A therapeutic contract with a client will be renegotiated:
1. Daily.
2. As needed.
3. During the treatment team meeting.
4. At the beginning of each shift.
2
Rationale: The contract is renegotiated at regular intervals (hourly, daily, or weekly), depending on the goals, the severity of the symptoms, and the degree of adherence to the agreement. The form of the contract is less important than the way the nurse and the client jointly set the goals and expectations, carry out the contract, set limits, and renegotiate changes, and evaluate the final outcome.
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