What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

Resolution phase

Identification phase

Orientation phase

Exploitation phase

Answer and Explanation

The Correct Answer is C

A. Resolution phase: The resolution phase is the final phase when the client gradually takes control of their care and prepares for discharge.

B. Identification phase: The identification phase is when the client identifies problems and begins to develop a sense of belonging with the nurse.

C. Orientation phase. The orientation phase is when the nurse collects data, assesses knowledge, establishes trust, and collaborates with the client to develop mutual goals.

D. Exploitation phase : The exploitation phase (working phase) is when the client actively engages in treatment and utilizes available resources.

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Correct Answer is C

Explanation

A. Documentation for a mental health client is a defined process based on hospital-specific requirements which highlights client care. While hospitals have policies, documentation must follow legal and ethical guidelines beyond just facility rules.

B. Documentation for a mental health client is focused on the client’s diagnosis, reason for medications, plan of care, and client progression. Documentation includes more than just diagnosis and medication, such as behavior observations, interventions, and responses.

C. Documentation for mental health clients provides a record of the nurse’s awareness of client behaviors, mental status, interventions, and client response. Comprehensive mental health documentation includes behaviors, mental status, interventions, and outcomes.

D. Documentation for a mental health client outlines the client’s therapies, treatments, and needs for discharge planning. This is part of the documentation but does not capture all aspects of mental health nursing records.

A. Projection B. Countertransference C. Empathy D. Transference

Correct Answer is D

Explanation

A. Projection is a defense mechanism where a client attributes their own feelings to someone else (e.g., “I know you don’t like me” when they actually dislike the nurse).

B. Countertransference is the nurse’s emotional reaction toward the client, not the client’s reaction to the nurse.

C. Empathy involves understanding and sharing another person’s emotions, which is not what is happening in this scenario.

D. Transference occurs when a client projects feelings about another person onto the nurse (e.g., seeing the nurse as a loved one).

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What phase of the therapeutic involves the nurse collects data, assesses knowledge, and works with the patient to develop mutual goals?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A group of nurses is discussing the purpose of mental health documentation. Which of the following descriptions of nursing documentation for a mental health client is accurate?

Correct Answer is C

Explanation

The patient telling the nurse she reminded him of his girlfriend that he loves so much is an example of what?

Correct Answer is D

Explanation

Which of the following is an example of an adverse childhood experience (ACE)?

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?

Which statement by the newly hired staff member demonstrates an understanding of the legal guidelines for caring for clients on a mental health unit?

A nurse manager is instructing a newly licensed nurse in ways to improve their active listening skills. Which of the following behaviors should the nurse manager recommend?

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?

A nurse is reinforcing teaching with a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include?

A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the Interview to invite the client to clarify feelings?

A nurse asks a client if they prefer to attend the morning or afternoon group therapy session. The nurse should identify that this as an example of which of the following ethical principles?