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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. This statement reflects normal grief and sadness, which are part of the bereavement process. It does not necessarily indicate clinical depression but a recognition of the mourning process.
B. This statement suggests a normal grief response where anger is directed outward. It does not immediately indicate depression unless the anger is persistent and inhibits functioning.
C. This statement indicates reliance on support systems, which is a positive coping mechanism. It does not suggest clinical depression but shows that the client is still engaging in their support network.
D. Numbness is a concerning symptom that may indicate clinical depression. It suggests an emotional shutdown, which is a red flag for major depressive disorder and warrants further assessment and intervention.
Correct Answer is D
Explanation
A. Consent for medical procedures must come directly from the client if they are capable of making informed decisions. Obtaining consent from the family is not appropriate unless the client is unable to consent.
B. Having another nurse review the procedure may be helpful, but the nurse's primary responsibility is to ensure the client understands their right to make decisions about their care.
C. Encouraging the client to undergo a procedure is not appropriate when the client has expressed their refusal. The nurse should focus on exploring the client's concerns and respecting their autonomy.
D. The nurse should inform the client that they have the legal right to refuse treatment at any time, supporting the client's autonomy and providing reassurance that their decision will be respected.
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