What should the nurse expect to occur if the working phase of the nurse patient relationship is successful?

What occurs during the working phase of the nurse-client relationship?

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During an individual therapy session, a nurse is listening to a client describe her drugaddiction. The client says, “I know I am doing the wrong thing for my kids, but I just can't stopusing drugs.” The nurse maintains eye contact and nods occasionally. The nurse responds bysaying, “You're going through a difficult time.” The nurse's actions and words are an exampleof:

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Which of the following is a nurse's primary tool for treating clients with mental disorders?

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The nurse is caring for a client recently diagnosed with a psychiatric illness. Which key areasshould the nurse focus on while caring for this client? Select all that apply.

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Which of the following would indicate that the nurse–client relationship has passed from theorienting phase to the working phase?

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Which of the following clinical situations provides an example of transference?

What is the most essential task for a nurse to accomplish prior to forming a therapeutic relationship with a client?

A. To clarify personal attitudes, values, and beliefs

A hungry, homeless client, diagnosed with schizophrenia, refuses to participate in an admission interview. When the nurse postpones the admission interview, verbally assures safety, and provides a warm meal, he or she is promoting which of the following?

B. Trust

Which is the best nursing action when a client demonstrates transference toward a nurse?

D. Helping the client to clarify the meaning of the current nurse–client relationship

What is the priority nursing action during the orientation (introductory) phase of the nurse–client relationship?

B. Establish rapport and develop treatment goals.

Which client response should a nurse expect during the working phase of the nurse–client relationship?

A. The client gains insight and incorporates alternative behaviors.

What should be the nurse’s primary goal during the preinteraction phase of the nurse–client relationship?

C. To explore self-perceptions

Which phase of the nurse–client relationship begins when the individuals first meet and is characterized by an agreement to continue to meet and work on setting client-centered goals?

B. Orientation

Which client statement should a nurse identify as a typical response to stress most often experienced in the working phase of the nurse–client relationship?

C. “I can’t tell my husband how I feel; he wouldn’t listen anyway.”

A client has made the decision to leave her alcoholic husband. She is feeling very depressed. Which nontherapeutic statement by the nurse conveys sympathy?

A. “You are feeling very depressed. I felt the same way when I decided to leave my husband.”

A mother who has learned that her child was killed in a tragic car accident states, “I can’t bear to go on with my life.” Which nursing statement conveys empathy?

D. “It must be horrible to lose a child; I’ll stay with you until your husband arrives.”

If an individual is “two-faced,” which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?

B. Genuineness

On which task should a nurse place priority during the working phase of relationship development?

D. Promoting the client’s insight and perception of reality

A client diagnosed with paranoid schizophrenia becomes agitated when asked to play a game. The client responds, “Do you want to be my girlfriend?” Which nursing response is most appropriate?

B. “Remember, we have a professional relationship. Are you feeling uncomfortable?”

A nurse moving out of state speaks to a client about the need to work with a new nurse. The client states, “I’m not well enough to switch to a different nurse.” What does this client response indicate to the nurse?

C. The client is having trouble terminating the relationship.

According to Peplau, which nursing action demonstrates the nurse’s role as a resource person?

According to Peplau, which nursing intervention is most appropriate when the nurse is functioning in the role of a surrogate?

A. The nurse functions as a nurturing parent in order to build a trusting relationship.

As the client and nurse move from the orientation stage to the working stage of the therapeutic relationship, which is the nurse’s most therapeutic statement?

C. “Which identified problems would you like for us to initially address?”

What is the main goal of the working phase of the nurse–client therapeutic relationship?

B. Resolution of the client’s problems

Which client statement may indicate a transference reaction?

A. “I need a real nurse. You are young enough to be my daughter and I don’t want to tell you about my personal life.”

Which nursing action demonstrates the role of the teacher in a therapeutic milieu?

B. The nurse holds a group meeting to present common side effects of psychiatric medications.

Which client statement indicates that termination of the therapeutic nurse–client relationship has been handled successfully?

C. “Reviewing the changes that have happened during our time together has helped me put things in perspective.”

When is self-disclosure by the nurse appropriate in a therapeutic nurse–client relationship?

D. When it is judged that the information may benefit the client

The nurse–client therapeutic relationship includes which of the following characteristics? Select all that apply.A. Meeting the psychological needs of the nurse and the clientB. Ensuring therapeutic terminationC. Promoting client insight into problematic behaviorD. Collaborating to set appropriate goalsE. Meeting both the physical and psychological needs of the client

B, C, D, E

What occurs during the working phase of the nurse

Working Phase: The working or middle phase of the relationship is where nursing interventions frequently take place. Problems and issues are identified and plans to address these are put into action. Positive changes may alternate with resistance and/or lack of change.

What occurs during the working phase of the nurse

The working phase of the nurse-client relationship involves active participation toward goals and genuine expression of concerns and feelings. Identification of goals and relationships occurs in the orientation phase.

Which action would the nurse perform during the working phase of a helping relationship in a hospital setting?

Which actions would the nurse perform during the working phase of a helping relationship? The working phase of a helping relationship involves nurses working together with patients to set their goals and encouraging them to solve their problems and express their feelings.

Which of the following are responsibilities of the nurse in the working phase?

Nurses responsibility in working Phase Gather more and more data of the patient to explore the stressors. Help the patient to promote coping mechanisms and develop insight. Let the patient understand his behavioral change by evaluating himself.