The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase?
Select one:

Developing realistic solutions

Built rapport and trust.

Making appropriate referrals

Identifying expected outcomes

Answer and Explanation

The Correct Answer is C

During the termination phase of the nurse-client relationship, the nurse should focus on making appropriate referrals to ensure that the client continues to receive the care and support they need after the relationship with the nurse has ended.

Option a. Developing realistic solutions is an important task during the working phase of the nurse-client relationship, when the nurse and client work together to identify and implement solutions to the client’s problems.

Option b. Building rapport and trust is an important task during the orientation phase of the nurse-client relationship, when the nurse and client get to know each other and establish a therapeutic relationship.

Option d. Identifying expected outcomes is an important task during the planning phase of the nursing process, when the nurse and client work together to set goals and develop a plan of care.

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Correct Answer is D

Explanation

This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.

Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option c. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects may require medication adjustment and monitoring for side eﬀects, but this situation is not as urgent as the client experiencing auditory hallucinations.

A. want to hurt a neighbor due to command hallucinations. B. reports hearing angels playing harps during storms. C. resumes using heroin every day while still taking treatment with methadone. D. does not show up for a very important appointment in the Mental health clinic

Correct Answer is A

Explanation

Involuntary hospitalization for mental illness is typically reserved for situations where an individual poses an immediate danger to themselves or others due to a severe mental illness. In option A, the individual is experiencing command hallucinations, which are often a symptom of a severe mental illness such as schizophrenia. The fact that they want to hurt their neighbor is a clear indication that they pose a danger to others and require emergency intervention.

Option B may indicate a mental illness such as schizophrenia or bipolar disorder, but it does not necessarily pose an immediate danger to the individual or others.

Option C may indicate a relapse in addiction, but again, it does not necessarily pose an immediate danger to the individual or others.

Option D may indicate a need for follow-up and intervention, but it does not indicate an immediate danger to the individual or others.

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The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

Correct Answer is D

Explanation

Which individual with a mental illness may need emergency involuntary hospitalization for mental illness? The individual who: Select one:

Correct Answer is A

Explanation

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The registered nurse is preparing for the termination phase of the nurse-client relationship. The registered nurse prepares to implement which nursing task that is most appropriate and most important for this phase?
Select one: