In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

Exploitation phase

Termination phase

Orientation phase

Working phase

Answer and Explanation

The Correct Answer is D

A. Exploitation phase : This is an outdated term; it refers to a subphase of the working phase, but not specifically to goal-setting after initial goals are met.

B. Termination phase: The termination phase is when the nurse-client relationship ends and final evaluations are made, not when new goals are set.

C. Orientation phase: The orientation phase is when the initial goals and trust are established, not when new goals are set.

D. Working phase: The working phase involves active intervention and goal achievement. When initial goals are met, new ones are set, making this the best answer.

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Correct Answer is D

Explanation

A. Begins to discuss how their partner and children are important to them. While discussing relationships is valuable, it does not necessarily indicate readiness for behavior change.

B. Asks to change the topic during the interview process. Changing the topic may indicate discomfort or resistance rather than engagement.

C. Requests more information about treatment options. While curiosity about treatment is positive, it does not necessarily indicate commitment to change.

D. Discusses reasons for making a behavior change. When a client verbalizes reasons for change, it shows they are actively considering taking action, which is a key goal of motivational interviewing.

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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In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who is contemplating a behavior change. According to the processes of Motivational Interviewing, which of the following client behaviors indicates that the nurse has successfully engaged with the client?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?

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A nurse is discussing torts with a newly licensed nurse. Which of the following information should the nurse include?

Which phase of the nurse-client relationship involves establishing trust and rapport with the client?

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

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A nurse is interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?