Which activity demonstrates that the client has met the working phase goal of the helping relationship?
A post-operative hip client is compliant with daily out of bed to chair orders.
The client states, "I am so happy that I was able to participate in physical therapy every day that I was here in the hospital.”.
The nurse informs the client that she will be the nurse on duty from 0700 to 1500.
The client will call the nurse by her name.
The Correct Answer is A
Choice A rationale
The working phase of the helping relationship is characterized by the nurse and client collaborating to meet specific health goals. When a client complies with orders to get out of bed and sit in a chair, they are actively participating in their recovery and performing the work necessary for rehabilitation. This phase involves problem-solving and the implementation of the care plan. Active participation in physical tasks demonstrates that the client is engaged in achieving the desired health outcomes.
Choice B rationale
This statement is more characteristic of the termination phase of a relationship. The client is reflecting on their progress and expressing satisfaction with the outcomes achieved during their stay. While it shows the goals were met, the act of reflecting on the past journey usually happens when the relationship is coming to a close. The working phase is about the ongoing effort and action rather than the final summary of success after the tasks are largely completed.
Choice C rationale
This action occurs during the orientation phase of the nurse-client relationship. The orientation phase is when the nurse introduces themselves, establishes the parameters of the relationship, and sets the schedule for care. It is the foundation where trust is built and roles are defined. Providing information about shift times is a clerical and introductory task that precedes the actual therapeutic work and goal setting that defines the subsequent working phase of the professional relationship.
Choice D rationale
Learning and using the nurse's name is part of the orientation phase. It signifies that a rapport is beginning to develop and that the client recognizes the nurse as an individual provider. While it is important for establishing a connection, it does not demonstrate the achievement of complex health-related goals or the collaborative work typical of the working phase. It is an early social and professional milestone rather than a sign of active participation in the clinical care plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Feedback is a necessary component of the communication loop and involves the receiver responding to the sender to verify that a message was understood. While it supports collaboration, it is a tool used within the process rather than the ultimate goal of healthcare systems. Effective communication aims for broader outcomes like systemic excellence and patient safety rather than just the act of providing a response during a conversation.
Choice B rationale
Quality of care represents the overarching objective of effective communication in clinical settings. By ensuring that information is shared accurately and promptly among the multidisciplinary team, errors are minimized and patient outcomes are optimized. High-quality care relies on the seamless transition of information, which reduces risks and promotes evidence-based interventions. It encompasses safety, effectiveness, and patient-centeredness, making it the most comprehensive result of healthy professional dialogue and teamwork.
Choice C rationale
Group dynamics refer to the psychological and behavioral processes occurring within a social group or between social groups. While communication certainly influences how a team functions and interacts, the primary focus of nursing communication is the delivery of safe and effective patient care. Understanding dynamics helps in managing teams, but the clinical priority remains the enhancement of patient outcomes and the maintenance of rigorous standards of practice.
Choice D rationale
Incivility refers to rude or disruptive behavior which negatively impacts the workplace environment and can jeopardize patient safety by hindering open communication. Effective communication is actually the solution used to combat incivility rather than a supported outcome of it. Healthy communication strategies promote a culture of mutual respect and psychological safety, which directly opposes the presence of lateral violence or unprofessional conduct in the healthcare setting.
Correct Answer is D
Explanation
Choice A rationale
Delegation requires the nurse to provide an appropriate level of supervision regardless of the delegatee's perceived experience level. Professional nursing standards dictate that the delegating nurse must monitor the performance of the task to ensure it is completed safely. Assuming that an experienced delegate requires no oversight is a breach of safety protocols and professional responsibility. Continuous evaluation is necessary to maintain high quality care and to intervene if the clinical situation changes unexpectedly.
Choice B rationale
While the nurse transfers the authority to perform a specific task to a competent individual, they do not transfer professional accountability. The delegate becomes responsible for the actual performance of the action, but the registered nurse remains legally and professionally liable for the decision to delegate. Accountability involves being answerable for the outcomes of the nursing care provided. This distinction is vital in maintaining the integrity of nursing practice and ensuring patient safety remains the priority.
Choice C rationale
This statement is incorrect because delegation does not absolve the nurse of their professional duties. The nurse must continue to assess the patient, evaluate the effectiveness of the delegated task, and ensure the task was performed correctly. If a nurse believes they are no longer responsible, it creates a gap in the continuity of care and increases the risk of adverse events. Ongoing engagement with the delegate and the patient is required until the care is complete.
Choice D rationale
Accountability is the hallmark of professional nursing practice during the delegation process. The nurse uses clinical judgment to determine which tasks are appropriate for delegation based on the complexity of the patient's needs and the competency of the staff. Even after the task is assigned, the nurse must ensure the outcome meets the standard of care. This involves reviewing results, providing feedback, and documenting the final result of the delegated action in the medical record.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.