A nurse caring for a patient who is hospitalized following a right knee replacement is preparing a discharge plan for the patient. Which action should be the focus of this termination phase of the helping relationship?
Identify each other by name and provide the patient with orientation to the healthcare system.
Clarify roles of nurse and patient and establish an agreement about the relationship.
Determine if patient goals have been met and make suggestions for future needs after discharge.
Work together to meet patient's needs and provide teaching and counseling to the patient.
The Correct Answer is C
A. Identifying each other by name and providing orientation to the healthcare system are typically actions in the orientation phase, not the termination phase.
B. Clarifying roles and establishing an agreement about the relationship are more relevant to the orientation phase.
C. The termination phase involves determining if patient goals have been met and making suggestions for future needs after discharge.
D. Working together to meet the patient's needs and providing teaching and counseling are aspects of the working phase.
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Related Questions
Correct Answer is D
Explanation
A. The helping relationship phases and nursing process are not specific communication tools for addressing safety concerns.
B. The nursing process is a systematic approach to patient care but is not a communication tool specifically for addressing safety concerns.
C. SBAR (Situation, Background, Assessment, Recommendation) is a structured communication tool commonly used in healthcare settings for reporting and addressing safety concerns.
D. CUS (I am concerned, I feel uncomfortable, this is unsafe) is a communication tool for expressing concerns, for instance, by saying something like this: "I am concerned about the patient's risk for falls. I feel uncomfortable seeing you walk the patient without a gait belt or non-skid socks. This is unsafe for the patient and could cause harm or injury. Please use a gait belt and non-skid socks when walking the patient." This way, the nurse can convey their message in a clear, respectful, and assertive way, and prompt the UAP to take action to ensure the patient's safety.
Correct Answer is C
Explanation
A. Identifying each other by name and providing orientation to the healthcare system are typically actions in the orientation phase, not the termination phase.
B. Clarifying roles and establishing an agreement about the relationship are more relevant to the orientation phase.
C. The termination phase involves determining if patient goals have been met and making suggestions for future needs after discharge.
D. Working together to meet the patient's needs and providing teaching and counseling are aspects of the working phase.
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