuss anything productive in our session." What is the most appropriate response?

The nurse is attempting to develop trust with a newly admitted female client for the purpose of establishing a therapeutic relationship.The nurse is currently administering medications to all clients on the unit.The newly admitted client asks the nurse to sit and talk with her for a while.What is the nurse's best response?

When a caregiver becomes a role model for a client during a therapeutic relationship,the caregiver is functioning in the role of a:

The nurse is preparing an adult male client,who has been successfully treated for a social phobia,for the termination phase of the therapeutic relationship.During their last meeting,the client told the nurse that he noticed he has developed a nervous habit that started a few days ago of checking his door at home several times a day to be sure it is locked.This client is exhibiting the client response to termination known as:

An important aspect of developing a therapeutic relationship with a mental health client is for the nurse to show that she cares about the client.The nurse who is working on an inpatient unit can show signs of caring by: