When developing a therapeutic nurse-client relationship, building trust with the client is begun in:

the exploitation subphase.

the resolution phase.

the orientation phase.

the problem identification subphase.

Answer and Explanation

The Correct Answer is C

A. the exploitation subphase: The exploitation subphase occurs later in the therapeutic relationship when the client begins to use the relationship for their benefit, not the initial stage of building trust.
B. the resolution phase: The resolution phase is the final stage of the therapeutic relationship when the client’s issues are resolved and the relationship is ending. Trust-building occurs earlier.
C. the orientation phase: This is correct. The orientation phase is the initial stage of the nurse-client relationship where trust is established, and the foundation for future interactions is built.
D. the problem identification subphase: The problem identification subphase involves recognizing and clarifying the client's issues. Trust-building occurs earlier in the orientation phase

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Correct Answer is A

Explanation

A. Ideas of reference: Ideas of reference involve the belief that common elements of the environment are directly related to oneself. The client’s belief that the group’s laughter is about them, despite unrelated content, fits this description.
B. Somatic delusion: Somatic delusions involve false beliefs about one's body or health. The client’s reaction is more related to perceived social interactions rather than beliefs about their own health.
C. Erotomania: Erotomania involves the belief that someone is in love with the individual, which is not relevant to the described situation.
D. Grandeur: Delusions of grandeur involve believing one has exceptional abilities or status. The client’s reaction does not fit this description.

A. Disclose some personal information to the client. B. Wait for the client to initiate interactions with the nurse. C. Set aside short, frequent times each day to spend with the client. D. Tell the client he reminds the nurse of her father.

Correct Answer is C

Explanation

A. Disclose some personal information to the client: Disclosing personal information is not appropriate and may not help in building trust.
B. Wait for the client to initiate interactions with the nurse. This approach might prolong the establishment of trust and rapport.
C. Set aside short, frequent times each day to spend with the client. Regular, consistent interaction helps build trust and establish a relationship.
D. Tell the client he reminds the nurse of her father. Making personal comparisons can be inappropriate and may not be helpful in building a professional relationship.

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When developing a therapeutic nurse-client relationship, building trust with the client is begun in:

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a newly admitted client who is suspicious of the nursing staff and other clients. Which of the following actions should the nurse take to establish a relationship with this client?

Correct Answer is C

Explanation

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