What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate
rapport and trust with the nurse.
self-responsibility and autonomy.
a greater sense of independence.
resolved transference.
The Correct Answer is A
A. The orientation stage focuses on establishing trust, building rapport, clarifying roles, and setting boundaries. Developing trust and rapport is essential before deeper therapeutic work can occur.
B. Self-responsibility and autonomy are outcomes seen later in the working/termination phases as the patient gains insight and coping skills.
C. A greater sense of independence is expected as the therapeutic relationship progresses, not in the orientation stage.
D. Transference (patient projecting feelings onto the nurse) may occur at any phase and is addressed in the working phase, not resolved in orientation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clients experiencing grandiose thinking during acute mania often have inflated self-esteem and unrealistic ideas of ability or importance, making controlling or monitoring their thoughts a priority nursing outcome.
B. While sleep disturbances are common in mania, this outcome does not directly address grandiose thinking.
C. Increased engagement in the environment may occur, but it is not the primary expected outcome for controlling grandiose thoughts.
D. Optimism may be present, but grandiosity involves exaggerated self-perceptions rather than realistic optimism.
Correct Answer is B
Explanation
A. Neurological assessment is important, but not the priority since opioid overdose primarily causes life-threatening respiratory depression.
B. Respiratory assessment is the highest priority because opioids suppress the respiratory center, leading to hypoventilation, hypoxia, or apnea.
C. Hepatic assessment is not the immediate concern in acute overdose.
D. Cardiovascular assessment is necessary, but respiratory status takes precedence because airway and breathing are life-sustaining priorities.
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