A community mental health nurse has worked with a patient for 3 years but is moving out of the city and terminates the relationship. When a novice nurse begins work with this patient, what is the starting point for the relationship?
a. Begin at the orientation phase.
b. Resume the working relationship.
c. Initially establish a social relationship.
d. Return to the emotional catharsis phase.
ANS: A
After termination of a long-term relationship, the patient 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.
You might also like to view...
The nurse is assessing a client's spiritual and belief patterns and is currently asking the client about participation in organized religion. The nurse is on which step of the HOPE assessment with this client?
1. H 2. O 3. P 4. E
A patient with nasal trauma has clear, watery fluid dripping from the nose. After testing, the nurse learns this fluid contains glucose. What should this finding indicate to the nurse?
1. There is a fracture of the ethmoid or sphenoid sinus. 2. The patient needs to be suctioned. 3. Cerebrospinal fluid is present. 4. The patient has coryza.
On which task should a nurse place priority during the working phase of relationship development?
A. Establishing a contract for intervention B. Examining feelings about working with a particular client C. Establishing a plan for continuing aftercare D. Promoting the client's insight and perception of reality
A nurse is caring for a client with acute pain. Which nursing intervention requires an order from the physician?
A) Providing a heat application B) Changing the client's position C) Providing a back rub D) Massaging the client's hands