Which activity would happen first in the nurse-patient relationship?

formulating a nursing diagnosis

planning for continued care

promoting patient's insight

examining personal biases

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Formulating a nursing diagnosis is incorrect. This occurs after a comprehensive assessment of the patient's needs, and it helps guide the planning and implementation of nursing care.

Choice B Reason:

Planning for continued care is incorrect. Once the nursing diagnosis is formulated, the nurse can develop a plan of care, including interventions and goals for the patient.

Choice C Reason:

Promoting patient's insight is incorrect. This is a part of the ongoing therapeutic process and involves helping the patient gain self-awareness and understanding of their thoughts, feelings, and behaviors. It typically occurs after the initial assessment and planning.

Choice D Reason:

Examining personal biases is correct. In the nurse-patient relationship, examining personal biases is a foundational and essential step that should happen first. It involves the nurse being self-aware and acknowledging any personal biases or prejudices that might affect the therapeutic relationship. Recognizing and addressing personal biases is crucial for providing unbiased and patient-centered care.

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Correct Answer is B

Explanation

Choice A Reason:

"If it weren't for you and the hours we've spent talking, I don't think I would be on my way to getting my anxiety under control." While this statement acknowledges the importance of the nurse-patient relationship in helping with anxiety, it might imply a somewhat dependent stance. The ideal therapeutic relationship encourages patients to gain skills and tools to manage their issues independently.

Choice B Reason:

"I appreciate the time you spent with me. I have a better understanding of what I can do to manage my problem." This statement reflects the patient's acknowledgment of the nurse's support and guidance, resulting in a positive impact on the patient's understanding and ability to manage their concerns. It emphasizes the constructive nature of the nurse-patient relationship and the effectiveness of the interactions in addressing the patient's needs.

Choice C Reason:

"I really need to talk with you. You always give me good advice about how to address my anger issues." While seeking support and advice from the nurse is positive, the emphasis on always receiving good advice might suggest a more directive approach rather than collaborative exploration and problem-solving, which is often a goal in therapeutic relationships.

Choice D Reason:

"You've been kind to me when I was at a low point. Knowing you've had low points too was such a help. “While mutual understanding and empathy are crucial in the nurse-patient relationship, the statement may focus more on the nurse's experiences rather than the patient's progress or understanding. The primary focus should be on the patient's needs and growth.

A. Authoritarian B. Autocratic C. Laissez-faire D. Democratic

Correct Answer is C

Explanation

Choice A Reason:

Authoritarian is incorrect. Authoritarian leadership is characterized by a leader who makes decisions unilaterally and expects strict compliance from group members.

Choice B Reason:

Autocratic is incorrect. Autocratic leadership is similar to authoritarian leadership, where the leader has centralized control, makes decisions without input from others, and expects obedience.

Choice C Reason:

Laissez-faire is correct. The leadership style demonstrated in this scenario is Laissez-faire. In a laissez-faire leadership style, the leader takes a hands-off approach and allows group members to have significant freedom in decision-making and behavior. The leader provides minimal guidance and only intervenes when asked or when absolutely necessary.

Choice D Reason:

Democratic is incorrect. Democratic leadership involves collaboration and shared decision-making among group members. The leader seeks input from the group and values the participation of all members in decision-making processes.

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Which activity would happen first in the nurse-patient relationship?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which patient statement best captures the helpfulness of the nurse-patient relationship? Select one:

Correct Answer is B

Explanation

Which style of leadership is demonstrated when an advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic or the member's behavior and makes no comment unless asked a direct question?

Correct Answer is C

Explanation

During a therapeutic nurse-patient relationship, when would the nurse plan to first address the issue of termination?

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