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
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A. Exploitation phase : This is an outdated term; it refers to a subphase of the working phase, but not specifically to goal-setting after initial goals are met.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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Related Questions
Correct Answer is C
Explanation
A. "Implied consent cannot be assumed if a client is unable to communicate their wishes in an emergency situation." In emergencies, implied consent is assumed if immediate treatment is necessary to prevent harm.
B. "A nurse can explain the benefits and risks of treatment to a client to obtain informed consent." Only the provider (physician, NP, or PA) can obtain informed consent; the nurse can reinforce and clarify information but not obtain it.
C. "Informed consent must include information about potential alternative treatments that are available to the client." Informed consent requires the provider to discuss potential alternative treatments, risks, benefits, and consequences of refusal.
D. "Implied consent cannot be assumed until a client verbalizes their desire to receive treatment." Implied consent can be assumed based on actions, such as extending an arm for a blood draw.
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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