All NCLEX Resources Show The client in the termination phase of the nurse-client relationship is being very confrontational. How should the nurse interpret this behavior? Possible Answers: The nurse has done something to offend the client This behavior is common for a client in the termination phase The patient should be admitted to the hospital The treatment should revisit the working phase Correct answer: This behavior is common for a client in the termination phase Explanation: Confrontational behavior is very common for a client in the termination phase. The nurse should not assume that she offended the client, and further action in terms of therapy should not be addressed until completing the termination phase. The nurse is in the orientation phase of the nurse-client relationship where the client has been sexually assaulted. During this phase, the nurse should: Possible Answers: Identify themes of patterns of patient behavior and possible coping mechanisms Explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship Actively listen to the client express his thoughts and feelings Establish acceptance, trust, and boundaries Correct answer: Establish acceptance, trust, and boundaries Explanation: During the orientation phase the nurse should establish acceptance, trust, and boundaries with the client, which will be built upon in later phases. Acceptance, trust and boundaries are established during which phase of the therapeutic nurse-client relationship? Possible Answers: Orientation Working Preinteraction Termination Correct answer: Orientation Explanation: Acceptance, trust, and boundaries are established in the orientation phase of therapy. All NCLEX Resources What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client? ANS: 1 If a client demonstrates transference toward a
nurse, how should the nurse respond? ANS: 4 What should be the priority nursing action during the orientation (introductory) phase of
the nurse-client relationship? ANS: 2 Which client action should a nurse expect during the working phase of the nurse-client relationship? ANS: 1 Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse-client relationship? ANS: 3 A mother who is notified that her child was killed in a tragic car accident states, “I can’t bear to go on with my life.” Which nursing statement conveys
empathy? ANS: 4 When an individual is “two-faced,” which characteristic essential to the development of a therapeutic relationship should a nurse identify as
missing? ANS: 2 On which task should a nurse place priority during the working phase of relationship development? ANS: 4 Which therapeutic communication technique is being used in the following nurse-client interaction? ANS:
1 Which therapeutic communication technique is being used in the following nurse-client interaction? ANS: 3 The nurse is interviewing a newly admitted psychiatric client. Which of the following nursing statements is an example of offering a “general lead”? ANS: 3 A nurse says to a client, “Things will look better tomorrow after a good night’s sleep.” This is
an example of which communication technique? ANS: 4 A client diagnosed with post-traumatic stress disorder related to a rape is admitted to an inpatient psychiatric unit for evaluation and medication stabilization. Which therapeutic communication technique might a nurse use that is
an example of “broad openings”? ANS: 2 A nurse maintains an uncrossed arm and leg posture when communicating with a client. This nonverbal behavior is reflective of which letter of the SOLER acronym for active listening? ANS: 2 An instructor is correcting a nursing student’s clinical worksheet. Which instructor statement is the best example of effective feedback? ANS: 3 What is a nurse’s purpose for providing appropriate feedback? ANS: 4 A client exhibiting dependent behaviors says, “Do you think I should move from my parent’s house and get a job?” Which
nursing response is most appropriate? ANS: 3 A mother rescues two of her four children from a house fire. In an emergency department, she cries, “I should have gone back in to get them. I should have died, not them.” What is the nurse’s best response? ANS: 2 A newly admitted client, diagnosed with obsessive-compulsive disorder (OCD), washes his hands continually. This behavior prevents unit activity attendance. Which nursing statement
best addresses this situation? ANS: 4 Which of the following characteristics should be included in a therapeutic
nurse-client relationship? (Select all that apply.) ANS: 2, 3, 4, 5 Which of the following individuals are communicating a message? (Select all that
apply.) ANS: 1, 2, 3, 4 What occurs during the working phase of the nurseWorking Phase:
The working or middle phase of the relationship is where nursing interventions frequently take place. Problems and issues are identified and plans to address these are put into action. Positive changes may alternate with resistance and/or lack of change.
What occurs during the working phase of the nurseThe working phase of the nurse-client relationship involves active participation toward goals and genuine expression of concerns and feelings. Identification of goals and relationships occurs in the orientation phase.
Which action would the nurse perform during the working phase of a helping relationship in a hospital setting?Which actions would the nurse perform during the working phase of a helping relationship? The working phase of a helping relationship involves nurses working together with patients to set their goals and encouraging them to solve their problems and express their feelings.
What are the 4 phases of nurseHildegarde Peplau describes four sequential phases of a nurse-client relationship, each characterized by specific tasks and interpersonal skills: preinteraction; orientation; working; and termination.
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