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A. Exploitation phase : This is an outdated term; it refers to a subphase of the working phase, but not specifically to goal-setting after initial goals are met.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

Explanation

A. Nonmaleficence: Nonmaleficence means "do no harm," which is not the main principle demonstrated here.

B. Justice: Justice refers to fairness in care and treatment distribution, which is not relevant to keeping a promise.

C. Beneficence: Beneficence involves actions that promote the well-being of a client, but this scenario specifically demonstrates truthfulness.

D. Veracity: Veracity refers to truthfulness and honesty. The nurse demonstrated veracity by keeping their promise and returning with the medication as stated.

A. Cultural humility B. Countertransference C. Transference D. Professional competency

Correct Answer is B

Explanation

A. Cultural humility involves recognizing and respecting differences in beliefs and values while maintaining self-awareness. It does not explain erratic emotional responses.

B. Countertransference occurs when a nurse projects personal emotions onto a client, leading to overinvolvement (excessive kindness) or negative reactions (hostility). This can affect professional boundaries and care.

C. Transference occurs when a client unconsciously transfers feelings about past relationships onto the nurse (e.g., treating the nurse as a parental figure). This is the reverse of countertransference.

D. Professional competency refers to maintaining clinical skills and ethical behavior. Displaying inconsistent emotional responses toward a client is not an example of competency.

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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

A nurse tells a patient that they will return in 30 minutes with their medication. The nurse returns 30 minutes later with the patient's medication. Which ethical principle is she demonstrating?

Correct Answer is D

Explanation

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Correct Answer is B

Explanation

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?

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 interviewing a client who has a substance use disorder. Which of the following client behaviors indicates that the nurse has successfully evoked the client's motivation?

Which of the following describes a team of mental health LPNs and RNs who work together to provide client care?

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

A nurse arranges for an aid to sit with a client overnight to avoid the use of restraints. The nurse should identify that this as an example of which of the following ethical principles?

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