Which qualities are foundational to a therapeutic relationship in nursing practice? Select all that apply.
Emotional dependency.
Nonjudgmental attitude.
Friendship.
Nurse-centered care.
Confidentiality.
Correct Answer : B,E
Choice A rationale
Emotional dependency is considered a boundary violation in a therapeutic relationship. A therapeutic relationship should promote the client's independence and self-efficacy rather than creating a situation where the client relies on the nurse for emotional stability. Professional boundaries ensure that the focus remains on the client's health goals. Dependency can lead to a blurred relationship that hinders the client's ability to cope with their health challenges autonomously. Nurses must maintain a professional distance while remaining supportive and empathetic.
Choice B rationale
A nonjudgmental attitude is essential for creating a safe environment where clients feel comfortable sharing sensitive information. When a nurse avoids passing judgment on a client's lifestyle, choices, or history, it fosters trust and openness. This quality allows the nurse to provide objective care and support the client's unique needs without the interference of personal bias. In nursing, being nonjudgmental is a core component of unconditional positive regard, which is a foundational element of any effective and therapeutic interaction.
Choice C rationale
While a therapeutic relationship is friendly, it is not a friendship. Friendships are reciprocal and based on mutual personal needs, whereas therapeutic relationships are professional, goal-oriented, and focused entirely on the client's needs. Maintaining professional boundaries is vital to ensure that the nurse remains objective and that the power dynamic inherent in healthcare is managed appropriately. Mixing friendship with professional care can lead to ethical dilemmas and may compromise the nurse's ability to provide unbiased, evidence-based interventions for the client.
Choice D rationale
Nursing care should always be client-centered, not nurse-centered. Nurse-centered care would mean the focus is on the nurse's needs, schedule, or personal opinions, which contradicts the fundamental goal of nursing. Client-centered care involves respecting the client's preferences, values, and expressed needs. It ensures that the client is an active participant in their own care plan. Shifting the focus away from the client undermines the therapeutic nature of the relationship and can lead to less effective health outcomes and patient dissatisfaction.
Choice E rationale
Confidentiality is a legal and ethical cornerstone of nursing practice. It involves protecting the client's private information and ensuring that it is only shared with those directly involved in the client's care. Maintaining confidentiality is critical for building the trust necessary for a therapeutic relationship. If a client does not feel their information is secure, they may withhold important clinical details. Adhering to privacy regulations like HIPAA is mandatory and reflects the nurse's commitment to the client's safety and rights.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
This statement reflects magical thinking, which is common in the pre-school years. The child believes that their thoughts alone have the power to cause external events to happen. While magical thinking and animism are both features of the preoperational stage, they are distinct concepts. This specific belief about monsters focuses on the causal power of the mind rather than attributing life, feelings, or intentions to an inanimate object like a toy or doll.
Choice B rationale
This statement is an example of egocentrism, where the child assumes that others see, hear, and feel exactly the same way they do. The child is unable to take the perspective of another person, believing their own preferences are universal. While this is a core characteristic of Piaget's preoperational period, it does not involve the personification of objects. Egocentrism is about the lack of perspective-taking rather than the attribution of life to non-living things.
Choice C rationale
Animism is the belief that inanimate objects have lifelike qualities, such as feelings, thoughts, and intentions. By stating that the doll is "sad," the child is projecting human emotions onto a plastic or cloth object. This is a classic developmental milestone in the preoperational stage as the child tries to make sense of the world. It shows they are using their imagination to give personality to objects that do not possess biological life.
Choice D rationale
This statement illustrates symbolic play or pretend play. The child is using one object, a box, to represent something else, a car. This is a vital cognitive step where the child uses symbols to stand for real-world items. Although it is a hallmark of the preoperational stage, it is not animism because the child is not necessarily claiming the box is alive or has feelings; they are simply using it as a prop.
Correct Answer is C
Explanation
Choice A rationale
School-aged children are actually quite capable of understanding basic safety rules. This developmental stage is characterized by concrete operational thought, where children can follow logical instructions and understand cause and effect. The risk of injury does not stem from an inability to comprehend rules, but rather from the physical challenges they take on or the environments they enter. Educating this group on safety is effective because they have the cognitive capacity to apply those concepts.
Choice B rationale
Most school-aged children have a high interest in physical activity. This period is marked by an increase in gross motor coordination and a desire to demonstrate physical competence. A lack of interest is more often a sign of a sedentary lifestyle or an underlying health issue rather than a developmental characteristic of the age group. Their high energy levels and desire to move are what lead them into situations where physical injuries, such as falls, occur.
Choice C rationale
Increased participation in organized sports is a major contributor to injury risk for school-aged children. As they engage in activities like soccer, football, or gymnastics, they are exposed to risks of fractures, sprains, and concussions. Their physical strength and speed are increasing, but their coordination and judgment may not always match their enthusiasm. Competition can also lead children to push their physical limits beyond what is safe, resulting in both acute and overuse injuries.
Choice D rationale
Curiosity about the surroundings is actually very high in school-aged children, not limited. They are eager to explore their world, master new skills, and understand how things work. This curiosity can lead them to explore areas that are potentially dangerous, such as construction sites or bodies of water. Their investigative nature, combined with a sense of "invincibility" that often begins to develop, means they might take risks without fully calculating the potential for physical harm.
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