During a therapeutic nurse-patient relationship, when would the nurse plan to first address the issue of termination?

in the orientation phase

On the working phase

when the patient brings up the topic

in the termination phase

Answer and Explanation

The Correct Answer is D

Choice A Reason:

In the orientation phase is false. The orientation phase is focused on establishing rapport, building trust, and identifying the patient's needs and goals. It is too early to discuss termination during this phase.

Choice B Reason:

On the working phase is false. The working phase involves active problem-solving, goal attainment, and skill development. While progress is being made, it is not the appropriate time to introduce the topic of termination.

Choice C Reason:

When the patient brings up the topic is false. While it's important to be responsive to the patient's concerns, addressing the issue of termination solely based on the patient's initiation may not provide a comprehensive and planned discussion. The nurse should guide the conversation about termination at the appropriate time, considering the progress made in therapy.

Choice D Reason:

The termination phase is the final phase of the therapeutic relationship, and it involves discussing and planning for the conclusion of the therapeutic alliance. It provides an opportunity for the nurse and patient to reflect on the progress made, revisit goals, and discuss strategies for maintaining gains after the conclusion of the formal therapeutic relationship.

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Correct Answer is C

Explanation

Choice A Reason:

"Your husband is making really good progress" This statement assumes a positive or negative judgment about the husband's progress without first understanding the spouse's concerns. It may not address the spouse's immediate emotional needs or allow them to express their feelings.

Choice B Reason:

"Crying helps us let things out and we feel better". While this statement acknowledges the act of crying as a way to express emotions, it doesn't directly address the specific concerns of the spouse or invite further communication about the issues causing distress.

Choice C Reason:

"Tell me what is concerning you. “This is a therapeutic nursing response because it encourages the spouse to express their concerns and share their feelings. It opens up communication and allows the nurse to better understand the specific issues or worries that the spouse is experiencing. This response demonstrates active listening and a genuine interest in the spouse's perspective, fostering a supportive and empathetic therapeutic relationship.

Choice D Reason:

"Did your husband say something to upset you?" This question assumes that the spouse's distress is solely related to something the husband said. It may not be the most open-ended or empathetic way to encourage the spouse to share their concerns and might direct the focus too narrowly.

A. Increase intake of tea and coffee. B. Exercise daily for at least 20 minutes. C. Sleep until late in the morning. D. Listen to your favorite music. E. Receive a good massage.

Correct Answer is ["B","D","E"]

Explanation

Choice A Reason:

Increasing intake of tea and coffee is incorrect. While some individuals find comfort in warm beverages like tea, excessive intake of caffeinated drinks, such as coffee, can contribute to increased anxiety and disrupted sleep. It's important to moderate caffeine consumption.

Choice B Reason:

Exercising daily for at least 20 minutes is correct. Regular exercise is a well-established stress management technique. Physical activity can help reduce stress hormones and trigger the release of endorphins, promoting a sense of well-being.

Choice C Reason:

Sleeping until late in the morning is incorrect. While adequate sleep is crucial for stress management, sleeping until late in the morning might disrupt a regular sleep schedule. Consistent and quality sleep is essential for overall well-being. Establishing a consistent sleep routine is often recommended.

Choice D Reason:

Listening to your favorite music is correct. Listening to music can have a calming effect and is often used as a relaxation technique. It can help reduce stress and improve mood.

Choice E Reason:

Receiving a good massage is correct. Massage therapy is a known stress-relieving technique. It can help relax tense muscles, reduce anxiety, and promote a sense of relaxation.

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During a therapeutic nurse-patient relationship, when would the nurse plan to first address the issue of termination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse observes a client's spouse sitting alone in the waiting room crying. When approached, the spouse says. "I am really concerned about my husband. Which of the following is a therapeutic nursing response?

Correct Answer is C

Explanation

Which intervention would the nurse suggest to a patient seeking advice regarding stress management? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for an older adult client who had a cerebrovascular accident and has right-sided paralysis and aphasia. The client's son tells the nurse it is his fault because he did not insist that his mother live with him. Which of the following responses should the nurse make?

A nurse is caring for a group of clients on a mental health unit. Which of the following actions should the nurse implement to establish therapeutic relationships with the clients?

Which activity would a nurse perform in an inpatient psychiatric unit? Select all that apply. (Select All that Apply.)

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

Using Maslow's pyramid, which patient comment would the nurse respond to first?

Which cause is responsible for a patient reacting to the nurse by saying, "You are indifferent and cold, just like my mother"?

Which statement reflects an accurate understanding of when termination would first be discussed as part of the nurse-patient relationship?

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