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

Correct Answer: D

Rationale: Option D, "I'm not sure that I can count on you to protect my confidentiality," is a typical response to stress often experienced in the working phase of the nurse-client relationship. During this phase, the client may express concerns about trust and confidentiality as they begin to explore deeper issues and vulnerabilities. This statement reflects the client's fear or uncertainty about whether the nurse will maintain confidentiality, which is crucial for building a therapeutic relationship based on trust. Ensuring confidentiality and trust is essential for the nurse to provide effective care and support to the client.

Correct Answer: B

Rationale: The main goal of the working phase of the nurse-client therapeutic relationship is to work with the client to address and resolve their problems. During this phase, the nurse and client collaboratively identify issues, set goals, and work together towards achieving those goals. The focus is on exploring feelings, gaining insight, and making positive changes to promote the client's well-being. The working phase involves active listening, offering support, providing education, and implementing interventions to help the client overcome obstacles and improve their quality of life. The ultimate aim is to assist the client in resolving their problems and empowering them to make positive changes in their life.

Correct Answer: C

Rationale: C. Promoting client insight into problematic behavior: This is an essential characteristic of the nurse-client therapeutic relationship as it involves helping the client gain understanding and awareness of their maladaptive behaviors, thoughts, or patterns. By promoting client insight, the nurse can support the client in making positive changes and progress towards improved mental health.

Correct Answer: D

Rationale: The statement "Things will look better tomorrow after a good night's sleep" falls under the nontherapeutic technique of giving false reassurance. This is because it offers comfort without any real basis for such a promise. It can minimize the client's feelings and concerns by implying that sleep alone will solve their problems. Providing false reassurance can hinder open communication, trust, and the client's ability to address their emotions and issues effectively. In therapeutic communication, it's important to acknowledge the client's feelings and offer support without providing guarantees that may not be true.

Correct Answer: A

Rationale: The leader's statement, "I'm so proud of you for being assertive. You are so good," involves giving approval, which is a nontherapeutic communication technique. Giving approval can create a dynamic in which the client seeks validation and approval from the leader rather than focusing on their own growth and progress. In a therapeutic setting, it is essential for the leader to maintain a neutral and nonjudgmental stance, providing support and guidance without reinforcing dependency on external validation.