The nurse is mindful of maintaining relationships with clients that are therapeutic. Which characteristics would be most important for the nurse to foster? Select all that apply.

Offering sound advice to the client

Maintaining a client focus at all times

Becoming close friends with the client

Sharing about personal experiences often

Establishing boundaries for both the nurse and client

Answer and Explanation

Correct Answer : B,E

A. Offering sound advice to the client: While offering guidance and support is part of therapeutic nursing, it's essential for nurses to do so in a way that promotes the client's autonomy and decision-making rather than simply providing advice.

B. Maintaining a client focus at all times: This is crucial in therapeutic relationships as it ensures that the nurse prioritizes the client's needs, concerns, and goals throughout the interaction.

C. Becoming close friends with the client: Developing a close friendship with a client can blur professional boundaries and compromise the objectivity and effectiveness of the therapeutic relationship.

D. Sharing about personal experiences often: While sharing appropriate personal experiences can enhance rapport and empathy, doing so too frequently or inappropriately can shift the focus away from the client's needs and may not be conducive to maintaining therapeutic boundaries.

E. Establishing boundaries for both the nurse and client: Establishing clear boundaries is essential for maintaining a therapeutic relationship. This includes defining the roles of the nurse and client, setting limits on the type and frequency of personal information shared, and ensuring that interactions remain focused on therapeutic goals.

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Correct Answer is C

Explanation

A. Abstract message: Abstract messages involve conveying ideas or concepts that are not directly observable or tangible. In the scenario described, the client's statement about their marriage being great and usually agreeing on everything is an abstract message as it expresses an idea or perception.

B. Concrete message: Concrete messages are specific and observable behaviors or statements that are clear and direct. The observation of the client's foot moving continuously and twirling a shirt button represents concrete behaviors that are directly observable.

C. Incongruent message: Incongruent messages occur when verbal and nonverbal communication do not align or are contradictory. In the scenario, if the client's verbal statement about the great marriage contrasts with their fidgeting behavior (foot movement, twirling button), it would indicate an incongruent message.

D. Congruent Message: Congruent messages occur when verbal and nonverbal communication align and support each other. If the client's verbal statement about the great marriage is supported by calm and relaxed body language, it would indicate a congruent message.

A. “The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse." B. “The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." C. “The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other." D. “The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient."

Correct Answer is D

Explanation

A. "The focus is on solving the patient's problems. Problems are discussed by the nurse and patient, and solutions are given by the nurse." This explanation highlights the nurse's role in problem-solving and providing solutions, which is characteristic of a therapeutic nurse-patient relationship where the nurse takes an active role in addressing the patient's needs and challenges.

B. "The focus of the relationship is socialization. Mutual needs are met, and feelings are openly shared." This explanation describes more of a social relationship where mutual needs are met, and feelings are shared openly, rather than focusing on problem-solving and addressing the patient's specific issues.

C. "The focus is the creation of a partnership in which each member is concerned with the growth and satisfaction of the other." While this explanation emphasizes a partnership and mutual concern for growth and satisfaction, it does not specifically highlight the nurse's role in problem-solving and providing solutions for the patient's problems.

D. "The focus is on the patient. Problems are discussed by the nurse and patient, but solutions are implemented by the patient." This explanation captures the essence of a therapeutic nurse-patient relationship, where the focus is on the patient's needs, and while problems are discussed collaboratively, the patient takes an active role in implementing solutions.

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The nurse is mindful of maintaining relationships with clients that are therapeutic. Which characteristics would be most important for the nurse to foster? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client says, "My marriage is just great. My spouse and I usually agree on everything." The nurse observes the clients foot moving continuously as the client twirls a shirt button. What type of communication is the client presenting?

Correct Answer is C

Explanation

A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. which is the best explanation?

Correct Answer is D

Explanation

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