Author Question: A nurse returns to work to find that a substitute nurse has changed the treatment plan of her ... (Read 72 times)

karateprodigy · **on:** Jul 8, 2018

A nurse returns to work to find that a substitute nurse has changed the treatment plan of her favorite client. In the presence of the client, the nurse becomes angry and critical of the other nurse. This is an example of

a. overinvolvement.
b. client-centered approach.
c. professional focus.
d. disengagement.

Question 2

The professional relationship goes through a developmental process characterized by overlapping yet distinct stages, which are

a. confidentiality, trust, and empathy.
b. listening, hearing, and feeling.
c. preinteraction, orientation, working phase, and termination phase.
d. getting details, thoughts, and answers.

zacnyjessica · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: A
Boundaries represent a continuum, with issues related to boundaries ranging from a lack of involvement to overinvolvement. The nurse has lost her focus on what is important for the client. The nurse has lost her objectivity. Disengagement is the opposite of overinvolvement.

Answer to Question 2

ANS: C
The professional relationship goes through a developmental process characterized by four overlapping yet distinct stages: (1) preinteraction, (2) orientation, (3) working phase, and (4) termination phase. The preinteraction phase is the only phase of the relationship the client is not part of. During the preinteraction phase, the nurse develops the appropriate physical and interpersonal environment for an optimal relationship, in collaboration with other health professionals and significant others in the client's life. Confidentiality, trust, and empathy are guiding principles, not phases. Listening, hearing, and feeling are communication skills. Getting details, thoughts, and answers occurs during the orientation phase.