The Therapeutic Relationship.

The Therapeutic Relationship.
MULTIPLE CHOICE
1. 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?
a. ―I am busy right now, but I will come back later.ǁ
b. ―Give me just a few more minutesto finish passing medication to the other
clients.ǁ
c. ―I willreturn in 20 minutesso we can talk.ǁ
d. ―I have to finish giving all the clientstheir medications, but I will then come back
so we can talk.ǁ
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: p. 118 OBJ: 2
TOP: Trust KEY: Nursing Process Step: Intervention
MSC: Client Needs: Psychosocial Integrity
2. 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.
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: p. 118 OBJ: 2
TOP: Autonomy KEY: Nursing Process Step: Planning
MSC: Client Needs: Psychosocial Integrity

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