The nurse and client have moved from the orientation phase to the ...

[NguyenJ]

The nurse and client have moved from the orientation phase to the working phase of the nurse-client relationship.
 
  Which of the following nursing strategies would assist the client to make constructive changes in a dysfunctional response pattern that is occurring during the early working phase of the nurseclient relationship? 1. Teach the client specific problem-solving strategies.
  2. Determine a time and place for working on constructive changes.
  3. Remind the client that constructive changes are expected before discharge occurs.
  4. Reassure the client that confidentiality will be maintained.

Question 2

Which questions would assist the nurse in developing self-awareness when working with clients who have cognitive disorders? Standard Text: Select all that apply.
 
  1. How do the clients with cognitive disorders feel about working with me?
  2. How do I feel about working with clients with cognitive disorders?
  3. What do the clients like about working with me?
  4. How can I help the client who is confused?
  5. What frustrates me about working with them?

[soda0602]

Answer to Question 1

1
Rationale: Helping the client to learn and apply problem-solving strategies will provide the knowledge and tools the client needs to make constructive changes. Confidentiality issues and negotiation for the time and place of interactions should be addressed in the orientation phase prior to entering the working phase. Reminding the client that change is expected before discharge may produce stress and anxiety placing undue pressure on the client. This could inhibit the relationship and deter progress toward the goals.

Answer to Question 2

2,5
Rationale: The question What do the clients like about working with me? will not increase the nurse's self-awareness as it is focused on the clients' needs.

[NguyenJ]

Thanks for the timely response, appreciate it

[JaynaD87]

TYSM