A novice nurse is learning how to effectively communicate within a therapeutic nurse-patient relationship. What struggle is most harmful when the nurse is new to therapeutic relationships?
1. Feeling uncomfortable with the relationship
2. Feeling anxious about developing the relationship
3. Falling back on knowledge learned from nursing school and not accounting for practical knowledge
4. Falling back on relationship skills learned in friendships, family relationships, or other personal relationships
Answer: 4
Explanation: A difficulty that commonly occurs in therapeutic relationships is that newcomers to this type of relationship do not know how to respond, and they often fall back on relationship skills learned in friendships, family relationships, or other personal relationships. This may be most harmful because by relying on these skills, the nurse is not developing the necessary skills for developing the therapeutic relationship. The novice nurse will likely feel uncomfortable and anxious, and fall back on knowledge learned from nursing school; however, these are not most harmful.
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