RPN Therapeutic Nurse-Client Relationships 4

Question 1

A culturally diverse client avoids direct eye contact during conversation. The RPN should:

Accepted Answer

Recognize this as potentially culturally appropriate and adapt accordingly

Answer

Eye contact norms vary by culture; imposing Western communication standards can undermine trust and misrepresent behavior.

Question 2

Which of the following is an example of the therapeutic technique 'offering general leads'?

Accepted Answer

"Go on" or "Tell me more."

Answer

General leads use brief prompts to encourage the client to continue without directing or interrupting their train of thought.

Question 3

A client with anxiety repeatedly seeks reassurance from the RPN throughout the shift. The MOST therapeutic response is to:

Accepted Answer

Set consistent limits while helping the client identify anxiety-management strategies

Answer

Repeated reassurance reinforces anxiety-driven cycles; teaching coping strategies addresses the underlying need.

Question 4

The nurse's use of 'self-disclosure' in a therapeutic context is BEST described as:

Accepted Answer

Sharing brief, purposeful personal information only when it benefits the client

Answer

Therapeutic self-disclosure is selective and intentional, used to normalize or illustrate a point that advances client goals.

Question 5

When terminating the therapeutic relationship, a client regresses to earlier maladaptive behaviors. The RPN should FIRST:

Accepted Answer

Acknowledge the behavior, link it to termination anxiety, and continue the closure process

Answer

Regression at termination is common; naming the connection to ending helps the client process and integrate the experience.

RPN - Registered Practical Nurse Practice Test