RPN Therapeutic Nurse-Client Relationships 3

Question 1

A client who experienced childhood abuse becomes very attached to the RPN and requests personal contact information. The nurse should FIRST:

Accepted Answer

Acknowledge the relationship's value while clarifying professional boundaries

Answer

Acknowledging the therapeutic bond while reinforcing limits maintains safety and models healthy relational boundaries.

Question 2

Which of the following BEST describes 'transference' in the context of a therapeutic nurse-client relationship?

Accepted Answer

The client unconsciously redirects feelings from past relationships onto the nurse

Answer

Transference occurs when clients displace emotions from significant past figures onto the nurse, which requires clinical awareness.

Question 3

An RPN notices personal feelings of irritation toward a demanding client. The MOST appropriate action is to:

Accepted Answer

Reflect on the feelings and discuss them with a supervisor or in clinical supervision

Answer

Countertransference must be acknowledged and processed through supervision to prevent it from affecting client care.

Question 4

Which communication technique involves repeating the last word or phrase a client uses to encourage them to continue?

Accepted Answer

Reflection

Answer

Reflection echoes the client's words to signal active listening and invite further exploration of their thoughts.

Question 5

A client says, 'I feel like nothing matters anymore.' The RPN responds, 'It sounds like you're feeling hopeless.' This is an example of:

Accepted Answer

Empathic reflection

Answer

Empathic reflection names the underlying emotion to demonstrate understanding and validate the client's experience.

RPN - Registered Practical Nurse Practice Test