Chapter 11: The Therapeutic Relationship Morrison-Valfre: Foundations of Mental Health Care, 7th Edition 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.” b. “Give me just a few more minutes to finish passing medication to the other clients.” c. “I will return in 20 minutes so we can talk.” d. “I have to finish giving all the clients their medications, but I will then come back so we can talk.” 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 TOP: Trust KEY: Nursing Process Step: Intervention MSC: Client Needs: Psychosocial Integrity
OBJ: 2
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 TOP: Autonomy KEY: Nursing Process Step: Planning MSC: Client Needs: Psychosocial Integrity
NURSING TEST BANK
OBJ: 2
