You are beginning a therapeutic relationship with a patient.
Which action would you take during the orientation phase of this relationship?

Develop a plan of care.

Identify the patient's coping mechanisms.

Determine if the patient has been helped.

Ask the patient for the name they prefer.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

During the orientation phase, the nurse and patient get to know each other and establish a plan of care, making this the correct choice.

Choice B rationale:

Identifying the patient’s coping mechanisms is typically part of the working phase, not the orientation phase.

Choice C rationale:

Determining if the patient has been helped is part of the termination phase, not the orientation phase.

Choice D rationale:

Asking the patient for the name they prefer could be done at any time, but it is not a specific action taken during the orientation phase.

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Correct Answer is B

Explanation

Choice A rationale:

Having detailed knowledge about all cultures is impractical and unnecessary. It’s impossible to know everything about every culture.

Choice B rationale:

Developing cultural sensitivity and awareness is the key to achieving cultural competence. It involves understanding and respecting cultural differences.

Choice C rationale:

Attending an in-service presentation about cultural competence can be helpful, but it’s not enough to achieve cultural competence.

Choice D rationale:

Learning to speak the language of another culture can be beneficial, but it’s not the most important aspect of cultural competence.

A. The client's provider testifies that the client's condition required a different method of moving her. B. Another staff nurse describes how a reasonably prudent nurse would have performed under the same circumstances. C. An expert nurse describes how the nurse could have handled the same situation differently. D. The plaintiff's attorney states that the nurse could have prevented the client's injury.

Correct Answer is B

Explanation

Choice A rationale:

The client’s provider’s testimony about the client’s condition requiring a different method of moving her is relevant but does not legally determine the nurse’s liability.

Choice B rationale:

The standard that will legally determine the nurse’s liability is how a reasonably prudent nurse would have performed under the same circumstances. This is the principle of reasonable care, which is used in negligence cases.

Choice C rationale:

While an expert nurse’s description of how the situation could have been handled differently is informative, it does not legally determine the nurse’s liability.

Choice D rationale:

The plaintiff’s attorney’s statement that the nurse could have prevented the client’s injury is an assertion, not a legal standard for determining liability.

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You are beginning a therapeutic relationship with a patient.Which action would you take during the orientation phase of this relationship?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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You are beginning a therapeutic relationship with a patient.
Which action would you take during the orientation phase of this relationship?