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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: Actively listen to the client express his thoughts and feelings Identify themes of patterns of patient behavior and possible coping mechanisms Explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship 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: Termination Preinteraction Working Orientation Correct answer: Orientation Explanation: Acceptance, trust, and boundaries are established in the orientation phase of therapy. All NCLEX ResourcesRecommended textbook solutions
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Get faster at matching terms Terms in this set (32)Bethany, a nurse on the psychiatric unit, has a past history of alcoholism. She has weekly clinical supervision meetings with her mentor, the director of the unit. Which statement by Bethany to her mentor would indicate the presence of countertransference? B You are working with Allison on the inpatient psychiatric unit. Which of the following statements reflect an accurate understanding during which phase of the nurse-patient relationship the issue of termination should first be discussed? D"Allison, now that we've discussed your reasons for being here and how often we will meet, I'd like to talk about what we will do at the time of your discharge." D Your patient, Emma, is crying in your one-to-one session while telling you of her father's recent death from a car accident. Which of the following responses illustrates empathy? C Willis has been admitted to your inpatient psychiatric unit with suicidal ideation. He resides in a halfway house after being released from prison, where he was sent for sexually abusing his teenage stepdaughter. In your one-to-one session he tells you of his terrible guilt over the situation and wanting to die because of it. Which of the following responses you could make reflects a helpful trait in a therapeutic relationship? "You are suffering with guilt over what you did. Let's talk about some goals we could work on that may make you want to keep living." D Which of the following statements are true regarding the differences between a social relationship and a therapeutic
relationship? (select all that apply): C Giving advice is done in social relationships; in therapeutic relationships giving advice is not usually therapeutic. A, C, D The nurse would NOT address which of the following goals in attempting to establish a therapeutic nurse-client relationship? C An action that is acceptable in a social relationship but not in a therapeutic relationship is giving advice According to Rogers, a synonym for genuineness is congruence. congruence. The phase of the nurse-client relationship that may cause anxieties to reappear and past losses to be reviewed is the termination phase. termination phase When a nurse is biased against a client, those feelings will likely make it difficult to view the client with positive regard. view the client with positive regard. To help a client develop his or her resources, the nurse must first be
aware of the client's strengths. One of the possible sources of boundary violations is placing the focus on meeting the nurse's needs. In the process of trying new values, which step shows the highest commitment to the value? Consistently acting in ways that repeatedly affirm the value Consistently acting in ways that repeatedly affirm the value When a nurse and client meet informally or have an otherwise limited but helpful relationship, the relationship is referred to as a(n) therapeutic encounter. Correct during what stage of the therapeutic nurse-client relationship is a formal or informal contract between the nurse and client established? Orientation Orientation Correct The primary difference between a social and a therapeutic relationship is the type of responsibility involved. type of responsibility involved. Correct A client states "That nurse nevers seems comfortable
being with me." The nurse can be described as not seeming genuine to the client. Correct The pre-orientation phase of the nurse-client relationship is characterized by the nurse's focus on self-analysis of strengths, limitations, and feelings. . self-analysis of strengths, limitations, and feelings. The orientation phase of the nurse-client relationship focuses on the nurse and client identifying client needs. the nurse
and client identifying client needs. Correct Client reactions of intense hostility or feelings of strong affection toward the nurse are common forms of transference. transference. Correct The outcome of the nurse's expressions of sympathy instead of empathy toward the client often leads to decreased client communication. decreased client communication. Correct The use of empathy and support
begins in the stage of the nurse-client relationship termed the orientation stage. A client reports that her mother-in-law is very intrusive. The nurse responds, "I know how you feel. My mother-in-law is nosy, too." The nurse is demonstrating countertransference. countertransference. Correct A client tells the nurse "I really feel close to you. You are like the friend I never had." The nurse can assess this statement as indicating the client may be experiencing positive transference. positive
transference. CorrecT The nurse is finding it difficult to provide structure and set limits for a client. The nurse should self-evaluate for boundary blurring. Correct ATI Chapter 5 ... 1. A client says to a nurse, "Why should I talk to you? Everybody knows talking doesn't help!" Which of D. "I'm here to talk with you about your
concerns." 2. A nurse is caring for a client who follows her around the unit and tries to engage her in conversation, C. Inability to accept limits 3. Which of the following are characteristics of the nurse-client relationship? (Select all that apply.) It is goal-directed. X It is goal-directed. 4.
The termination phase of the nurse-client relationship focuses on which of the following? A. Discussing ways to use new behaviors 5. A nurse is orienting a new client to an inpatient mental health unit. When explaining the unit's C. "You and the other clients will meet with staff to discuss activities, problems, and other things of interest to all." C. "You and the other clients will meet with staff to discuss activities, problems, and other things of interest to all." Community meetings include both staff and clients on a unit. Any topic of interest to the entire group may be discussed, including problems, future activities, and meeting new clients 6. A client who is newly admitted to the acute care mental health unit has a DSM-IV-TR Axis I diagnosis B. Structured activities with staff Sets with similar termsVaracalis Mental Health Chapter 815 terms coleen_acosta-hauth 2204 Relationship Development23 terms tadder93 Sets found in the same folderMental Health Chapter 7 and ATI Chapter 130 terms iluvmy3gals PSYCH CHAPTER 915 terms madisonhouskamp ch2071 terms vikpop Chapter 625 terms smstrait Other sets by this creatorEpi5 terms iluvmy3gals EPI Chapter 1-411 terms iluvmy3gals Epi chapter 2-44 terms iluvmy3gals Policy15 terms iluvmy3gals Other Quizlet setsPsych Quiz #154 terms jazzilou Community Final140 terms lewisa314 Psych ch 921 terms Roba1999 Loss, Grief and dying PrepU14 terms taylorpoore Related questionsQUESTION What does the mob do in revenge for Caesar's death? 15 answers QUESTION What is the median age for all cancers? 7 answers QUESTION How do you calculate marginal revenue? 15 answers QUESTION A nurse reviews the clients electrolyte laboratory report and notes that the potassium level is 3.2. What would the nurse most likely note on the electrocardiogram As a result of the lab value? 15 answers What is the orientation phase of the nurse patient relationship?The orientation phase is the period when the nurse and patient first meet and goals are set. The goal of the orientation phase is to build trust and respect.
What is the most important information the nurse should share with the patient during orientation phase?3. What is the most important information the nurse should share with the patient during the orientation phase? A During the orientation phase the nurse shares his or her name, credentials, and extent of responsibilities.
What is most important for the nurse to do during the orientation phase of developing a therapeutic relationship with a client?What is most important for the nurse to do during the orientation phase of developing a therapeutic relationship with a client? Ask what name the client would like to be called.
What does a nurse do during the orientation phase of a helping relationship quizlet?In the orientation phase of building a helping relationship, the nurse should closely observe the patient and prioritize the patient's problems. The nurse should create a warm and empathetic conversation and work to understand the patient's behavior.
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