CPNRE Therapeutic Nurse-Client Relationship 2

Question 1

A client tells the nurse: 'I feel so ashamed. I cannot even manage my own diabetes.' Which therapeutic response is most appropriate?

Accepted Answer

'You sound really frustrated with managing your diabetes. Can you tell me more about what has been most challenging?'

Answer

'Diabetes is a difficult disease. You should not be so hard on yourself.'

Answer

'Most people with diabetes struggle too. You are not alone.'

Answer

'Let me review the diabetes management plan with you again.'

Question 2

Which situation represents a boundary violation in the nurse-client therapeutic relationship?

Accepted Answer

Accepting a bottle of wine from a client as thanks for excellent care

Answer

Asking a client about their cultural food preferences for meal planning

Answer

Sharing a brief personal experience with a health issue to build rapport

Answer

Touching a client's hand briefly when delivering difficult news

Question 3

During the termination phase, which client response indicates the relationship is ending therapeutically?

Accepted Answer

The client expresses realistic summary of progress and demonstrates coping strategies for ongoing needs

Answer

The client becomes increasingly dependent and requests more contact

Answer

The client denies having any feelings about the relationship ending

Answer

The client regresses to behaviors from the orientation phase

Question 4

A client says to the practical nurse: 'You are the only one who really understands me. None of the other nurses care about me.' What is the best therapeutic response?

Accepted Answer

'Our relationship is important, and I am glad I can help. I also wonder if we can help you connect with other members of the care team.'

Answer

'I am so glad I could be here for you.'

Answer

'I agree. I do take better care of you than the other nurses.'

Answer

'That is not fair to say about your other nurses.'

Question 5

A client speaks Tagalog as their first language. The client's adult son offers to interpret. Which concern should guide the practical nurse's decision?

Accepted Answer

Family interpreters may omit, alter, or filter information and cannot maintain client confidentiality

Answer

Using family interpreters saves time and is more accurate since they know the client

Answer

Family members are always the preferred interpreters

Answer

Using professional interpreters is required only for legal or consent discussions

Question 6

Which statement best describes 'unconditional positive regard' as applied to therapeutic nurse-client relationships?

Accepted Answer

The nurse accepts the client as a person of worth regardless of their behaviors or values

Answer

The nurse agrees with all the client's decisions and behaviors

Answer

The nurse only provides positive feedback to build self-esteem

Answer

The nurse avoids any criticism of the client's health decisions