RPN Therapeutic Nurse-Client Relationships 5

Question 1

An RPN is preparing to meet a new client with a history of violent behavior. During the pre-interaction phase, the nurse should:

Accepted Answer

Examine personal biases and anxieties to prevent them from affecting care

Answer

The pre-interaction phase requires the nurse to reflect on personal reactions that could interfere with therapeutic engagement.

Question 2

A client states, 'I don't want to talk about my past.' The RPN should respond by:

Accepted Answer

Respecting the limit and exploring what the client is willing to discuss

Answer

Respecting boundaries demonstrates that the nurse values the client's autonomy, which itself builds therapeutic trust.

Question 3

Which of the following is an example of a non-therapeutic communication technique?

Accepted Answer

Giving false reassurance such as, 'Everything will work out fine.'

Answer

False reassurance dismisses the client's concerns and blocks genuine exploration of fears or needs.

Question 4

A client who has been making progress suddenly says, 'There's no point in continuing; I'll never get better.' The RPN should:

Accepted Answer

Acknowledge the discouragement and explore what triggered the change in outlook

Answer

Exploring the trigger for hopelessness provides therapeutically useful information and validates the client's current experience.

Question 5

The therapeutic technique of 'confrontation' is MOST appropriately used to:

Accepted Answer

Point out discrepancies between what a client says and what they do

Answer

Therapeutic confrontation highlights inconsistencies to promote client insight without blame or judgment.

RPN - Registered Practical Nurse Practice Test