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

Resolution

Exploitation

Orientation

Identification

Answer and Explanation

The Correct Answer is C

A. Resolution: The resolution phase occurs at the end of care, focusing on termination and closure, not trust-building.

B. Exploitation: This is not a formal phase of the nurse-client relationship in Peplau’s model; the term is outdated and not appropriate.

C. Orientation: The orientation phase is when the nurse establishes trust and rapport with the client.

D. Identification: The identification phase is when the client begins to recognize the nurse’s role in their care, but trust has already been established.

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Correct Answer is C

Explanation

A. Asks about more information related to community support groups. While seeking information is helpful, it does not necessarily indicate internal motivation for change.

B. Writes a list of people who are important in their life. This is a positive step but does not necessarily demonstrate motivation for behavior change.

C. Reports that having family support is the reason for their confidence in changing. Expressing confidence in change due to family support shows personal motivation and a commitment to recovery.

D. Requests to end the interview early. Ending the interview early may indicate resistance or disengagement rather than motivation for change.

A. Implied consent cannot be assumed if a client is unable to communicate their wishes in an emergency situation. B. A nurse can explain the benefits and risks of treatment to a client to obtain informed consent. C. Informed consent must include information about potential alternative treatments that are available to the client. D. Implied consent cannot be assumed until a client verbalizes their desire to receive treatment.

Correct Answer is C

Explanation

A. "Implied consent cannot be assumed if a client is unable to communicate their wishes in an emergency situation." In emergencies, implied consent is assumed if immediate treatment is necessary to prevent harm.

B. "A nurse can explain the benefits and risks of treatment to a client to obtain informed consent." Only the provider (physician, NP, or PA) can obtain informed consent; the nurse can reinforce and clarify information but not obtain it.

C. "Informed consent must include information about potential alternative treatments that are available to the client." Informed consent requires the provider to discuss potential alternative treatments, risks, benefits, and consequences of refusal.

D. "Implied consent cannot be assumed until a client verbalizes their desire to receive treatment." Implied consent can be assumed based on actions, such as extending an arm for a blood draw.

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

Nursing Test Bank

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