The nurse is assessing a client's current progress in the nurse–client relationship. Which of the following behaviors would indicate to the nurse that the client is beginning the termination phase of the nurse–client relationship?
1. The client verbalizes willingness to change ineffective coping patterns and self-defeating behaviors.
2. The client expresses awareness of potential causes of dysfunctional behavioral patterns.
3. The client uses effective problem-solving strategies on a daily basis.
4. The client requests clarification of the roles and responsibilities in relationship work.
3
Rationale: The use of adaptive coping strategies on a daily basis is a useful criterion for determining readiness to terminate the therapeutic relationship. Expressing awareness of and willingness to change ineffective or dysfunctional coping behaviors indicates the client is still in the working phase of the relationship and more work needs to be done. Clarification of roles and responsibilities during relationship work may be necessary in either the orientation or working phase, but should be clearly understood by the end phase of the relationship.
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