Author Question: A community mental health nurse has monitored a client in the community for the past 4 years. The ... (Read 105 times)

Yolanda · **on:** Jul 19, 2018

A community mental health nurse has monitored a client in the community for the past 4 years. The
nurse is moving out of the city and must terminate her relationship with the client.

When the new
nurse begins work with the client, what can he or she anticipate as the starting point for the
relationship?
a. Beginning at the orientation phase
b. Resuming the working relationship
c. Entering into a social relationship
d. Returning to the emotional catharsis phase

Question 2

The client mentions to the nurse I'm still on restriction to the unit and I'd really like to start
attending off-unit activities. Would you ask the doctor to upgrade my privileges? The best response
for the nurse would be

a. I'll be glad to mention it when I see the doctor later today..
b. That's a good topic for you to take up with the doctor. You'll be meeting at 2
PM..
c. Why are you asking me to do this when you're perfectly capable of speaking for
yourself?
d. Do you think you are so unimportant that you can't speak to a doctor and that a
nurse must intercede?

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

Answer to Question 1

ANS: A
After termination of a long-term relationship, the client and new nurse usually have to begin at
ground zero, the orientation phase, to build a new relationship. If termination is successfully
completed, the orientation phase sometimes progresses quickly to the working phase. Other times,
even after successful termination, the orientation phase may be prolonged.

Answer to Question 2

ANS: B
Nurses should encourage clients to work at their optimal level of functioning. The nurse does not act
for the client unless absolutely necessary. Acting for a client increases feelings of helplessness and
dependency. Options C and D are pseudotherapeutic attempts that do nothing to develop the client's
resources.