Which is the goal for the orientation phase of the nurse-client relationship?

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Question 1 of 5

Which is the goal for the orientation phase of the nurse-client relationship?

Correct Answer: B

Rationale: The goal for the orientation phase is to establish trust. This is crucial for building a strong nurse-client relationship. Trust forms the foundation for effective communication and collaboration. By establishing trust, the nurse can create a safe and supportive environment for the client to open up and engage in the therapeutic process. Exploring self-perceptions (choice A) is typically done in the working phase, not the orientation phase. Promoting change (choice C) and evaluating goal attainment (choice D) are also more relevant to the later phases of the relationship when interventions and outcomes are being assessed. Therefore, the correct answer is B as it aligns with the primary focus of the orientation phase.

Question 2 of 5

Which characteristic would be more applicable to a community mental health nurse than to a nurse working in an operating room?

Correct Answer: B

Rationale: The correct answer is B: Autonomy. In community mental health nursing, the nurse often works independently, making decisions about patient care and interventions. Autonomy allows the nurse to adapt to the unique needs of each individual in the community setting. In contrast, nurses in the operating room typically work within a team and follow strict protocols, limiting their autonomy. Kindness, compassion, and professionalism are important traits for all nurses regardless of the setting, but autonomy is more crucial for a community mental health nurse due to the nature of their work.

Question 3 of 5

Which comment best indicates that a patient perceived the nurse was caring? "My nurse

Correct Answer: C

Rationale: Step 1: Empathy and Support - Choice C demonstrates that the nurse spends time listening to the patient's problems, providing emotional support and empathy. Step 2: Connection and Comfort - By listening to the patient, the nurse helps the patient feel understood and less alone, creating a sense of connection and comfort. Step 3: Perceived Caring - This active listening and support indicate genuine care and concern for the patient's well-being, leading to the perception that the nurse is caring. Step 4: Summary - Choices A, B, and D focus on practical actions or information sharing, lacking the emotional depth and personal connection present in choice C. Thus, choice C best indicates that the patient perceived the nurse as caring.

Question 4 of 5

An emergency department nurse realizes that the spouse of a patient is becoming increasingly irritable while waiting. Which intervention should the nurse use to prevent further escalation of the spouse's anger?

Correct Answer: C

Rationale: The correct answer is C because providing updates and progress reports on the patient can help alleviate the spouse's anxiety and frustration. By keeping the spouse informed, the nurse can demonstrate empathy and respect for their concerns, maintaining open communication and building trust. Offering coffee (A) may be seen as dismissive, explaining the condition (B) may not address the spouse's emotional needs, and suggesting the spouse leave (D) could worsen the situation by alienating them from the patient's care.

Question 5 of 5

After teaching a group of students about the service and patient variables used when determining settings along the continuum of behavioral care, the instructor determines that the teaching was successful when the students identify which of the following as a service variable?

Correct Answer: B

Rationale: The correct answer is B: Milieu. In behavioral care, the milieu refers to the therapeutic environment or setting where the treatment takes place. It includes factors such as the physical environment, staffing, structure, and culture of the treatment setting. Understanding the milieu is crucial for providing effective care and promoting positive outcomes for patients. Signs and symptoms (choice A) are not service variables but indicators of a patient's condition. Risk (choice C) is related to assessing potential harm or danger to the patient and is not a service variable. Social support (choice D) is important for patient recovery but is not a service variable directly associated with determining settings along the continuum of behavioral care.

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