A nurse is building a therapeutic relationship with a client who has an eating disorder. Which of the following activities should the nurse initiate during the orientation phase?
Mutually deciding and agreeing on the goals of the relationship.
Teaching and encouraging the use of problem-solving skills.
Discussing the incorporation of new strategies into daily life.
Evaluating the effectiveness of coping mechanisms.
The Correct Answer is A
Choice A reason: The orientation phase focuses on establishing trust, defining roles, and setting goals collaboratively. This sets the foundation for therapeutic engagement.
Choice B reason: Teaching problem-solving skills is more appropriate during the working phase when interventions are actively implemented.
Choice C reason: Incorporating strategies into daily life occurs later in the relationship, typically during the working or termination phase.
Choice D reason: Evaluation of coping mechanisms is part of the working or termination phase, not the initial orientation phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Assessing social support is important but not the priority when suicide risk is suspected.
Choice B reason: Assessing for a plan is critical but should follow confirmation of current suicidal ideation.
Choice C reason: Past attempts are relevant for risk stratification but secondary to current ideation.
Choice D reason: Determining current suicidal thoughts is the first and most urgent step in suicide risk assessment to guide immediate safety interventions.
Correct Answer is D
Explanation
Choice A reason: Equal time allocation is part of equitable care but does not reflect advocacy, which involves active representation of client interests.
Choice B reason: Providing emotional support is compassionate but not advocacy unless it involves acting on the client’s behalf.
Choice C reason: Educating clients is essential but is a standard nursing role. Advocacy involves going beyond education to ensure client preferences are honored.
Choice D reason: Speaking on behalf of the client to ensure their treatment preferences are respected exemplifies advocacy. It protects autonomy and supports informed decision-making.
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