A nurse is caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?
Exploitation phase
Orientation Phase
Identification phase
Resolution phase
The Correct Answer is C
A. The exploitation phase involves the client making full use of the nursing services offered, but it is not specifically related to introducing guided therapy.
B. The orientation phase focuses on building trust and establishing a relationship, not on specific therapy sessions.
C. The identification phase is when the nurse and client work together to identify the client's problems and establish goals, making it an appropriate time to introduce guided therapy sessions.
D. The resolution phase involves the termination of the therapeutic relationship, so it would not be the time to introduce new therapy sessions.
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Related Questions
Correct Answer is D
Explanation
A. Tinnitus and jerking movements are not typical signs of serotonin syndrome.
B. Pill rolling movements and drooling are more characteristic of Parkinsonian symptoms, not serotonin syndrome.
C. Suicidal ideations, while a serious mental health concern, are not specific to serotonin syndrome.
D. Dilated pupils and loss of muscle coordination are consistent with serotonin syndrome, which is a potentially life-threatening condition caused by excessive serotonin activity in the central nervous system. Other symptoms may include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity.
Correct Answer is B
Explanation
A. Group therapy resources are important but not the immediate priority.
B. Clients with borderline personality disorder are at high risk for self-harm and suicidal behaviors, making awareness of this risk the top priority for the family.
C. Medication compliance is important but not as immediately critical as addressing the risk of self-harm.
D. Information about insurance coverage is useful but not a priority in comparison to safety concerns.
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