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 D

Explanation

A. Persons who engage in fantasies are mentally ill: Incorrect. Engaging in fantasies is a normal part of human cognition and does not indicate mental illness.
B. It is easy to determine if a person is mentally healthy or mentally ill: Incorrect. Mental health is complex and multifaceted, making it difficult to clearly distinguish between mental health and illness without thorough assessment.
C. Behavior that may be viewed as acceptable in one culture is always unacceptable in other cultures: Incorrect. Cultural norms vary widely, and what is acceptable in one culture may be unacceptable in another, but not always.
D. In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability: Correct. This statement accurately describes the holistic nature of mental health.

A. Oriented to time, place and personal hygiene B. Alert and oriented to person, place and time C. Anxious, alert and oriented to place D. Awake and oriented to place

Correct Answer is B

Explanation

A. Oriented to time, place and personal hygiene: This is incorrect. Orientation X3 refers to being oriented to person, place, and time, not personal hygiene.
B. Alert and oriented to person, place and time: This is correct. "Oriented X3" means that the client is aware of who they are (person), where they are (place), and what time it is (time).
C. Anxious, alert and oriented to place: This is incorrect. Orientation X3 does not specifically address anxiety or focus solely on orientation to place.
D. Awake and oriented to place: This is incorrect. Orientation X3 includes person, place, and time, not just being awake and oriented to place.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is true regarding mental health?

Correct Answer is D

Explanation

During a psychosocial assessment, the nurse documents a patient's orientation as oriented X3. This means:

Correct Answer is B

Explanation

A nurse is assisting with the admission assessment for a client who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority?

A nurse is assisting with the admission of a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, "I don't know what I will do if they discover I have cancer." Which of the following responses should the nurse make?

A client shows no facial expression when engaging in a game with peers during an outing in the park. The nurse uses which of the following terms when documenting the client's affect?

A nurse enters the community room of an acute mental health unit and observes a client yelling at another client. Which of the following statements should the nurse make to the client?

A nurse is caring for a client following the recent, sudden death of his partner. The client says, "I feel paralyzed and can't seem to cope with work or family responsibilities anymore." Which of the following types of crisis is the client demonstrating?

A nurse is preparing to administer fluoxetine 30 mg PO daily. The amount available is fluoxetine 10 mg/ tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A psychotherapy group that was designed for the same people to meet weekly for 10 sessions to deal with feelings of depression would be a(n)

A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (Select all that apply.)