Which phase of the nurse-client relationship involves establishing trust and rapport with the client?

Resolution

Exploitation

Orientation

Identification

Answer and Explanation

The Correct Answer is C

A. Resolution: The resolution phase occurs at the end of care, focusing on termination and closure, not trust-building.

B. Exploitation: This is not a formal phase of the nurse-client relationship in Peplau’s model; the term is outdated and not appropriate.

C. Orientation: The orientation phase is when the nurse establishes trust and rapport with the client.

D. Identification: The identification phase is when the client begins to recognize the nurse’s role in their care, but trust has already been established.

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Correct Answer is B

Explanation

A. "The gathering spaces should have the chairs positioned around the perimeter of the day room." Seating arrangements should encourage interaction and engagement, not isolation. A circular arrangement fosters group discussion and socialization.

B. "The milieu consists of the physical and psychosocial environmental factors." Therapeutic milieu refers to the structured environment of a mental health unit, which includes both physical (safety, layout) and psychosocial (staff interactions, routines) components that support healing.

C. "The clients can keep any personal items they would like in their rooms." While personal items can be comforting, safety concerns may limit what clients can keep. Sharp objects, lighters, or items that could be used for self-harm are typically restricted.

D. "A therapeutic milieu requires unstructured programming, allowing clients to focus on their interests." A structured routine is essential in a therapeutic milieu to promote stability, predictability, and therapeutic engagement. Unstructured environments may increase anxiety or behavioral issues.

A. Cultural humility B. Countertransference C. Transference D. Professional competency

Correct Answer is B

Explanation

A. Cultural humility involves recognizing and respecting differences in beliefs and values while maintaining self-awareness. It does not explain erratic emotional responses.

B. Countertransference occurs when a nurse projects personal emotions onto a client, leading to overinvolvement (excessive kindness) or negative reactions (hostility). This can affect professional boundaries and care.

C. Transference occurs when a client unconsciously transfers feelings about past relationships onto the nurse (e.g., treating the nurse as a parental figure). This is the reverse of countertransference.

D. Professional competency refers to maintaining clinical skills and ethical behavior. Displaying inconsistent emotional responses toward a client is not an example of competency.

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Which phase of the nurse-client relationship involves establishing trust and rapport with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing therapeutic milieu with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of therapeutic milieu?

Correct Answer is B

Explanation

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

Correct Answer is B

Explanation

A nurse is caring for a client who states, "Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb." Which of the following defense mechanisms is the client describing?

Which situation is an exception to the rule of maintaining patient confidentiality?

A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

A nurse in a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

A nurse is caring for a client who has a mental illness and is without housing. The nurse should identify that which of the following interprofessional team members can help the client find housing?

A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?