A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

Inform the client about confidentiality rights.

Establish boundaries between the nurse and the client.

Set short- and long-term objectives for the future.

Evaluate progress toward predetermined goals.

Answer and Explanation

The Correct Answer is D

A.   Informing the client about confidentiality rights typically occurs during the orientation phase of the therapeutic relationship, not the working phase.
B.   Establishing boundaries between the nurse and the client is an ongoing process that occurs throughout the therapeutic relationship, not just during the working phase.
C.   Setting short- and long-term objectives for the future typically occurs during the orientation phase and continues throughout the therapeutic relationship, not just during the working phase.
D.   During the working phase of the therapeutic relationship, the nurse and client collaborate to achieve the goals identified during the orientation phase. The nurse evaluates the client's progress toward these goals and adjusts interventions as necessary to promote therapeutic outcomes.

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Correct Answer is ["B","C","D"]

Explanation

A. Clients have the right to refuse medication, as part of their autonomy and informed consent rights.
B. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations.
C. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity.
D. Clients maintain the right to an attorney, ensuring their access to legal representation and support.
E. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.

A. "Take your medication with a meal to decrease the onset of dizziness." B. "Dizziness is a common adverse effect of the medication and is related to low blood pressure." C. "Dizziness typically indicates an allergic response, so the medication should be stopped immediately." D. "Take your medication first thing in the morning, and it will not cause as much dizziness."

Correct Answer is B

Explanation

A. Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication.
B. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects.
C. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate.
D. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.

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A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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