Answer to Question 1
ANS: C
Authenticity is a precondition for the therapeutic use of self in the nurse-client relationship. Authenticity requires recognizing personal vulnerabilities, strengths, and limitations; working within this knowledge in the service of the client; and seeking help when needed to further relationship goals. Self-awareness allows the nurse to fully engage with a client, knowing that parts of the relationship may be painful, distasteful, or uncomfortable. Eventually the nurse will have to deal with the issue. Shortening care time would not be therapeutic. The nurse needs to be emotionally available to the client to be therapeutic.
Answer to Question 2
ANS: C
Therapeutic relationships should directly revolve around the client's needs and each person's individualized expression of them. Using questions that follow a logical sequence and asking only one question at a time are practices that help clients feel more comfortable and are likely to elicit more complete data. Dealing with the client's feelings with a statement such as, Tell me more about keeps the conversation flowing. The client has the right to choose a course of action, even when it is at odds with the nurse's ideas. The nurse stating how the client is feeling is an assumption by the nurse about what the client is feeling. Although the client has the right to refuse treatment, he is not really saying that he will refuse. The nurse needs to obtain more information.
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