Author Question: A clinical instructor is assisting a student understand the nurse-client relationship. In which ... (Read 54 times)

james9437 · **on:** Jul 8, 2018

A clinical instructor is assisting a student understand the nurse-client relationship. In which order should the instructor introduce the phases of this process?

1. Old needs and goals are put aside and new ones are adopted.
2. The client uses the available services on the basis of self-interest and needs.
3. The nurse assists the client to understand the problem and the extent of the need for help.
4. The nurse's focus is to assure the person that the nurse understands the interpersonal meaning of the client's situation.

Question 2

The nursing instructor is preparing information to present to students on the development of nursing knowledge. In which order should the instructor review this information?

1. Theory
2. Concept
3. Paradigm
4. Conceptual model
5. Conceptual framework

ecox1012 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Correct Answer: 3, 4, 2, 1

This nurse-client relationship evolves in four phases: 1. Orientation. During this phase, the client seeks help, and the nurse assists the client to understand the problem and the extent of the need for help. 2. Identification. During this phase, the client assumes a posture of dependence, interdependence, or independence in relation to the nurse (relatedness). The nurse's focus is to assure the person that the nurse understands the interpersonal meaning of the client's situation. 3. Exploitation. In this phase, the client derives full value from what the nurse offers through the relationship. The client uses the available services on the basis of self-interest and needs. Power shifts from the nurse to the client. 4. Resolution. In this final phase, old needs and goals are put aside and new ones are adopted. Once older needs are resolved, newer and more mature ones emerge.

Answer to Question 2

Correct Answer: 2, 5, 4, 1, 3

Concepts, the building blocks of theory, are abstract ideas or mental images of phenomena. Concepts are words that bring forth mental pictures of the properties and meanings of objects, events, or things. A conceptual framework is a group of related concepts. It provides an overall view or orientation to focus thoughts. A conceptual model, a term often used interchangeably with conceptual framework, is a graphic illustration or diagram of a conceptual framework. A theory is a supposition or system of ideas that is proposed to explain a given phenomenon. A theory goes one step beyond a conceptual framework; a theory relates concepts by using definitions that state significant relationships between concepts. Theories are not discovered; individuals who think and see the world in different ways create them. These worldviews provide contrasting paradigms (structures for organizing theory) and provide different traditions in and approaches to science and knowledge development.