Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.
A. Enjoyment
this is incorrect since enjoyment is not a criterion for effective therapy and can be inappropriate and unrealistic in some situations.
B. Rapport
rapport is essential in a therapeutic relationship since it establishes a connection and a mutual understanding between the healthcare professional and a client thus ensuring that the best management is offered to the patients with their needs being considered.
C. Acceptance
acceptance is crucial in a therapeutic relationship since it ensures that the healthcare professional develops a positive relationship towards the client without judging them.
D. Genuineness
Genuineness is important since it promotes honesty, authenticity, and congruency in an individual’s words and actions hence this fosters appropriate management.
E. Love
love may result in personal attachment and emotional involvement which may tamper with the boundaries and roles of a therapist thus resulting in ethical violations in patient management.
This question is an excerpt from Nurse Dive's nursing test bank - ATI ns 130 Exam Psychosocial Proctored Exam. Take the full exam now
Full Explanation
Choice A rationale: this is incorrect since enjoyment is not a criterion for effective therapy and can be inappropriate and unrealistic in some situations.
Choice B rationale: rapport is essential in a therapeutic relationship since it establishes a connection and a mutual understanding between the healthcare professional and a client thus ensuring that the best management is offered to the patients with their needs being considered.
Choice C rationale: acceptance is crucial in a therapeutic relationship since it ensures that the healthcare professional develops a positive relationship towards the client without judging them.
Choice D rationale: Genuineness is important since it promotes honesty, authenticity, and congruency in an individual’s words and actions hence this fosters appropriate management.
Choice E rationale: love may result in personal attachment and emotional involvement which may tamper with the boundaries and roles of a therapist thus resulting in ethical violations in patient management.
Similar Questions
Showing empathy toward a client is an effective tool in establishing rapport. Which statement is the best example of an empathetic response?
A. "I am sure you will feel better soon."
this statement is an example of false reassurance which may be dismissive and may make the client feel pressured to recover quickly.
B. “It must be difficult for you going through this loss."
this statement shows empathy since it acknowledges the client’s pains and validates the feelings and emotions without making them feel judged.
C. “Try to look on the bright side.”
this statement is an example of positive reframing and can make the client feel guilty for feeling negative and may make them feel invalidated.
D. “I am so sorry for your loss.”
this is a form of sympathy to the patient rather than being empathetic since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.
Full Explanation
Choice A rationale: this statement is an example of false reassurance which may be dismissive and may make the client feel pressured to recover quickly.
Choice B rationale: this statement shows empathy since it acknowledges the client’s pains and validates the feelings and emotions without making them feel judged.
Choice C rationale: this statement is an example of positive reframing and can make the client feel guilty for feeling negative and may make them feel invalidated.
Choice D rationale: this is a form of sympathy to the patient rather than being empathetic since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.
A female client tells the care provider that she feels very angry about her recent divorce.
Which is the care provider's best response?
A. "Most people experience strong feelings after a divorce.
this response is dismissive and invalidating since it suggests that anger is a normal and expected feeling hence the client should not feel bad about it.
B. “I know exactly how you feel.”
this statement is presumptuous and doesn’t offer help to the patient. Furthermore, the care provider should understand that everyone’s experience and reaction after a divorce is different.
C. “I know this must be difficult for you."
this statement empathizes with the client’s feelings and emotions without making them feel judged and guilty for expressing their emotions. It also allows the client to share more about their experience if she wishes.
D. “Look on the bright side. You will be glad you divorced him in a couple of years.”
this response is very unrealistic and disrespectful since it does not address the patient’s feelings and emotions about the divorce but instead it tries to impose a positive outlook on her.
Full Explanation
Choice A rationale: this response is dismissive and invalidating since it suggests that anger is a normal and expected feeling hence the client should not feel bad about it.
Choice B rationale: this statement is presumptuous and doesn’t offer help to the patient. Furthermore, the care provider should understand that everyone’s experience and reaction after a divorce is different.
Choice C rationale: this statement empathizes with the client’s feelings and emotions without making them feel judged and guilty for expressing their emotions. It also allows the client to share more about their experience if she wishes.
Choice D rationale: this response is very unrealistic and disrespectful since it does not address the patient’s feelings and emotions about the divorce but instead it tries to impose a positive outlook on her.
The nurse observes the client as he paces the floor and talks to himself. The nurse documents this as "Client confused and agitated." This is an example of
A. An observation
An observation is a factual statement of what the nurse sees, hears, feels, or smells.
B. A judgment
This is because the nurse is interpreting the client's behavior and not describing it objectively.
C. Subjective data
subjective data is information that the client tells the nurse, such as feelings, perceptions, or opinions.
D. Objective data
Objective data is information that the nurse obtains through physical examination, tests, or measurements.
Full Explanation
Choice A rationale: An observation is a factual statement of what the nurse sees, hears, feels, or smells.
Choice B rationale: This is because the nurse is interpreting the client's behavior and not describing it objectively.
Choice C rationale: subjective data is information that the client tells the nurse, such as feelings, perceptions, or opinions.
Choice D rationale: Objective data is information that the nurse obtains through physical examination, tests, or measurements.