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 B
Explanation
Choice A rationale:
The client’s provider’s testimony about the client’s condition requiring a different method of moving her is relevant but does not legally determine the nurse’s liability.
Choice B rationale:
The standard that will legally determine the nurse’s liability is how a reasonably prudent nurse would have performed under the same circumstances. This is the principle of reasonable care, which is used in negligence cases.
Choice C rationale:
While an expert nurse’s description of how the situation could have been handled differently is informative, it does not legally determine the nurse’s liability.
Choice D rationale:
The plaintiff’s attorney’s statement that the nurse could have prevented the client’s injury is an assertion, not a legal standard for determining liability.
Correct Answer is D
Explanation
Choice A rationale:
Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. It’s not a stress-related disorder.
Choice B rationale:
Acute stress disorder (ASD) occurs immediately after a traumatic event, not a year later.
Choice C rationale:
Episodic acute stress involves frequent bouts of stress, not flashbacks of a traumatic event.
Choice D rationale:
Posttraumatic stress disorder (PTSD) is a disorder characterized by failure to recover after experiencing or witnessing a terrifying event. The condition may last months or years, with triggers that can bring back memories of the trauma accompanied by intense emotional and physical reactions, such as flashbacks, as described in the scenario.
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