During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?

Establishing trust and rapport

Implementing interventions and treatment plans

Evaluating the effectiveness of interventions

Assessing the client's health needs

Answer and Explanation

The Correct Answer is B

A. Establishing trust and rapport: Establishing trust happens in the orientation phase, not the working phase.

B. Implementing interventions and treatment plans: The working phase focuses on active interventions, therapy, and progress toward client goals, making it the most intensive phase of the nurse-client relationship.

C. Evaluating the effectiveness of interventions: Evaluation happens in the termination phase, where progress is assessed, and the relationship is closed.

D. Assessing the client's health needs: Assessment occurs in the orientation phase, where the nurse gathers initial data and sets goals.

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Correct Answer is D

Explanation

A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.

B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.

C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.

D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.

A. Laboratory technician B. Psychiatric pharmacist C. Psychologist D. Primary provider

Correct Answer is B

Explanation

A. Laboratory technician: Laboratory technicians analyze blood, urine, and other specimens but do not specialize in medication interactions.

B. Psychiatric pharmacist: A psychiatric pharmacist specializes in psychotropic and other medications, ensuring there are no interactions between schizophrenia medications and diabetes treatments.

C. Psychologist: A psychologist provides therapy and mental health assessments but does not prescribe or manage medications.

D. Primary provider: While a primary care provider (PCP) oversees general care, a psychiatric pharmacist is the best choice for in-depth medication interaction expertise.

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During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing psychiatric advance directives (PAD) with a client. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has schizophrenia and diabetes mellitus. The nurse is reviewing a list of the dient's prescribed medications and has questions about interactions. To which of the following members of the interprofessional team should the nurse direct their questions?

Correct Answer is B

Explanation

A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?

A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

A nurse is caring for an older adult client who has dementia. The client's family member asks why the provider will not prescribe a medication to calm the client down. Which of the following statements should the nurse make?

A nurse is caring for a client who was removed from their family home as a child due to neglect. Which of the following terms is used to signify this occurrence?

In nursing, veracity refers to the nurse's obligation to provide truthful and accurate information to the client. Which of the following best describes the principle of veracity?

What is the definition of patient autonomy?