A nurse in a mental health facility is contributing to the plan of care for a new client. Which of the following actions should the nurse plan to include in the working phase of the nurse-client relationship?

Determine whether the client's goals are met.

Collect data about the client's current health status.

Provide the client with information on problem-solving.

Establish a regular meeting time with the client.

Answer and Explanation

The Correct Answer is C

Choice A reason: Determining whether the client's goals are met is part of the evaluation phase of the nurse-client relationship. This phase comes after the working phase and focuses on assessing the outcomes of the interventions and the progress made toward achieving the client's goals.

Choice B reason: Collecting data about the client's current health status is typically part of the assessment phase, which occurs at the beginning of the nurse-client relationship. During this phase, the nurse gathers comprehensive information about the client's physical, psychological, and social health to inform the care plan.

Choice C reason: Providing the client with information on problem-solving is an essential component of the working phase of the nurse-client relationship. During this phase, the nurse and client work collaboratively to address issues, develop coping strategies, and implement interventions aimed at improving the client's mental health. Teaching problem-solving skills helps empower the client to manage their condition effectively.

Choice D reason: Establishing a regular meeting time with the client is part of the orientation phase of the nurse-client relationship. In this initial phase, the nurse and client get to know each other, build rapport, and establish the parameters for the relationship, including setting up regular meetings.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: Encouraging the client to participate in a board game may be helpful for social interaction and engagement, but it is not the most appropriate intervention to address hostile verbal outbursts. Engaging in activities like board games can be beneficial for overall mental health, but the immediate issue of managing aggression requires more direct strategies.

Choice B reason: Touching the client on the shoulder to console them is not advisable in this situation. Physical contact can be misinterpreted by clients with schizophrenia and may escalate their agitation or aggression. It is important to maintain personal boundaries and use verbal communication to convey support and reassurance.

Choice C reason: Bringing a security guard whenever approaching the client can create an atmosphere of fear and mistrust. It is important to establish a therapeutic relationship built on trust and respect. While safety is a priority, using calm communication and de-escalation techniques is preferable to prevent hostile behavior.

Choice D reason: Using a calm, clear tone when speaking to the client is an effective intervention for managing hostile verbal outbursts. Calm communication helps de-escalate the situation and prevents further agitation. It shows the client that the nurse is in control and can provide a stable, reassuring presence, which is essential for building trust and maintaining a therapeutic environment.

A. "I will be informing the provider about this conversation." B. "You should continue this conversation in a private place." C. "It is an invasion of privacy to discuss that information." D. "If you are going to talk about a client in public, do not use their name."

Correct Answer is C

Explanation

Choice A reason: Informing the provider about the conversation might be necessary if there are concerns about confidentiality breaches, but it does not address the immediate issue of discussing private patient information in a public place. The charge nurse's first responsibility is to stop the inappropriate discussion and remind the staff nurse about the importance of maintaining patient privacy.

Choice B reason: While continuing the conversation in a private place is better than discussing it in a public hallway, the staff nurse should not be discussing private patient information unless it is necessary for the patient's care. The charge nurse should emphasize the importance of confidentiality and ensure that such conversations occur only when necessary and in appropriate settings.

Choice C reason: This response directly addresses the issue of discussing private patient information and reinforces the importance of maintaining confidentiality. By stating that it is an invasion of privacy to discuss the information, the charge nurse makes it clear that such conversations are inappropriate and should not occur.

Choice D reason: Telling the staff nurse not to use the client's name in public discussions misses the broader point about confidentiality. Even without using a name, discussing specific details about a patient's condition or admission can still breach their privacy. The charge nurse should emphasize the importance of not discussing patient information in public settings at all.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in a mental health facility is contributing to the plan of care for a new client. Which of the following actions should the nurse plan to include in the working phase of the nurse-client relationship?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief, hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend?

Correct Answer is D

Explanation

A charge nurse overhears a staff nurse talking to a nurse from another unit in the hallway. The staff nurse says, "I heard that Mr. Smith was admitted for a suicide attempt." Which of the following responses should the charge nurse make?

Correct Answer is C

Explanation

A nurse is collecting data from a group of clients in an acute care mental health facility. For which of the following findings should the nurse be most concerned regarding individual client safety?

A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply.)

A nurse is working with a group of clients during group therapy. For which of the following client disorders will setting limits serve as an appropriate behavioral management technique?

A nurse is monitoring a client who is receiving haloperidol. Which of the following findings is the priority to report to the provider?

A nurse is preparing to discharge a client who has depression. Which of the following information should the nurse plan to reinforce with the client regarding relapse?

A nurse is assisting with the involuntary admission of a client who has an anxiety disorder and is unable to meet their basic physical needs. Which of the following statements should the nurse make to the client?

A nurse is caring for a client who has chronic alcohol use disorder. Which of the following laboratory findings should the nurse monitor to evaluate the client's nutritional status?