Fortinash: Psychiatric Mental Health Nursing, 3rd Edition Chapter 1: Foundations of Psychiatric Mental Health Nursing MULTIPLE CHOICE 1. Which of the following characteristics would the nurse evaluate as indicative of healthy boundaries? a. Giving as much as you can for the sake of giving b. Believing others can anticipate your needs c. Letting others define you d. Taking responsibility to meet one’s own needs ANS: D Healthy boundaries are characterized by behaviors that are adaptive. Only d is an example of an adaptive behavior. 2. The student nurse is planning to initiate a therapeutic relationship with a client. Which intervention should she plan to incorporate in their interactions? a. Becoming subjectively involved b. Mutually sharing ideas and experiences c. Giving and receiving friendship equally d. Encouraging the client to choose a topic for discussion ANS: D Encouraging the client to choose the topic for discussion maintains a client-centered focus. This is desirable and in keeping with accepted principles for therapeutic nurseclient relationships. The other responses are components of a social rather than a therapeutic relationship. 3. A client frequently diverts the focus from himself by changing the topic or commenting on the nurse’s appearance. The nurse should recognize this as an example of: a. transference. b. resistance. c. countertransference. d. therapeutic alliance. ANS: B Resistance is seen as client behavior that permits change of focus from the client and his or her problems to a less emotionally charged topic. a. Transference refers to positive or negative feelings the client has for a significant figure that he or she attributes to the nurse. c. Countertransference refers to feelings the nurse has for a significant figure that he or she attributes to the client. d. A therapeutic alliance is another name for the therapeutic nurse-client relationship.
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