A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

Inform the client about confidentiality rights.

Evaluate progress toward predetermined goals.

Establish boundaries between the nurse and the client.

Set short- and long-term objectives for the future.

Answer and Explanation

The Correct Answer is B

A.   Confidentiality rights are typically discussed during the orientation phase of the therapeutic relationship, not the working phase.
B.   The working phase involves collaboration between the nurse and client to achieve goals. Evaluating progress is a key aspect of this phase.
C.   Establishing boundaries is a task typically accomplished during the orientation phase, when the nurse and client are first getting to know each other.
D.   Setting objectives is part of the initial phase of establishing the relationship and developing a treatment plan, not the working phase where action takes place.

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Correct Answer is C

Explanation

A. Discussing the provider's goals might not address the client’s reasons for non-adherence and could be seen as dismissive.
B. Prescribing another medication without addressing the reasons for non-adherence may not solve the underlying problem.
C. Asking about adverse effects shows empathy and provides an opportunity to address concerns and encourage adherence.
D. Threatening hospitalization is not therapeutic and may make the client more resistant to taking the medication.

A. Recommend that the client try to sleep during the day when it is quieter. B. Turn on the client's television at night to cover up environmental noises. C. Keep conversations and activities to a minimum during the nighttime. D. Tell the client that they will eventually get used to people talking at night

Correct Answer is C

Explanation

A. Encouraging the client to sleep during the day may disrupt their circadian rhythm and is not a sustainable solution. The nurse should aim to address the environmental issue rather than shift the client's sleep schedule.
B. While white noise can help mask environmental sounds, it may not be an ideal solution for an inpatient setting where noise levels may need to be reduced overall for all patients.
C. Reducing noise during nighttime is a proactive and appropriate intervention to help the client sleep better. Minimizing activities and conversation during quiet hours can promote rest and improve sleep quality.
D. This statement is dismissive of the client's concern and does not offer a constructive solution. It is important to address the specific issue rather than suggest the client simply "get used to it."

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Body system	Findings
Neurological	Impaired cognition Insomnia Seizures
Cardiovascular	Increased blood pressure Increased heart rate Diaphoresis
Gastrointestinal	Lack of appetite Vomiting
Musculoskeletal	Tremulousness Malaise

A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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