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

Correct Answer: B

Rationale: The phase of the nurse-client relationship that begins when the individuals first meet is the orientation phase. This phase is characterized by an agreement to continue to meet and work on setting client-centered goals. During this phase, the nurse and client establish rapport, gather information, and set the tone for the rest of the therapeutic relationship. It is an essential phase where trust and mutual understanding are developed, setting the foundation for the rest of the therapeutic process.

Correct Answer: C

Rationale: In the working stage of the therapeutic relationship, the nurse's most therapeutic statement would be to focus on the client's concerns and goals. By asking the client which identified problems they would like to address first, the nurse demonstrates respect for the client's autonomy and empowers them to take an active role in the therapeutic process. This approach helps to establish a collaborative relationship built on trust and mutual understanding, which is essential for effective communication and progress in therapy. By prioritizing the client's agenda, the nurse can tailor the interventions and support provided to meet the client's specific needs and goals.

Correct Answer: D

Rationale: In a therapeutic nurse-client relationship, self-disclosure by the nurse is appropriate when it is judged that the information may benefit the client. This means that the nurse shares personal information with the client if it will have a positive impact on the client's well-being, understanding, or progress in therapy. Self-disclosure should always be client-centered and used as a therapeutic tool to help the client, rather than for the nurse's own benefit. It is important for the nurse to carefully evaluate the potential benefits and risks of self-disclosure before sharing personal information with the client.

Correct Answer: C

Rationale: Offering a general lead is a therapeutic communication technique used by nurses to encourage clients to continue expressing themselves. "Yes, I see. Go on." is an example of a general lead because it acknowledges the client's communication and prompts them to share more without imposing any judgment or bias in the response. This technique helps build rapport and trust between the nurse and the client, facilitating a more open and honest dialogue. In contrast, options A, B, and D are not examples of general leads as they are more direct or closed-ended questions that may limit the client's opportunity to freely express themselves.

Correct Answer: C

Rationale: Option C is the best example of effective feedback because it focuses on the specific behavior that needs correction (using the client's name on the worksheet) and explains the impact of that behavior (breach of confidentiality). This feedback is clear, specific, and provides a rationale for why using the client's name is inappropriate. It also avoids the use of accusatory language and instead focuses on the behavior itself. This type of feedback is constructive and helps the student understand the issue and how to correct it in the future.