Chapter 11: The Therapeutic Relationship

Chapter 11: The Therapeutic Relationship

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

ANS:  A

Therapeutic relationships are consciously directed and focus on the client, whereas a social relationship focuses on establishing a friendship. The nurse is never the focus of client care, and the plan of care is developed after the relationship has been established.

DIF:    Cognitive Level: Comprehension     REF:   Page 109        OBJ:   1

TOP:   Dynamics of the Therapeutic Relationship

KEY:  Nursing Process Step: Assessment   MSC:  Client Needs: Psychosocial Integrity

2. The nurse is attempting to develop trust with a newly admitted female client for the purpose of establishing a therapeutic relationship. The nurse is in the middle of administering medications to all clients on the unit upon the client’s arrival to the unit. The client asks the nurse to sit and talk with her for awhile. What is the nurse’s best response?

ANS:  D

This is an honest statement that lets the client know exactly what the nurse is doing and helps to build trust in that the nurse is not making up excuses or making false promises. The nurse’s statement that she is busy right now would make the client feel unimportant. The nurse would be making false promises if she were to say that she will be back in only a few minutes or even in 20 minutes because most likely, it will take more than this amount of time to finish giving out medications.

DIF:    Cognitive Level: Application           REF:   Page 110        OBJ:   2

TOP:   Trust              KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Psychosocial Integrity

3. 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?

ANS:  A

Autonomy refers to the ability to direct and control one’s activities and destiny. Working toward this goal is a simple way to begin to develop control over one’s life. Reminding the client and completing the client’s calendar are nursing goals rather than client goals. If the client asks the nurse to call him to remind him, no responsibility is placed on the client.

DIF:    Cognitive Level: Application           REF:   Page 110        OBJ:   2

TOP:   Autonomy      KEY:  Nursing Process Step: Planning

MSC:  Client Needs: Psychosocial Integrity

4. 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:

ANS:  B

Showing a favorite movie is a safe way of showing the client that you are aware of him or her as an individual, rather than as just another client. If the nurse only tells the client that she cares about him or her, it does not prove to the client that the nurse cares. Giving a client a card or telling the client that he or she is a favorite is too personal and may mislead the client regarding the development of a social relationship.

DIF:    Cognitive Level: Application           REF:   Page 111        OBJ:   2

TOP:   Caring            KEY:  Nursing Process Step: Intervention

MSC:  Client Needs: Psychosocial Integrity