A working goal for the nurseclient relationship is to achieve: ...

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A working goal for the nurseclient relationship is to achieve:
 
  1. Facilitative intimacy.
  2. Self-disclosure.
  3. Interdependence.
  4. Social superficiality.

Question 2

A client who presents in the psychiatric unit tells the admitting nurse that she is very depressed and is having a hard time staying clean and sober.
 
  Which of the following is true regarding mental illness in a client with identified substance abuse? 1. Depression or other mental illnesses should be treated only after the client has been sober for one month.
  2. Depression or other mental illness is an expected outcome of substance abuse recovery.
  3. Depression or other untreated mental illness can contribute to relapse.
  4. Depression or other mental illnesses are symptoms of the substance abuse.

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Answer to Question 1

1
Rationale: When the nurseclient relationship achieves facilitative intimacy, the relationship moves from the social realm to addressing meaningful areas of concern for the client. Social superficiality usually occurs at the beginning of a relationship. Self-disclosure occurs when the individuals share information about themselves. Social relationships are characterized by interdependence; in the nurseclient relationship, the desire is to move the client toward independence.

Answer to Question 2

3
Rationale: Periods of depression are times when the risk of relapse is very high. Melancholy and despair may occur from time to time as a natural part of recovery, but depression or other mental illnesses are not expected outcomes of recovery.

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