Which action should the nurse anticipate in the orientation phase of the nurse patient relationship?

  • School Southern Regional Technical College
  • Course Title NURSING 1950
  • Pages 31
  • Ratings 80% (5) 4 out of 5 people found this document helpful

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43.During which phase of the nurse-patient relationship can the nurse anticipate that identified patientissues will be explored and resolved?

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44.At what point in the nurse-patient relationship should a nurse plan to first address termination?

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45.A nurse introduces the matter of a contract during the first session with a new patient becausecontracts:

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46.As a nurse escorts a patient being discharged after treatment for major depression, the patient givesthe nurse a necklace with a heart pendant and says, "Thank you for helping mend my broken heart."Which is the nurse's best response?

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hope."Accepting a gift creates a social rather than therapeutic relationship with the patient and blurs theboundaries of the relationship. A caring nurse will acknowledge the patient's gesture of appreciation, butthe gift should not be accepted.47.Which remark by a patient indicates passage from orientation to the working phase of a nurse-patient relationship?

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48.A nurse explains to the family of a mentally ill patient how a nurse-patient relationship differs fromsocial relationships. Which is the best explanation?

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49.A nurse wants to demonstrate genuineness with a patient diagnosed with schizophrenia. The nurseshould:

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Orientation:

  • In the beginning of the therapeutic relationship, the nurse and client are strangers to each other, yet each individual has preconceptions of what to expect – based on previous relationships, experiences, attitudes and beliefs 
  • The parameters of the relationship are established (e.g., place of meeting, length, frequency, role or service offered, confidentiality, duration of relationship)
  • The client and nurse begin to learn to trust and know each other as partners in the relationship
  • Trust, respect, honesty and effective communication are key principles in establishing a relationship

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 
  • It is important for the nurse to validate thoughts, feelings and behaviours 
  • The nurse assists the client to explore thoughts (e.g. views of self, others, environment, and problem solving), feelings (e.g. grief, anger, mistrust, sadness), and behaviours (e.g. promiscuity, aggression, withdrawal, hyperactivity)
  • The content to be explored is chosen by the client although the nurse facilitates the process
  • The nurse continues his/her assessment throughout all phases of the relationship
  • New problems and needs may emerge as the nurse-client relationship develops and as earlier identified issues are addressed
  • The nurse advocates for the client to ensure that the client’s perspectives and priorities are reflected in the plan of care

Resolution Phase:

  • The resolution or ending phase is the final stage of the nurse-client relationship
  • After the client’s problems or issues are addressed, the relationship needs to be completed before it can be terminated
  • The ending of the nurse-client relationship is based on mutual understanding and a celebration of goals that have been met 
  • Both the nurse and the client experience growth 
  • Termination may be met with ambivalence
  • The nurse and the client must recognize that loss may accompany the ending of a relationship 
  • Both should share feelings related to the ending of the therapeutic relationship
  • Validating plans for the future may be a useful strategy 
  • Increased autonomy of both the client and the nurse is observed in this phase 

What actions should the nurse take during the orientation phase of developing a therapeutic relationship with a client?

The priority nursing action during the orientation phase of the nurse-client relationship should be to establish rapport and develop treatment goals. Rapport implies feelings on the part of both the nurse and the client based on respect, acceptance, a sense of trust, and a nonjudgmental attitude.

What does a nurse do during the orientation phase of a helping relationship quizlet?

In the orientation phase of building a helping relationship, the nurse should closely observe the patient and prioritize the patient's problems. The nurse should create a warm and empathetic conversation and work to understand the patient's behavior.

Which is the goal for the orientation phase of the nurse

The goal of the orientation phase is to build trust and respect. During this phase, the roles and limitations of the relationship are communicated through pleasant greetings, eye contact, and mindfulness of the patient's boundaries.

What action by the nurse will facilitate the helping relationship during the orientation phase?

What action by the nurse will facilitate the helping relationship during the orientation phase? Feedback: In the orientation phase of the helping relationship, the nurse and patient meet and learn to identify each other by name.