The nurse has established a therapeutic relationship with a client. Which behaviors identified will indicate that the client has entered into the identification phase of the nurse-client relationship?
The client is sharing feelings and emotions with the nurse.
The client is attending all therapy sessions and utilizing the services provided.
The client states that they feel the issues have been resolved and no longer need to come.
The client is answering questions related to the plan of care.
The Correct Answer is A
The identification phase of the nurse-client relationship is characterized by the client feeling comfortable and secure enough to open up and share their feelings, emotions, and personal experiences with the nurse. It involves establishing trust and rapport, which allows the client to feel supported and understood by the nurse. Sharing feelings and emotions indicates that the client has reached a level of comfort and trust in the therapeutic relationship, making it a key indicator of the identification phase.
The other behaviors mentioned in the options are not specifically related to the identification phase:
● The client attending therapy sessions and utilizing services provided is an important aspect of engagement and active participation in the therapeutic process. However, it does not specifically indicate the identification phase of the relationship.
● The client stating that they feel the issues have been resolved and no longer need to come suggests the termination phase of the nurse-client relationship rather than the identification phase. The termination phase occurs when the client feels they have achieved their goals and no longer require ongoing therapy.
● The client answering questions related to the plan of care is a general indicator of communication and collaboration in the therapeutic process. It does not specifically signify the identification phase but rather active involvement in the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Assessing the carotid pulse simultaneously on both sides of the neck can potentially lead to excessive pressure on the carotid arteries, which supply blood to the brain. This pressure can compromise blood flow to the brain and result in adverse effects, such as decreased blood supply and oxygenation to the brain tissues.
In clinical practice, it is generally recommended to assess the carotid pulse unilaterally, meaning one side at a time, to ensure adequate blood flow to the brain is maintained during the assessment. This allows for a proper evaluation of the pulse without interfering with the circulatory system.
The other choice are incorrect:
Femoral: Assessing the femoral pulse bilaterally at the same time is generally considered safe. The femoral artery is located in the groin area and provides blood supply to the lower
extremities. Bilateral assessment allows for comparison of pulses and evaluation of circulation in both legs.
Popliteal: The popliteal pulse is located behind the knee. Similar to the femoral pulse, assessing the popliteal pulse bilaterally at the same time is typically safe. It allows for comparison between both legs and evaluation of lower limb circulation.
Brachial: The brachial pulse is located in the upper arm and is commonly used for blood pressure measurement in clinical settings. Assessing the brachial pulse bilaterally at the same time is generally considered safe and is routinely done during blood pressure assessment.
Correct Answer is ["2"]
Explanation
To determine the number of capsules the nurse will administer, we need to consider the dosage prescribed and the available strength of the capsules.
The prescription states: cephalexin (Keflex) 0.5 g p.o. qid (four times a day).
Given that the available strength of cephalexin capsules is 250 mg, we need to convert the prescribed dosage from grams (g) to milligrams (mg) to match the capsule strength.
1 g = 1000 mg
0.5 g = 0.5 * 1000 mg = 500 mg
Now we know that the prescribed dosage is 500 mg, and each capsule contains 250 mg.
To calculate the number of capsules needed, we divide the prescribed dosage by the strength of each capsule:
Number of capsules = Prescribed dosage / Capsule strength
Number of capsules = 500 mg / 250 mg
Number of capsules = 2
Therefore, the nurse will administer 2 capsules of cephalexin (Keflex) for each dose.
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