The nurse is developing a plan of care for a client. Which of the following interventions must the nurse be careful to avoid?
1. Discussing expectations with the client
2. Selecting interventions that conflict with the client's value system
3. Identifying the client's perception of the problem
4. Addressing issues related to the client's past experiences
2
Rationale: In developing plans of care, the nurse avoids actions that conflict with the client's value system in order to promote communication that fosters the therapeutic relationship. The nurse utilizes information based on the nursing assessment, which includes identifying the client's perception of the problem, when developing a plan of care. The nurse involves the client in the planning process by discussing issues related to the client's experiences and discussing expectations for performance.
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