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 C

Explanation

A. “Clients must always have a family member present during treatment to ensure their rights are protected.” Clients have the right to privacy and do not require a family member’s presence for treatment unless legally mandated (e.g., minors).

B. "Clients cannot be discharged without their consent, even if they are no longer a risk to themselves or others." Clients can be discharged when they are no longer a risk, even if they disagree, unless under a legal hold.

C. "Clients have the right to refuse medication unless a court order mandates it." Clients have the right to refuse treatment unless a court order requires medication for safety or competency.

D. "All client interactions must be recorded, even if they are informal and unrelated to their care plan." Only relevant, objective, and care-related information should be documented, as excessive documentation can violate privacy.

A. Splitting B. Denial C. Displacement D. Repression

Correct Answer is B

Explanation

A. Splitting : Splitting is a defense mechanism where a person sees others as all good or all bad, which is not evident in this scenario.

B. Denial: Denial is refusing to accept reality as a way to cope with distress. The client rejects the prognosis and insists on recovery despite medical evidence.

C. Displacement : Displacement is shifting emotions onto a less threatening target (e.g., being angry at a nurse instead of at the bad news).

D. Repression : Repression is unconsciously blocking out distressing thoughts rather than actively rejecting the reality of a loved one’s condition.

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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

Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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 on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the Interview to invite the client to clarify feelings?

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

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

A nurse is discussing strategies to develop nurse-client therapeutic relationships with a newly licensed nurse. Which statement by the nurse accurately describes strategies for building a therapeutic relationship?

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

A nurse is assisting in the care of a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?