Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.

Enjoyment

Rapport

Acceptance

Genuineness

Love

Answer and Explanation

Correct Answer : B,C,D

Choice A rationale: this is incorrect since enjoyment is not a criterion for effective therapy and can be inappropriate and unrealistic in some situations.
Choice B rationale: rapport is essential in a therapeutic relationship since it establishes a connection and a mutual understanding between the healthcare professional and a client thus ensuring that the best management is offered to the patients with their needs being considered.
Choice C rationale: acceptance is crucial in a therapeutic relationship since it ensures that the healthcare professional develops a positive relationship towards the client without judging them.
Choice D rationale: Genuineness is important since it promotes honesty, authenticity, and congruency in an individual’s words and actions hence this fosters appropriate management.
Choice E rationale: love may result in personal attachment and emotional involvement which may tamper with the boundaries and roles of a therapist thus resulting in ethical violations in patient management.

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Correct Answer is B

Explanation

Choice A rationale: this is the phase where the caregiver and client establish a rapport by introducing themselves while clarifying their roles and expectations. The caregiver also explains the purpose, scope, and limits of the services they provide.
Choice B rationale: the preparation phase occurs before the client and the caregiver meet and involves the care provider reviewing the client’s information, identifying their needs, and planning for their first contact.
Choice C rationale: This is the phase where the caregiver and the client end the therapeutic relationship, evaluate the outcomes, and plan for follow-up or referral.
Choice D rationale: this phase involves the caregiver and the client implementing interventions, monitoring their progress, and modifying their goals as needed to achieve their set objectives.

A. "Don't stress over it. Everything will turn out fine.” B. "You should talk to your husband and not keep things inside.” C. "Why did you do that?" D. "It must be difficult for you to feel that way. E. “Tell me more about what you are feeling”

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale: this response is dismissive of the patient’s feelings and concerns and does not acknowledge the patient’s reality and perspective. It implies that the patient is overreacting and may make the client feel judged and ignored.
Choice B rationale: this response is intrusive and prescriptive since the patient’s reasons and preferences are not considered. it assumes that the patient has a husband and that they have a good relationship together which may not be the case.
Choice C rationale: this response is accusatory and confrontational while implying that the patient’s behavior was wrong and unacceptable. Furthermore, it focuses on the past rather than the present or the future which is relevant in this case. It also makes the patient feel guilty and ashamed which may impair their ability to open up hence ineffective care.
Choice D rationale: This response is empathic and validating. It reflects the patient's feelings and shows understanding and compassion. It does not judge or minimize the patient's emotions, and it invites the patient to share more if they wish. This response could make the patient feel heard, supported, and respected.
Choice E rationale: this response encourages the patient to open up and express their thoughts and feelings. This makes the patient feel valued and empowered thus allowing them to share their feelings at their own pace.

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Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During which phase of the therapeutic relationship do the caregiver and the client identify themselves by introducing themselves to one another?

Correct Answer is B

Explanation

In communicating with the psychiatric patient, which nurse responses could block effective communication with a client? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

Therapeutic relationship differs from other relationships in that the focus of a therapeutic relationship is on:

In the Working phase of the nurse-client relationship, the client and nurse work toward the goals that are agreed upon. (True or False)

The nurse observes the client as he paces the floor and talks to himself. The nurse documents this as "Client confused and agitated." This is an example of

The nurse should monitor the temperature of the environment of a client who becomes easily agitated, with awareness that increased temperatures sometimes may cause the client to become:

Upon entrance into a mental health care system, clients are thoroughly assessed, and this is followed by the development of a mental health treatment plan. Which of the following are the purposes of the treatment plan? (Select all that apply.)

During the night shift, several staff members are being loud at the nurses' station of an inpatient mental health unit. A nurse asks them to hold down the noise." The nurse has asked this of the staff most likely because she knows that excessive noise

As the nurse begins to discuss discharge plans for a 45-year-old female client hospitalized for anxiety, the client states, "You never really cared whether I get better! Why not stop this charade?" The nurse recognizes this to be:

Regarding the environment, it is important for the nurse to be aware of lighting for some clients. Clients with a diagnosis of schizophrenia may be bothered by lights that are flickering because this may trigger.