The nurse practices "here and now" focus on problem identification, with an emphasis on quickly understanding the context in which the problem is embedded during which of the following phases of the nurse-client relationship?
a. Orientation
b. Preinteraction
c. Termination
d. Working
ANS: A
Orientation phase: The therapeutic alliance begins with the same type of introduction and description of purpose identified for long-term relationships with a focus on the nurse and client working as partners to develop a shared understanding of the client's health problems. Establishing a working alliance where time is an issue requires a "here and now" focus on problem identification, with an emphasis on quickly understanding the context in which the problem is embedded. Meaningful connections occur when nurses initially strive to view each client as a person to be engaged with rather than focusing on what needs to be done.
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