Chap 6 - Relationship Development and Therapeutic Comm 2024 GRADED A+

Chap 6 -
Relationship
Development and
Therapeutic Comm
2024 GRADED A+
The nurse is interviewing a newly admitted
psychiatric client. Which of the following nursing
statements is an example of offering a "general
lead"?
1. "Do you know why you are here?"
2. "Are you feeling depressed or anxious?"
3. "Yes, I see. Go on."
4. "Can you order the specific events that led to
your admission?" - CORRECT ANSWER-ANS: 3
Rationale: The nurse's statement, "Yes, I see. Go
on," is an example of a general lead. Offering
general leads encourages the client to continue
sharing information.
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?
1. S
2. O
3. L
4. E
5. R - CORRECT ANSWER-ANS: 2
Rationale: The nurse should identify that
maintaining an uncrossed arm and leg posture is
nonverbal behavior that reflects the O in the activelistening acronym SOLER. The acronym SOLER
includes sitting squarely facing the client (S),
observing and open posture (O), leaning forward
toward the client (L), establishing eye contact (E),
and relaxing (R).
If a client demonstrates transference toward a
nurse, how should the nurse respond?
1. Promote safety and immediately terminate the
relationship with the client.
2. Encourage the client to ignore these thoughts
and feelings.
3. Immediately reassign the client to another staff
member.
4. Help the client to clarify the meaning of the
relationship, based on the present situation. -
CORRECT ANSWER-ANS: 4
Rationale: The nurse should respond to a client's
transference by clarifying the meaning of the nurseclient relationship based on the present situation.
Transference occurs when the client unconsciously
displaces feelings about a person from the past
toward the nurse. The nurse should assist the client
in separating the past from the present.
What should be the priority nursing action during
the orientation (introductory) phase of the nurseclient relationship?
1. Acknowledge the client's actions and generate
alternative behaviors.
2. Establish rapport and develop treatment goals.
3. Attempt to find alternative placement.
4. Explore how thoughts and feelings about this
client may adversely impact nursing care. -
CORRECT ANSWER-ANS: 2
Rationale: 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.
Which client action should a nurse expect during
the working phase of the nurse-client relationship?
1. The client gains insight and incorporates
alternative behaviors.
2. The client establishes rapport with the nurse and
mutually develops treatment goals.
3. The client explores feelings related to reentering
the community.
4. The client explores personal strengths and
weaknesses that impact behavioral choices. -
CORRECT ANSWER-ANS: 1
Rationale: The nurse should expect that that the
client will gain insight and incorporate alternative
behaviors during the working phase of the nurseclient relationship. The client may also overcome
resistance, problem-solve, and continually evaluate
progress toward goals.
Which client statement should a nurse iden