Author Question: Which actions made by the nurse best exemplify the orientation phase of the nurse-patient ... (Read 52 times)

ap345 · **on:** Jul 19, 2018

Which actions made by the nurse best exemplify the orientation phase of the nurse-patient therapeutic relationship? Select all that apply.

1. Assessing the patient's limitations
2. Clarifying the patient's expectations for care
3. Educating the patient about the patient's health problem
4. Identifying resources that will be used in the first interaction
5. Reviewing the patient's history in the patient's medical record

Question 2

A novice nurse is learning how to effectively communicate within a therapeutic nurse-patient relationship. What struggle is most harmful when the nurse is new to therapeutic relationships?

1. Feeling uncomfortable with the relationship
2. Feeling anxious about developing the relationship
3. Falling back on knowledge learned from nursing school and not accounting for practical knowledge
4. Falling back on relationship skills learned in friendships, family relationships, or other personal relationships

jjorrostieta · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 1, 3
Explanation: Assessing the patient's limitations and educating the patient about the patient's health problem are nursing actions performed in the orientation phase of the nurse-patient therapeutic relationship. Clarifying the patient's expectations for care occurs in the identification phase of the nurse-patient therapeutic relationship. Identifying the resources that will be used in the first interaction and reviewing the patient's history in the patient's medical record are actions that occur in the pre-orientation phase of the nurse-patient therapeutic relationship.

Answer to Question 2

Answer: 4
Explanation: A difficulty that commonly occurs in therapeutic relationships is that newcomers to this type of relationship do not know how to respond, and they often fall back on relationship skills learned in friendships, family relationships, or other personal relationships. This may be most harmful because by relying on these skills, the nurse is not developing the necessary skills for developing the therapeutic relationship. The novice nurse will likely feel uncomfortable and anxious, and fall back on knowledge learned from nursing school; however, these are not most harmful.