During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?

Establishing trust and rapport

Implementing interventions and treatment plans

Evaluating the effectiveness of interventions

Assessing the client's health needs

Answer and Explanation

The Correct Answer is B

A. Establishing trust and rapport: Establishing trust happens in the orientation phase, not the working phase.

B. Implementing interventions and treatment plans: The working phase focuses on active interventions, therapy, and progress toward client goals, making it the most intensive phase of the nurse-client relationship.

C. Evaluating the effectiveness of interventions: Evaluation happens in the termination phase, where progress is assessed, and the relationship is closed.

D. Assessing the client's health needs: Assessment occurs in the orientation phase, where the nurse gathers initial data and sets goals.

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Correct Answer is D

Explanation

A. Nonmaleficence: Nonmaleficence means "do no harm," which is not the main principle demonstrated here.

B. Justice: Justice refers to fairness in care and treatment distribution, which is not relevant to keeping a promise.

C. Beneficence: Beneficence involves actions that promote the well-being of a client, but this scenario specifically demonstrates truthfulness.

D. Veracity: Veracity refers to truthfulness and honesty. The nurse demonstrated veracity by keeping their promise and returning with the medication as stated.

A. High energy B. Connects well with others C. Compassion fatigue D. Consistent self-care

Correct Answer is C

Explanation

A. High energy: While high-energy nurses may take on demanding workloads, burnout is more related to chronic stress and lack of coping strategies.

B. Connects well with others: Building relationships does not directly lead to burnout. In fact, strong connections can act as a protective factor.

C. Compassion fatigue: Compassion fatigue is emotional exhaustion from prolonged exposure to client suffering, which can lead to burnout. Nurses who struggle with emotional detachment are particularly vulnerable.

D. Consistent self-care: Practicing self-care helps prevent burnout by promoting emotional resilience and work-life balance.

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During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse tells a patient that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the patient's medication. Which ethical principle is she demonstrating?

Correct Answer is D

Explanation

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

Correct Answer is C

Explanation

A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?

The patient telling the nurse she reminded him of his girlfriend that he loves so much is an example of what?

A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

What is the definition of patient autonomy?

What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

Which of the following is a strategy to reduce nursing burnout?