A community mental health nurse has monitored a client in the community for the past 4 years. The
nurse is moving out of the city and must terminate her relationship with the client.
When the new
nurse begins work with the client, what can he or she anticipate as the starting point for the
relationship?
a. Beginning at the orientation phase
b. Resuming the working relationship
c. Entering into a social relationship
d. Returning to the emotional catharsis phase
ANS: A
After termination of a long-term relationship, the client and new nurse usually have to begin at
ground zero, the orientation phase, to build a new relationship. If termination is successfully
completed, the orientation phase sometimes progresses quickly to the working phase. Other times,
even after successful termination, the orientation phase may be prolonged.
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