You are beginning a therapeutic relationship with a patient.
Which action would you take during the orientation phase of this relationship?
Develop a plan of care.
Identify the patient's coping mechanisms.
Determine if the patient has been helped.
Ask the patient for the name they prefer.
The Correct Answer is A
Choice A rationale:
During the orientation phase, the nurse and patient get to know each other and establish a plan of care, making this the correct choice.
Choice B rationale:
Identifying the patient’s coping mechanisms is typically part of the working phase, not the orientation phase.
Choice C rationale:
Determining if the patient has been helped is part of the termination phase, not the orientation phase.
Choice D rationale:
Asking the patient for the name they prefer could be done at any time, but it is not a specific action taken during the orientation phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Sitting with the hands in the lap and the legs uncrossed indicates a relaxed and open posture, suggesting the patient is comfortable and willing to communicate.
Choice B rationale:
Staring out the window while answering questions suggests distraction or disinterest, which does not facilitate effective communication.
Choice C rationale:
Shaking the head no when responding to closed questions indicates disagreement or denial, which may hinder open communication.
Choice D rationale:
Waving the hands around when responding to questions can be a sign of agitation or excitement, which may not necessarily indicate willingness to communicate.
Correct Answer is B
Explanation
Choice A rationale:
Documenting religion as “honed” on the self-assessment form does not necessarily indicate that the patient’s religious beliefs support health promotion activities.
Choice B rationale:
Abstaining from alcohol and tobacco is a health promotion activity as it reduces the risk of various health conditions such as liver disease and lung cancer.
Choice C rationale:
Providing care for children and aging parents indicates family commitment but does not necessarily relate to health promotion activities.
Choice D rationale:
Teaching Bible study classes on Wednesday shows religious involvement but does not directly indicate support for health promotion activities.
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