In which phase of the therapeutic relationship does the nurse establish trust, set boundaries, and formulate a contract with the client?
[a] Pre-interaction phase.
[b] Orientation phase.
[c] Working phase.
[d] Termination phase.
The ability of the nurse to perceive the meanings and feelings of the client and to communicate that understanding to the client is known as:
[a] Sympathy.
[b] Genuineness.
[c] Empathy.
[d] Positive regard.
During a therapy session, a client becomes angry and accuses the nurse of "being controlling, just like my mother." The nurse recognizes this as an example of:
[a] Transference.
[b] Countertransference.
[c] A boundary violation.
[d] A social interaction.
The primary, intensive, problem-solving work of the nurse-patient relationship takes place during the:
[a] Orientation phase.
[b] Pre-interaction phase.
[c] Working phase.
[d] Termination phase.
Which statement best describes the difference between a therapeutic relationship and a social relationship?
[a] A therapeutic relationship is always short-term, while a social one is long-term.
[b] A social relationship involves giving advice, which is forbidden in a therapeutic relationship.
[c] A therapeutic relationship is purposeful, goal-directed, and focused on the client's needs.
[d] There is no significant difference; both are based on mutual friendship.
A nurse finds themself feeling overly protective of a client and wanting to "rescue" them. The nurse should recognize this as a sign of:
[a] Empathy.
[b] Transference.
[c] Professionalism.
[d] Countertransference.
The component of the therapeutic relationship that involves being real, honest, and authentic is known as:
[a] Trust.
[b] Genuineness (or congruence).
[c] Respect.
[d] Empathy.
What is the primary task for the nurse during the pre-interaction phase?
[a] Establishing a formal contract with the client.
[b] Introducing themselves to the client.
[c] Examining one's own feelings, fears, and anxieties about working with the client.
[d] Summarizing the goals achieved with the client.
A nurse tells a client, "I feel so sorry for what you've been through. It must be awful." This is an expression of:
[a] Sympathy.
[b] Empathy.
[c] Countertransference.
[d] Positive regard.
Reviewing the client's progress toward goals and dealing with feelings of loss or anger are critical tasks of which phase?
[a] Orientation phase.
[b] Working phase.
[c] Termination phase.
[d] Pre-interaction phase.
The foundation of a therapeutic relationship, built on the nurse's reliability, integrity, and veracity, is:
[a] Genuineness.
[b] Trust.
[c] Sympathy.
[d] Rapport.
Which action by the nurse would constitute a professional boundary violation?
[a] Setting limits on a client's demanding behavior.
[b] Keeping a scheduled appointment with the client.
[c] Loaning the client money to buy a coffee.
[d] Maintaining confidentiality of the client's information.
The significance of the therapeutic relationship lies in its ability to:
[a] Ensure the client always agrees with the nurse.
[b] Provide a safe environment for the client to practice new coping skills.
[c] Create a long-lasting friendship between the nurse and client.
[d] Solve all of the client's problems for them.
During the working phase, a client may unconsciously resist change or avoid exploring painful topics. This is known as:
[a] Transference.
[b] Termination.
[c] Orientation.
[d] Resistance.
Unconditional positive regard is best described as:
[a] Praising the client for good behavior.
[b] Feeling sorry for the client's circumstances.
[c] Valuing the client as a unique individual regardless of their behavior or illness.
[d] Agreeing with everything the client says to avoid conflict.
Testing behaviors, where the client challenges the nurse's commitment and consistency, are most likely to occur during which phase?
[a] Orientation phase.
[b] Working phase.
[c] Termination phase.
[d] Pre-interaction phase.
A nurse sharing personal struggles to get an emotional need met by the client is an example of:
[a] Therapeutic use of self.
[b] Empathy.
[c] A boundary crossing or violation.
[d] Genuineness.
What is the most significant reason for having a formal termination phase?
[a] To ensure all paperwork is completed.
[b] To allow the nurse to transfer care to another staff member.
[c] It provides a model for the client on how to end relationships in a healthy manner.
[d] It is a legal requirement for discharge.
All of the following are components of a therapeutic nurse-patient relationship EXCEPT:
[a] Trust.
[b] Empathy.
[c] Respect.
[d] Pity.
Hildegard Peplau, a key theorist in psychiatric nursing, identified the phases of the nurse-patient relationship as central to the nursing process. Her model is known as:
[a] The Recovery Model.
[b] Interpersonal Relations Theory.
[c] The Tidal Model.
[d] The Adaptation Model.
Which statement by the nurse helps establish the parameters of the relationship during the orientation phase?
[a] "I'm sure everything will be fine."
[b] "That sounds just like what happened to my brother."
[c] "My name is Susan, and I will be meeting with you every Tuesday at 10 AM for 30 minutes."
[d] "It's been a pleasure working with you."
The therapeutic use of self in this relationship means the nurse:
[a] Discloses personal details to become friends with the client.
[b] Uses their personality, insights, and perceptions consciously to achieve therapeutic goals.
[c] Relies solely on intuition rather than evidence-based practice.
[d] Performs all tasks for the client to reduce their stress.
A common reaction from a client facing the termination phase of the relationship is:
[a] A sudden increase in self-confidence.
[b] Apathy and indifference.
[c] Regression to previous problematic behaviors.
[d] Immediate acceptance and gratitude.
Promoting a client's independence and decision-making is a key task that occurs primarily in which phase?
[a] Pre-interaction phase.
[b] Orientation phase.
[c] Termination phase.
[d] Working phase.
The ultimate purpose of maintaining professional boundaries in the therapeutic relationship is to:
[a] Keep the nurse in a position of power.
[b] Prevent the client from becoming too emotional.
[c] Ensure the relationship remains safe and focused on the client's needs.
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