Author Question: Which remark by a patient indicates passage from the orientation phase to the working phase of a ... (Read 49 times)

Tirant22 · **on:** Jul 19, 2018

Which remark by a patient indicates passage from the orientation phase to the working phase of a nurse-patient relationship?

a. I don't have any problems.
b. It is so difficult for me to talk about my problems.
c. I don't know how talking about things twice a week can help.
d. I want to find a way to deal with my anger without becoming violent.

Question 2

What is the desirable outcome for the orientation stage of a nurse-patient relationship? The patient will demonstrate behaviors that indicate:

a. great sense of independence.
b. rapport and trust with the nurse.
c. self-responsibility and autonomy.
d. resolved transference.

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

Answer to Question 1

ANS: D
Thinking about a more constructive approach to dealing with anger indicates a readiness to make a behavioral change. Behavioral change is associated with the working phase of the relationship. Denial is often seen in the orientation phase. It is common early in the relationship, before rapport and trust are firmly established, for a patient to express difficulty in talking about problems. Stating skepticism about the effectiveness of the nurse-patient relationship is more typically a reaction during the orientation phase.

Answer to Question 2

ANS: B
The development of rapport and trust is necessary before the relationship can progress to the working phase. Behaviors indicating a greater sense of independence, self-responsibility, and resolved transference occur in the working phase.