Which of the following statements by the nurse may prevent successful separation between client and nurse at the end of a therapeutic one-to-one relationship?
1. "I'm going to miss our sessions together, but I think you're ready to handle difficult situations on your own."
2. "I think two or three more sessions are necessary for you to develop more confidence in using this new coping skill effectively."
3. "I'm skeptical of your ability to assert yourself when new conflicts occur in future relationships, so be careful."
4. "I suggest you contact me if you experience any new crisis that you feel unprepared to deal with on your own."
3
Rationale: Uncertainty or doubt that the client is able to continue newly developed skills is a barrier to successful separation between nurse and client. This statement indicates the nurse has regrets that the client did not obtain sufficient skills to function independently. Suggesting additional sessions to allow for confidence to build and identifying conditions in which it would be appropriate for the client to contact the therapist are appropriate ways to wrap up the therapeutic nurse–client relationship. Acknowledging that the client is ready to tackle conflicts independently is an indication of successful separation.
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