What qualities must be communicated to a client to establish a therapeutic relationship?
Mutuality
Caring
Empathy
Genuineness
Correct Answer : A,B,C,D
Choice A rationale
Mutuality involves a shared understanding and agreement between the nurse and the client about the goals and direction of therapy.
Choice B rationale
Caring involves showing kindness, concern, and support for the client.
Choice C rationale
Empathy involves understanding and sharing the feelings of the client.
Choice D rationale
Genuineness involves being open, honest, and authentic in interactions with the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Developing the ability to establish and maintain an intimate relationship is an important aspect of personal growth. However, it might not directly help the client develop a positive personal identity.
Choice B rationale
Improving his strength in the ability to adapt to new situations can enhance the client’s coping skills. However, it might not directly help the client develop a positive personal identity.
Choice C rationale
Outlining his life’s dream can provide direction and purpose to the client’s life. However, it might not directly help the client develop a positive personal identity.
Choice D rationale
Discerning his feelings about relationship choices and level of commitment can help the client understand his own values and beliefs. This self-understanding is crucial for developing a positive personal identity.
Correct Answer is A
Explanation
Choice A rationale
The nurse’s response of asking the client, “How do you feel about being discharged?” is the most therapeutic. This open-ended question encourages the client to express their feelings and concerns about being discharged. It allows the nurse to assess the client’s readiness for discharge and to provide appropriate education or referrals if needed. It also demonstrates empathy and respect for the client’s feelings, which are key components of a therapeutic relationship.
Choice B rationale
Telling the client, “I will send you a note in a few weeks,” is not the best response. While it may seem like a kind gesture, it could potentially blur the boundaries of the therapeutic relationship. Nurses must maintain professional boundaries with clients to ensure that the focus remains on the client’s needs and not the personal feelings or needs of the nurse.
Choice C rationale
Saying, “I know you will do well living out in the community,” is an assumption and does not invite the client to share their feelings or concerns. It’s important for the nurse to encourage the client to express their feelings about discharge and to provide support and education based on the client’s individual needs.
Choice D rationale
Asking the client, “Aren’t you excited about being discharged today?” is a closed-ended question that assumes the client is excited about discharge. This type of question does not encourage the client to share their feelings or concerns. It’s important for the nurse to use open-ended questions to encourage the client to express their feelings about discharge.
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