The nurse is planning care for a new patient admitted to the behavioral health unit. Which of the following activities can the nurse expect to occur in the orientation phase of a therapeutic nurse–client relationship?
1. Explore in-depth how the client relates to others.
2. Emphasize growth and positive aspects of the relationship.
3. Discuss with the client how to work together toward a common goal.
4. Identify dysfunctional client thoughts and emotional patterns.
3
Rationale: Mutual goal-setting is a common activity in the orientation or beginning phase to delineate the client's expectations and the nurse's responsibilities in a therapeutic alliance. In-depth exploration of relationships and the identification of dysfunctional thoughts and emotions commonly occur in the working or middle phase of the relationship. The emphasis of growth and positive aspects of the relationship is the goal of the termination or end phase.
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