CPNRE - Canadian Practical Nurse Registration Examination Therapeutic Nurse-Client Relationship Questions and Answers

Question 1

During the orientation phase of the nurse-client relationship, what is the practical nurse's primary goal?

Accepted Answer

To establish trust and define the parameters of the relationship.

Answer

To evaluate the effectiveness of the nursing care plan.

Answer

To promote the client's independence and self-care abilities.

Answer

To explore the client's feelings and identify solutions to problems.

Question 2

A client who is being discharged at the end of the week tells the practical nurse, "I'm really going to miss our talks. Can I get your phone number so we can keep in touch?" Which of the following responses by the nurse is most appropriate?

Accepted Answer

"I will miss our talks too. Let's focus on how you will use the skills you've learned once you are discharged."

Answer

"I'm not allowed to do that, but I can give you the number for the hospital's support line."

Answer

"Of course. It's important to have support, and I'd be happy to hear from you."

Answer

"It's against hospital policy, but perhaps we can connect on social media instead."

Question 3

Which of the following statements by a practical nurse best demonstrates empathy rather than sympathy?

Accepted Answer

"This must be a very frightening experience for you. Let's talk about what is making you most anxious."

Answer

"I'm so sorry you're going through this; it must be awful."

Answer

"Don't worry, I'm sure everything will turn out fine in the end."

Answer

"I know a lot of people in your situation, and they have managed to get through it."

Question 4

A practical nurse is in the working phase of a therapeutic relationship with a client recovering from major surgery. Which action is the priority for the nurse during this phase?

Accepted Answer

Assisting the client to actively problem-solve and practice new coping skills.

Answer

Setting the goals and outlining the expected duration of the relationship.

Answer

Summarizing the progress made and preparing the client for discharge.

Answer

Gathering initial assessment data and establishing a contract for care.

Question 5

Which of the following is considered a non-therapeutic communication technique that can block further discussion with a client?

Accepted Answer

Providing false reassurance by saying "Everything will be just fine."

Answer

Using silence to allow the client time to reflect.

Answer

Asking open-ended questions to encourage elaboration.

Answer

Paraphrasing the client's statement to show understanding.

Question 6

A client expresses anger and frustration about a delayed diagnostic test, stating, "No one here cares about what happens to me!" Which response by the practical nurse best maintains the therapeutic relationship?

Accepted Answer

"I can see you are very upset. Let's talk about what is frustrating you the most."

Answer

"The staff is very busy, but I'm sure the doctor is doing what's best for you."

Answer

"You shouldn't feel that way; we are all working hard to help you."

Answer

"Why are you getting so angry? It won't make the test happen any faster."