Author Question: The nurse is assessing a client's current progress in the nurseclient relationship. Which of the ... (Read 54 times)

WhattoUnderstand

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The nurse is assessing a client's current progress in the nurseclient relationship. Which of the following behaviors would indicate to the nurse that the client is beginning the termination phase of the nurseclient relationship?
 
  1. The client verbalizes willingness to change ineffective coping patterns and self-defeating behaviors.
  2. The client expresses awareness of potential causes of dysfunctional behavioral patterns.
  3. The client uses effective problem-solving strategies on a daily basis.
  4. The client requests clarification of the roles and responsibilities in relationship work.

Question 2

A nurse manager in a women's clinic is meeting with the staff to discuss assessment of substance abuse among pregnant clients. What would the group typically assess as the most frequently abused substance by pregnant women?
 
  1. Caffeine
  2. Tobacco
  3. Alcohol
  4. Cocaine



aham8f

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Answer to Question 1

3
Rationale: The use of adaptive coping strategies on a daily basis is a useful criterion for determining readiness to terminate the therapeutic relationship. Expressing awareness of and willingness to change ineffective or dysfunctional coping behaviors indicates the client is still in the working phase of the relationship and more work needs to be done. Clarification of roles and responsibilities during relationship work may be necessary in either the orientation or working phase, but should be clearly understood by the end phase of the relationship.

Answer to Question 2

3
Rationale: Alcohol is among the most widely abused substances that has the potential for serious physical and mental birth defects. Cocaine is also harmful to unborn children, but cocaine use is less frequent than alcohol use. Caffeine and tobacco are commonly used substances, but do not cause the serious birth defects that alcohol abuse does.



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