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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Nurses should focus on clients' cultures, rather than their ethnicity, when providing care: Cultural competence involves understanding and respecting the beliefs, values, practices, and customs of different cultures. It is important for nurses to recognize that culture extends beyond ethnicity and encompasses various aspects such as religion, language, socioeconomic status, and more. By focusing on clients' cultures, nurses can provide care that is sensitive and tailored to their unique needs and preferences.

The following are incorrect:

Nonverbal communication is important in many cultures: Nonverbal communication, including body language, facial expressions, and gestures, plays a significant role in communication across cultures. Different cultures may have specific nonverbal cues and interpretations. Nurses

should be aware of these variations and understand how nonverbal communication impacts their interactions with clients. By being attentive to nonverbal cues, nurses can enhance communication, build trust, and promote effective care.

Nurses should not expect clients to adapt to the care provided regardless of culture: Culturally competent care acknowledges and respects the diversity of clients' cultural backgrounds. It is important for nurses to recognize that clients' cultural beliefs, values, and practices may influence their healthcare preferences and decisions. Nurses should strive to provide care that is congruent with clients' cultural values and preferences, rather than expecting them to adapt entirely to a standardized approach. This promotes patient-centered care and enhances client satisfaction and outcomes.

"Culture plays no role in determining when a client will seek medical care" is incorrect. Culture significantly influences an individual's healthcare-seeking behaviors, including beliefs about illness, preventive care practices, and help-seeking patterns. Understanding these cultural factors is essential for nurses to provide appropriate and effective care.

A. The client will have stabilization and management of symptoms. B. The client will have an improvement in the quality of life. C. The client will return to prior level of functioning D. The client will be adherent to the medication regimen.

Correct Answer is B

Explanation

a.Stabilization and management of symptoms are critical goals for any client with schizophrenia. However, in psychiatric rehabilitation, the focus goes beyond merely stabilizing symptoms. The goal is often to enhance the client’s ability to function in daily life and improve their overall well-being, not just manage symptoms.

b.The primary outcome of a psychiatric rehabilitation program is to help clients improve their overall quality of life. This includes helping them develop skills for independent living, managing their symptoms effectively, enhancing social interactions, and improving their sense of purpose and well-being.

c.In cases of chronic mental health conditions like schizophrenia, it may not always be realistic or possible for clients to return to their prior level of functioning before the onset of the illness. The focus is more on helping the client achieve the best possible level of functioning within the limits of their condition, rather than returning to a specific previous state.

d.While medication adherence is crucial in the treatment of schizophrenia, it is just one component of managing the condition. Psychiatric rehabilitation is a holistic process that includes psychosocial interventions, skills training, and social support. Medication adherence supports symptom management, but it is not the primary outcome.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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