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:
Adhering to standard approaches when providing care may not consider the unique cultural needs of the patient, which can lead to ineffective care.
Choice B rationale:
Encouraging the patient to talk about their culture allows the healthcare provider to gain insight into the patient’s beliefs and practices, which can guide culturally competent care.
Choice C rationale:
While physical needs are important, they are not the only aspect of care. Cultural needs also play a significant role in a patient’s health and wellbeing.
Choice D rationale:
While an interpreter can provide valuable information about a culture, it is more beneficial to hear directly from the patient about their personal cultural practices and beliefs.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Immunization for influenza is recommended for older adults because they are at higher risk for complications from the flu.
Choice B rationale:
Annual visual acuity screening is important to detect vision problems early and prevent further deterioration.
Choice C rationale:
Using lotions with an SPF of 15 or higher can protect the skin from harmful UV rays and prevent skin cancer.
Choice D rationale:
Reducing calcium intake is not recommended for older adults as they need it to maintain bone health.
Choice E rationale:
Yearly blood pressure screening is crucial to detect hypertension early and manage it effectively.
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