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

Correct Answer: A

Rationale: During the working phase of the nurse-client relationship, the client is expected to gain insight and incorporate alternative behaviors. This phase involves the implementation and exploration of strategies and interventions to address the client's issues and work towards achieving the treatment goals that were established in the previous phase. The nurse provides support, guidance, and encouragement to help the client make positive changes and develop new coping mechanisms. It is a time of active participation and collaboration between the client and the nurse to promote growth, self-awareness, and progress towards health and well-being.

Correct Answer: D

Rationale: According to Peplau, the nursing action that demonstrates the nurse's role as a resource person is when the nurse explains, in language the client can understand, information related to the client's health care. As a resource person, the nurse plays a key role in providing information and education to clients. By explaining health care information in a clear and understandable manner, the nurse helps the client make informed decisions about their care and treatment. This empowers the client to actively participate in their own health management and promotes a sense of partnership between the nurse and the client.

Correct Answer: B

Rationale: The nursing action that demonstrates the role of the teacher in a therapeutic milieu is when the nurse holds a group meeting to present common side effects of psychiatric medications (choice B). In a therapeutic milieu, teaching is an essential aspect of assisting clients in understanding their condition, treatment, and promoting recovery. By providing education on the common side effects of psychiatric medications in a group setting, the nurse is fulfilling the role of a teacher by imparting important information that can help clients make informed decisions about their treatment. This type of education empowers clients to actively participate in their care and promotes collaboration between clients and healthcare providers. Additionally, presenting information in a group setting allows for peer support and the opportunity for clients to learn from one another's experiences, fostering a sense of community and mutual understanding within the therapeutic environment.

Correct Answer: A

Rationale: In this nurse-client interaction, the therapeutic communication technique being used is restatement. Restatement involves repeating the main idea or emotional message expressed by the client in different words, showing that the nurse is listening and understanding the client's feelings. In this case, the nurse restated the client's statement about being spanked by their father by saying, "Your father was a harsh disciplinarian," which reflects back the client's message and shows empathy and understanding towards the client's experience.

Correct Answer: A

Rationale: The statement "You appear to be talking to someone I do not see" is an example of making observations. This therapeutic communication technique involves stating specific behaviors or symptoms that the nurse has noticed. In this case, the nurse is observing the client's actions without making any assumptions or judgments. By using this technique, the nurse acknowledges the client's experience of hearing voices without dismissing or confirming the presence of hallucinations. This approach helps in building trust and rapport with the client while encouraging further discussion about their symptoms.