During a hospital stay, the client has taken control of her recovery and rehabilitation and is utilizing available resources for her needs. In which level of Peplau's model should the nurse determine that this patient is functioning?
1. Orientation
2. Identification
3. Exploitation
4. Resolution
Correct Answer: 3
Rationale 1: Orientation is the first phase, in which the client seeks help and the nurse provides the client with understanding and assistance.
Rationale 2: Identification is the second phase, in which the client assumes dependence, interdependence, or independence in relation to the nurse.
Rationale 3: The nurse–client relationship is described in four phases, according to Peplau's interpersonal relations model. The exploitation phase occurs when the client derives full value from what the nurse offers through the relationship, using available services based on self-interest and needs. Power shifts from the nurse to the client.
Rationale 4: The last phase is resolution, in which old needs and goals are put aside and new ones adopted.
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