Which patient action should a nurse expect during the working phase of the nurse
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 patient should be admitted to the hospital The treatment should revisit the working phase This behavior is common for a client in the termination phase The nurse has done something to offend the client 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: Explore personal ideas, stereotypes, and biases that my affect the nurse-client relationship Establish acceptance, trust, and boundaries Identify themes of patterns of patient behavior and possible coping mechanisms Actively listen to the client express his thoughts and feelings 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 Preinteraction Working Termination Correct answer: Orientation Explanation: Acceptance, trust, and boundaries are established in the orientation phase of therapy. All NCLEX Resources A nurse assesses a confused older adult. The nurse experiences sadness and reflects, “The patient is like one of my grandparents—so helpless.” Which response is the nurse demonstrating? ANS: B Which statement shows a nurse has empathy for a patient who made a suicide
attempt? ANS: A After several therapeutic encounters with a patient who recently attempted suicide, which occurrence should cause the nurse to consider the possibility of
counter-transference? ANS: C A patient says,
“Please don’t share information about me with the other people.” How should the nurse respond? ANS: A A nurse is talking with a patient, and 5 minutes remain in the session. The patient has been silent most of the
session. Another patient comes to the door of the room, interrupts, and says to the nurse, “I really need to talk to you.” What should the nurse do? ANS: D Termination of a therapeutic nurse–patient relationship has been successful when the nurse does which of the following? ANS: C What is the desirable outcome for the orientation stage of a nurse–patient
relationship? The patient will demonstrate behaviours that indicate which of the following? ANS: C During which phase of the nurse–patient relationship can the nurse anticipate that identified patient issues will be explored and resolved? ANS: C At what point in the nurse–patient relationship should
a nurse plan to first address termination? ANS: A A nurse introduces the matter of a contract during the first session with a new patient
because of which of the following? ANS: B As a nurse escorts a patient being discharged after treatment for major depression, the patient
gives the nurse a necklace with a heart pendant and says, “Thank you for helping mend my broken heart.” Which is the nurse’s best response? ANS: C
Which remark by a patient indicates passage from orientation to the working phase of a nurse–patient relationship? ANS: D A nurse explains to the family of a mentally ill patient how a nurse–patient relationship differs from social relationships. Which is the best explanation? ANS: A
A
nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. Which of the following should the nurse do? ANS: B A nurse caring for a withdrawn, suspicious patient recognizes development of feelings of anger toward the patient. Which of the following should the nurse do? ANS: D A nurse wants to enhance growth of a patient by showing positive regard. The nurse’s action most likely to help achieve this goal is which of the following? ANS: B A patient says, “I’ve done a lot of cheating and
manipulating in my relationships.” Select a nonjudgemental response by the nurse. ANS: A A patient says, “People should be allowed to commit suicide without interference from others.” A nurse replies, “You’re wrong. Nothing is bad enough to justify death.” What is the best analysis of this interchange? ANS: D Which issues should a nurse address during the first interview with a patient with a psychiatric disorder? ANS: C An advanced-practice
nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing counter-transference. Which comment by the new nurse confirms this suspicion? ANS: B Which of the following behaviours shows that a nurse values autonomy? ANS: C As a nurse discharges a patient, the patient gives the nurse a card of appreciation made in an arts and crafts group. What is the nurse’s best action? ANS: A A patient says, “I’m still on restriction, but I want to attend some off-unit activities. Would you ask the doctor to change my privileges?” What is the nurse’s best response? ANS: C A community mental health nurse has worked with a patient for 3 years but is moving
out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship? ANS: A As a patient diagnosed with a mental illness is being discharged from a facility, a nurse
invites the patient to the annual staff picnic. What is the best analysis of this scenario? ANS: B A nurse says, “I am the only one who truly understands this patient. Other staff members are too critical.” The nurse’s statement indicates which of the following? ANS: A Which descriptors exemplify consistency regarding nurse–patient relationships? Select all that apply. ANS: B, C, D A nurse ends a relationship with a patient. Which actions by the nurse should be included in the termination phase? Select all that apply. ANS: A, B A novice psychiatric nurse has a parent with bipolar disorder. This nurse angrily recalls feelings of embarrassment about the parent’s behaviour in the community. Select the best ways for this nurse to cope with these feelings. Select all that apply. ANS: A, E A novice nurse tells a mentor, “I want to convey to my patients that I am interested in them and that I want to listen to what they have to say.” Which behaviours will be helpful in meeting the nurse’s goal? Select all that apply. ANS: B, D, E What is the working phase of the nursing process?Working 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.
What tasks are included during the working phase of the nurseDuring the working phase, you will gather data and identify and practice problem-solving skills and coping skills with your patient. You will provide education to the patient, and then evaluate the progress being made towards the agreed-upon goals.
What is the main goal of the working phase of the nurseThe goal of the working phase of the nurse-client therapeutic relationship is to resolve client problems by promoting behavioral change.
|