A nurse is conducting a life skills program for people who have ...

[tichca]

A nurse is conducting a life skills program for people who have mental illness. A young adult with schizophrenia asks the nurse to call her on the weekends so she has someone to talk to who really cares about her.
 
  Which of the following actions should the nurse take?
  A) Tell the client she will call once per week during office hours so that the client can practice phone skills
  B) Tell the client firmly that such a request is an inappropriate violation of their professional relationship
  C) Temporarily call the client once each weekend to build trust
  D) Tell the client to call the office answering service in case of an emergency

Question 2

A nurse therapist recently began meeting with a client in an effort to address some of the client's symptom-management strategies. Which of the following actions by the nurse or client represents the working phase of the therapeutic relationship?
 
  A) Setting goals
  B) Communicating interest in the client
  C) Identifying past ineffective behaviors
  D) Reviewing work that has been done

[josephsuarez]

Answer to Question 1

Ans: A
Feedback:
Nurses need to set limits with clients so that the boundaries of the relationship remain intact. Becoming overly involved with clients in inappropriate ways is evidence of a lack of self-awareness (making extra visits when time does not allow for them or calling clients when off duty).

Answer to Question 2

Ans: C
Feedback:
In the working phase of the relationship, the client is involved actively in achieving goals set during the initial phase. The tasks of the working phase of the therapeutic relationship include identifying past behaviors that have been ineffective for coping with the focal problem; developing a plan of action, practicing implementing it, and evaluating its effectiveness; integrating a new self-concept, worldview, or attitude toward one's illness as a result of changes in behavior and circumstances; and increasing hopefulness for the future and ability to function independently.