Practice Question
A 16-year-old female client with an eating disorder is an inpatient at a mental health clinic. A mutually agreed upon goal is for her to limit her amount of exercise to 1 hour per day and to consume at least 1000 calories per day for 1 week. This is an example of an interaction that occurs during which phase of the therapeutic relationship?
Answer Choices:
Correct Answer:
Working
Rationale:
💎 The working phase of the therapeutic relationship is when goals are collaboratively set and actions are taken to achieve them.
💎 In this scenario, the nurse and client mutually agree on behavioral goals related to calorie intake and exercise limits.
💎 This phase focuses on problem-solving, promoting behavioral change, and maintaining trust established during orientation.
💎 The nurse uses therapeutic communication to support adherence and encourage self-responsibility.
💎 Evaluation and modification of goals also occur during this phase based on client progress.
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More Questions from This Exam
A 35-year-old female client diagnosed with major depressive disorder presents with frequent sadness and crying, increased appetite, guilt, low self-concept, anxiety, irritability, insomnia, hopelessness, and difficulty concentrating. These symptoms developed after she was fired from her job of 5 years and experienced the death of her mother 3 months ago. Which nursing response demonstrates an empathetic approach to the client who is depressed over her recent losses?
Answer Choices:
A. "Let's not focus on what's sad but rather what is good about life."
B. "Tell me how your relationship was with your mother."
C. "Losing a job isn't always a bad thing."
D. I lost my parents last year and still feel sad."
A client diagnosed with schizophrenia approaches the nurse and says, "The FBI is monitoring us through cameras and microphones in this room. Be careful what you say." The client appears tense and frequently glances at the ceiling corners. Which nursing response would be most therapeutic?
Answer Choices:
A. "You have lost touch with reality, and that's a symptom of your illness."
B. "Let's talk about something other than the FBI."
C. "You will be fine. The FBI is not allowed to operate in health care facilities, so you're safe here."
D. "It sounds like you're worried about your privacy. Please tell me about your concerns?"
During an assessment, the nurse notices that an older adult client's responses are vague or unrelated to the questions asked. The client leans forward and frowns while listening intently. Which nursing statement best assesses the quality of message transmission?
Answer Choices:
A. "How can I make this assessment interview easier for you?"
B. "It seems like you are having difficulty hearing me. Is that correct?"
C. "You're having trouble concentrating on what I'm saying. What is distracting you?"
D. "I notice you are frowning. Are you upset with me?"
During the first interview with a young mother whose child died recently in a car accident, the nurse feels touched by her situation and reaches out to take the client's hand. Select the correct analysis of the nurse's behavior.
Answer Choices:
A. It shows empathy and compassion. It will encourage the client to continue to express feelings.
B. The gesture is premature. The client's cultural and individual interpretation of touch is unknown.
C. The clients always will perceive the gesture as intrusive and overstepping boundaries.
D. The action is inappropriate. Clients in a psychiatric setting should not be touched never.
A young Filipino-American female client avoided eye contact when interacting with the nurse. The nurse concluded that the client had low self-esteem. Interventions were used to raise the client's self-esteem; however, after 3 weeks, the client's eye contact did not improve. What is the most accurate analysis of this scenario?
Answer Choices:
A. The client's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
B. The client's poor eye contact is indicative of anger and hostility that remain unaddressed.
C. The nurse should have assessed the client's culture before concluding the client had low self-esteem.
D. The nurse should not have independently embarked on treatment planning for this client
From Exam
Mental health community and public health quiz
15 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4