A nurse who is discharging a client is terminating the helping ...

[Tirant22]

A nurse who is discharging a client is terminating the helping relationship. Which of the following actions might the nurse perform in this phase? Select all that apply.
 
  A) Making formal introductions
  B) Making a contract regarding the relationship
  C) Providing assistance to achieve goals
  D) Helping client perform activities of daily living
  E) Examining goals of the relationship to determine their achievement

Question 2

Which of the following statements accurately describes the relationship between therapeutic communication and the nursing process? Select all that apply.
 
  A) Effective communication techniques, as well as observational skills, are used extensively during the assessment step.
  B) Only the written word in the form of a medical record is used during the diagnosing step of the nursing process.
  C) The implementing step requires communication among the client, nurse, and other team members to develop interventions and outcomes.
  D) Verbal and nonverbal communication are used to educate, counsel, and support clients and their families during the implementation phase.
  E) Nurses rely on the verbal and nonverbal cues they receive from their clients to evaluate whether client objectives have been achieved.

[lgoldst9]

Answer to Question 1

Ans: E
In the termination phase, the nurse examines with the client the goals of the helping relationship for indications of their attainment, or for evidence of progress toward them. If goals were not attained, the nurse should help the client establish a relationship with the new nurse. Answers A and B occur in the orientation phase, and answers C and D occur in the working phase.

Answer to Question 2

Ans: A, D, E
Effective communication techniques, as well as observational skills, are used extensively during the assessment phase, since the major focus of assessment is to gather information in both verbal and nonverbal communication forms. Following the formulation of the nursing diagnoses, the nurse communicates findings to other nursing professionals through the use of the written and spoken word. The planning step requires communication among the client, nurse, and other team members, as mutually agreed-upon outcomes are developed and interventions are determined. Verbal and nonverbal communication are employed to enhance basic caregiving measures and to educate, counsel, and support clients and their families during the implementation phase. Nurses often rely on the verbal and nonverbal cues they receive from their clients to verify whether client objectives have been achieved. Because one nurse cannot provide 24-hour coverage for clients, significant information must be passed on to others through nursing progress notes and care plans (documentation).