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1. In establishing a therapeutic nurse-client relationship, what is the initial goal?
a. Identify the client's needs.
b. Show empathy.
c. Establish trust.
d. Clarify the client's expectations.
2. What is the most important priority in providing nursing care for a patient with a terminal illness?
a. Physical comfort.
b. Medications to reduce pain.
c. Prevention of pressure sores.
d. Encouraging unlimited visits from family members.
3.The nurse bases a nursing care plan on the knowledge that body image is the:
a. Conscious attitude the individual has toward his or her body.
b. Sum of the conscious and unconscious attitudes the person has toward his or her body.
c. Image the person sees of himself or herself in the mirror.
d. Attitude others have about an individual's body.
4. A client in the terminal stages of AIDS is despondent upon hearing that a close friend, who also had AIDS, has just died. The client begins to cry and says to the nurse, "What's the use of hanging on when there is no hope? I'll die soon too." What is the best response by the nurse?
a. "A cure for AIDS is bound to be discovered soon; don't give up yet."
b. "No one knows how long you'll have to live. Make the most of the time you have left."
c. "Let's talk about pleasant memories."
d. "Would you like to talk?"
5. A woman's refusal to see a physician about a lump in her breast can be interpreted by the nurse as:
a. Rationalization.
b. Projection.
c. Sublimation.
d. Denial.
6. What us an essential component of a therapeutic nurse-client relationship?
a. Relabeling.
b. Confrontation.
c. Empathy.
d. Catharsis.
7. In assessing a client's needs, which need would the nurse consider most basic?
a. Love and belonging.
b. Self-esteem and recognition.
c. Self-actualization.
d. Environmental safety.
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These questions came from Lippincotts's Psychiatric-Mental Health Care Content At-A-Glance
1-c The firat important goal is to develop trust. Trust must be developed before identifying needs.
2-a Physical comfort is the priority nursing care of a terminally ill client. This is the global response, it includes b&c.
3-b This is the most complete description of body image. The others, a,c,d are only partial descriptions. Global response.
4-c This provides an opportunity for the client to express feelings of hopelessness and sadness related to the loss of a friend and a sense of loss related to the client's own condition.
5-d Denial is defined as the avoidance of disagreeable realities by ignoring or refusing to recognize them.
6-c Care and concern (empathy) are essential general elements of a therapeutic nurse-client relationship, as opposed to sympathy (feeling sorry for).
7-d According to Maslow's hierarchy of needs, the most basic needs are physiologic, specifically safety.
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