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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While anger is a common emotion in grief, the priority is addressing the client's inability to eat, which can have significant health implications.
B. Recalling negative experiences during the marriage may indicate unresolved issues but is not as immediately concerning as the client's inability to eat.
C. Feelings of guilt are common in grief, but the priority is addressing the client's physical health needs, particularly their inability to eat.
D. Changes in eating habits, such as being unable to eat more than once a day, can indicate maladaptive coping mechanisms or potential physical health concerns, making it the priority for the nurse to address.
Correct Answer is B
Explanation
A. This response may inadvertently blame the client or imply that they provoked the inappropriate comment, which can be invalidating.
B. Validating the client's feelings acknowledges their experience and provides support.
C. Encouraging the client to ignore the comment may minimize their feelings and the impact of the inappropriate behavior.
D. Agreeing that the comment was inappropriate is validating, but it does not address the client's emotional response or provide support.
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