The nurse has been working for several weeks with a single mom who has been both ver-bally and physically abused by her children's father. Which nursing actions are appropri-ate for this stage of treatment? Select all that apply
a. Asking, "How does it make you feel when he hits you?"
b. Providing information regarding women's shelters in the local area
c. Assuring the patient that her children can visit when she wants to see them
d. Sharing that, "I know leaving him is difficult but you need a plan if he abuses you again."
e. Responding, "You've certainly become more assertive; don't be afraid to stand up for yourself."
ANS: A, B, D
The working phase of the nurse-patient relationship involves evaluating the affects of the abuse, providing information that will help formulate a plan to end or manage the effects of the abuse, and encouraging the patient to confront the problem even when it is stressful. As-suring the patient that her children may visit is something that would happen in the orienta-tion phase of the relationship when making the patient comfortable and responsive to treat-ment occurs. Positively reinforcing behaviors occurs in the termination phase as preparations are being made for discharge.
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