During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:

Oriented to time, place and personal hygiene

Alert and oriented to person, place and time

Anxious, alert and oriented to place

Awake and oriented to place

Answer and Explanation

The Correct Answer is B

A. Oriented to time, place and personal hygiene: This is incorrect. Orientation X3 refers to being oriented to person, place, and time, not personal hygiene.
B. Alert and oriented to person, place and time: This is correct. "Oriented X3" means that the client is aware of who they are (person), where they are (place), and what time it is (time).
C. Anxious, alert and oriented to place: This is incorrect. Orientation X3 does not specifically address anxiety or focus solely on orientation to place.
D. Awake and oriented to place: This is incorrect. Orientation X3 includes person, place, and time, not just being awake and oriented to place.

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Correct Answer is C

Explanation

A. the exploitation subphase: The exploitation subphase occurs later in the therapeutic relationship when the client begins to use the relationship for their benefit, not the initial stage of building trust.
B. the resolution phase: The resolution phase is the final stage of the therapeutic relationship when the client’s issues are resolved and the relationship is ending. Trust-building occurs earlier.
C. the orientation phase: This is correct. The orientation phase is the initial stage of the nurse-client relationship where trust is established, and the foundation for future interactions is built.
D. the problem identification subphase: The problem identification subphase involves recognizing and clarifying the client's issues. Trust-building occurs earlier in the orientation phase

A. Giving information B. Listening attentively C. Reflecting D. Offering advice

Correct Answer is D

Explanation

A. Giving information: This is actually a key component of therapeutic communication. It helps clients understand their situation and the care they are receiving, which can empower them and reduce anxiety.
B. Listening attentively: Active listening is fundamental to effective therapeutic communication.
C. Reflecting: Reflecting helps the client to explore their feelings and thoughts.
D. Offering advice: Offering advice can create a barrier because it may come across as judgmental or directive, rather than supportive. It can also undermine the client’s autonomy and ability to make their own decisions. Therapeutic communication focuses on listening, understanding, and reflecting the client’s feelings and experiences.

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During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When developing a therapeutic nurse-client relationship, building trust with the client is begun in:

Correct Answer is C

Explanation

A nurse is communicating with a client who was just admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication?

Correct Answer is D

Explanation

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