In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

Exploitation phase

Termination phase

Orientation phase

Working phase

Answer and Explanation

The Correct Answer is D

A. Exploitation phase : This is an outdated term; it refers to a subphase of the working phase, but not specifically to goal-setting after initial goals are met.

B. Termination phase: The termination phase is when the nurse-client relationship ends and final evaluations are made, not when new goals are set.

C. Orientation phase: The orientation phase is when the initial goals and trust are established, not when new goals are set.

D. Working phase: The working phase involves active intervention and goal achievement. When initial goals are met, new ones are set, making this the best answer.

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Correct Answer is C

Explanation

A. Sharing patient information with a family member without consent. This violates patient confidentiality unless the patient has given explicit consent or the family member is a legal guardian in the case of minors or incapacitated patients.

B. Talking about patient care in a public setting where others might overhear. This breaches confidentiality and violates HIPAA regulations. Discussions about patient care should occur in private settings.

C. Releasing information to authorities if the patient poses a threat to themselves or others. Healthcare professionals are legally and ethically obligated to breach confidentiality if a patient poses a risk of harm to themselves or others. This falls under the duty to warn and protect principle.

D. Discussing patient details with another healthcare provider who is not involved in the patient's care. Only healthcare providers directly involved in the patient’s care should have access to their medical information. Sharing details with unauthorized providers is a confidentiality breach.

A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." B. "PAD is not a legally binding document, like a living will." C. "PAD is used by the majority of clients who have a mental illness." D. "PAD can include preferences for treatment, such as medications and preferred providers."

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.

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In the nurse-client relationship, which phase is characterized by the establishment of new goals after the initial goals have been met?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which situation is an exception to the rule of maintaining patient confidentiality?

Correct Answer is C

Explanation

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

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