In which phase of the therapeutic relationship would the client be expected to regress and perhaps experience reemergence of symptoms or problems?
Orientation
Termination
Working
Identification
The Correct Answer is C
Choice A reason: The orientation phase is the initial stage of the therapeutic relationship where the client and therapist establish rapport, clarify roles, and set goals. It is typically marked by anxiety and uncertainty, but not regression or symptom reemergence. The client is just beginning to engage and is unlikely to show deep psychological shifts at this point.
Choice B reason: The termination phase involves ending the therapeutic relationship. While it may evoke emotional responses such as sadness or anxiety, it is not typically associated with regression or the reemergence of symptoms. Instead, it focuses on consolidating gains and planning for future coping strategies.
Choice C reason: The working phase is where the core therapeutic work occurs. This phase involves exploring painful emotions, unresolved conflicts, and maladaptive behaviors. It is common for clients to regress or experience a resurgence of symptoms during this phase as they confront difficult material. This regression is often a sign of progress, indicating that the client is engaging deeply with the therapeutic process.
Choice D reason: Identification is a subcomponent of the working phase in Peplau’s theory, where the client begins to respond selectively to those who can meet their needs. While it is part of the therapeutic process, it is not the primary phase associated with regression or symptom reemergence. The broader working phase encompasses these dynamics more fully.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Harry Stack Sullivan focused on interpersonal theory and the role of relationships in personality development, not the structural model of the psyche.
Choice B reason: Milton Erickson was known for his work in hypnotherapy and strategic therapy, not psychoanalytic theory.
Choice C reason: Erik Erikson expanded on Freud’s theories by developing psychosocial stages of development but did not originate the concepts of id, ego, and superego.
Choice D reason: Sigmund Freud introduced the structural model of the psyche, which includes the id (instinctual drives), ego (reality-oriented mediator), and superego (moral conscience).
Correct Answer is C
Explanation
Choice A reason: Coping questions focus on how the client has managed difficulties in the past or present. They aim to identify strengths and resilience, not hypothetical resolutions.
Choice B reason: Exception questions explore times when the problem did not occur or was less severe. They help identify patterns and solutions but do not involve imagining a complete resolution.
Choice C reason: Miracle questions are a hallmark of solution-focused therapy. They invite clients to envision a future without their current problems, helping to clarify goals and desired outcomes. This is the correct classification of the therapist’s question.
Choice D reason: Scaling questions ask clients to rate their experiences or progress on a numerical scale. They are used to assess intensity or change, not to imagine problem resolution.
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