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 A

Explanation

A. The client must be calm and cooperative. Restraints should be removed as soon as the client is calm and no longer poses a threat to themselves or others. Continued use without justification can be considered unethical and unlawful.

B. The client must verbalize remorse for their behavior. Remorse is not a requirement for restraint removal. Some clients may lack insight into their actions due to mental illness or cognitive impairment. The focus should be on safety, not forced expressions of regret.

C. The client only verbalizes anger toward the staff. Expressing anger alone is not a justification for continued restraint. As long as the client is not aggressive or violent, they should not remain restrained.

D. The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. Nurses can remove restraints without the provider physically present if the client meets the criteria for release. However, they must document the assessment and notify the provider.

A. Resolving insurance issues B. Providing case management C. Determining a mental health diagnosis D. Securing affordable housing for clients

Correct Answer is B

Explanation

A. Resolving insurance issues : Insurance issues are typically handled by social workers or case managers, not bedside nurses.

B. Providing case management: General mental health nurses can provide case management, which includes coordinating care, making referrals, and advocating for resources.

C. Determining a mental health diagnosis : Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental health conditions.

D. Securing affordable housing for clients: Securing housing is a role of social workers, not nurses. Nurses may refer clients to resources but do not secure housing directly.

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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 is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

Correct Answer is A

Explanation

A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the effects of adverse childhood experiences (ACES) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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A nurse is reinforcing teaching with a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include?

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?

A nurse is caring for a client who has a mental illness and is without housing. The nurse should identify that which of the following interprofessional team members can help the client find housing?

Which situation is an exception to the rule of maintaining patient confidentiality?

A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

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?