A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?

Identifying possible solutions for the client's problems

Encouraging the client to clarify feelings and behavior

Referring the client to a self-help group

Comparing past and present coping strategies

Answer and Explanation

The Correct Answer is B

A. Identifying possible solutions for the client's problems:
While identifying possible solutions is an important aspect of problem-solving and goal-setting in therapy, it is not the primary focus during the working phase of a therapeutic relationship. The focus is more on exploring and understanding the client's problems, feelings, and behaviors before moving on to generating and evaluating potential solutions.

B. Encouraging the client to clarify feelings and behavior.
During the working phase of a therapeutic relationship, the nurse's role is to facilitate the exploration of the client's problems, emotions, thoughts, and behaviors. Encouraging the client to clarify their feelings and behaviors helps them gain insight into their challenges, triggers, and coping mechanisms, which is essential for problem exploration and resolution. This action promotes self-awareness, reflection, and deeper understanding of the issues at hand, leading to more meaningful discussions and therapeutic progress.

C. Referring the client to a self-help group:
Referring the client to a self-help group can be beneficial for ongoing support, peer connection, and learning from others' experiences. However, during the working phase of a therapeutic relationship, the emphasis is on individual exploration, understanding, and processing of problems within the therapeutic context before considering external resources like self-help groups.

D. Comparing past and present coping strategies:
Comparing past and present coping strategies can provide valuable insights into the client's progress, strengths, and areas for growth. However, this action is more relevant to the assessment and evaluation phases of therapy rather than the working phase focused on exploring and addressing current problems and challenges.

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Correct Answer is A

Explanation

A. Parent Surrogate: A parent surrogate refers to someone who acts as a substitute or stand-in for a parent, making decisions and providing care in the absence of the actual parent. While nurses may provide parental guidance and support, especially in therapeutic settings for adolescents, imposing consequences for rule-breaking is not necessarily acting as a parent surrogate.

B. Caregiver: A caregiver is someone who provides physical and emotional care to individuals in need, such as patients or clients in healthcare settings. While nurses do fulfill the role of caregivers by providing support and meeting the needs of their patients, imposing consequences for rule-breaking is not primarily an aspect of the caregiver role.

C. Advocate: An advocate is someone who speaks up on behalf of another person to ensure their rights, preferences, and well-being are respected and promoted. While nurses do advocate for their patients in various ways, such as advocating for their healthcare needs or treatment preferences, imposing consequences for rule-breaking is not typically considered an advocacy role.

D. Teacher: A teacher is someone who imparts knowledge, skills, and guidance to others, typically in an educational or instructional setting. While nurses may provide education and guidance to their patients, especially regarding health-related topics, imposing consequences for rule-breaking is not directly related to the role of a teacher.

Correct Answer is ["2"]

Explanation

To calculate the number of vials needed to prepare the ordered dose of lorazepam 3 mg IV using the injectable form with a concentration of 2 mg/mL, we can use the formula:

Number of vials = Ordered dose divided by concentration per vial

Given:

Ordered dose of lorazepam: 3 mg IV

Concentration of lorazepam in each vial: 2 mg/mL

Plugging in the values:

Number of vials = 3 mg divided by 2 mg/mL

Number of vials = 1.5 vials

Since each vial contains 1 mL, and the ordered dose is 3 mg IV, the nurse will need to retrieve 1.5 mL of lorazepam. This means the nurse will need 2 vials (rounded up from 1.5 vials).

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A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is ["2"]

Explanation

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