Author Question: An experienced nurse is describing the characteristics of a therapeutic one-to-one relationship to a ... (Read 93 times)

charchew · **on:** Jul 19, 2018

An experienced nurse is describing the characteristics of a therapeutic one-to-one relationship to a nursing student. Which of the following is the most accurate description?

1. The relationship between the nurse and client is reciprocal.
2. The nursing process is the cornerstone of the relationship.
3. The essential feature of the relationship is a therapeutic alliance.
4. The nurse must meet the client's needs throughout the relationship.

Question 2

A 7-year-old child recently experienced the death of the family's pet dog, which was the child's constant companion. The child is at risk for:

1. A conduct disorder.
2. Elimination disorder.
3. Angoraphobia.
4. Separation anxiety disorder.

tofugiraffe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3
Rationale: The essential feature of the one-to-one relationship is the creation of a therapeutic alliance between nurse and client. The nursing process is used to guide nursing care but is not a characteristic of a therapeutic nurseclient relationship. A reciprocal relationship exists in social relationships, but in professional relationships, nurses must work together with clients to address the clients' personal problems and meet their needs. The client shares the responsibility with the nurse to meet client needs throughout the relationship.

Answer to Question 2

4
Rationale: Separation anxiety disorder involves a developmentally inappropriate and excessive anxiety over separation from home or from attachment figures and may appear after a stressful life event such as the death of a pet. This child's dog may be viewed as an attachment figure, thus placing this child at risk for a separation anxiety disorder. Risk factors for conduct disorder are related to difficulties with parentchild interactions. Children with elimination problems may have psychosocial risk factors; however, the best response in this situation is to develop interactions to prevent separation anxiety disorder, which can be directly linked to the death of the child's companion. Angoraphobia is the fear of soft sweaters and rabbits and is not related to this situation.