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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Establishing clear-cut rules is important, but it may not be effective in managing immediate behavioral issues in a toddler.
Choice B rationale:
Using humor can help lighten the mood, but it may not address the root cause of the behavior.
Choice C rationale:
Listening to the child is crucial for understanding their needs, but it may not provide immediate behavior correction.
Choice D rationale:
Time-outs can be an effective discipline technique for toddlers. It provides the child with a moment to calm down and reflect on their behavior.
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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