When should the nurse first start planning for termination of the ...

[asmith134]

When should the nurse first start planning for termination of the nurse-client relationship?
 
  a. From the initial encounter
  b. After goals have been achieved
  c. When the client requests it
  d. During the working phase of the relationship

Question 2

The student nurse has finished her rotation on the outpatient psychiatric unit. Her client, who was diagnosed with borderline personality disorder, suddenly displays superficial scratches to both forearms.
 
  Which of the following is a nursing diagnosis for the client related to losses and endings in the nurse-client relationship?
 
  a. Noncompliance about impending termination of nurse-client relationship
  b. Knowledge deficit about impending termination of nurse-client relationship
  c. Self-care deficit related to impending termination of nurse-client relationship
  d. Anxiety related to impending termination of nurse-client relationship

[peilian]

Answer to Question 1

ANS: A
It is important to be clear from the beginning about how long a therapeutic relationship will last. During the course of the relationship, termination can be mentioned and clients should be told well in advance of an impending termination date. It is inappropriate to plan for termination after the goals have been achieved, when the client requests termination, or during the working phase of the relationship.

Answer to Question 2

ANS: D
The client's anxiety has led to the regression in her behavior. Noncompliance, knowledge deficit, and self-care deficit are not diagnoses dealing with losses and endings.

[asmith134]

Gracias!

[blakcmamba]

Thanks for the timely response, appreciate it