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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Regression is a return to earlier stages of development and abandoned forms of gratification brought on by stressful situations, such as hospitalization. Bedwetting in a 7-year-old child who is hospitalized is an example of regression.

Choice B rationale:

Despair is a stage of psychosocial development in Erikson’s theory, not a type of incontinence.

Choice C rationale:

Protest is a stage in Bowlby’s theory of attachment, not a type of incontinence.

Choice D rationale:

Detachment is also a stage in Bowlby’s theory of attachment, not a type of incontinence.

A. Sitting with the hands in the lap and the legs uncrossed. B. Staring out the window while answering questions. C. Shaking the head no when responding to closed questions. D. Waving the hands around when responding to 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.

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You are beginning a therapeutic relationship with a patient.Which action would you take during the orientation phase of this relationship?

Nursing Test Bank

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You are beginning a therapeutic relationship with a patient.
Which action would you take during the orientation phase of this relationship?