A young adult has been receiving treatment for an anxiety disorder. Which statement by the patient confirms that the nurse and patient are most likely entering the terminal phase of the therapeutic relationship?
a. "My anxiety seems to be a result of having so much to get done.".
b. "I don't know whether I'll be able to handle things alone.".
c. "I can't seem to be able to manage going to school and working.".
d. "I need to find a way that can help me manage my anxiety.".
B
Establishing the reality of separation is difficult for both the nurse and patient. Patients often respond to impending termination with increased anxiety; they may experience negative feelings associated with earlier terminations, and they may regress to previous, less adaptive behaviors in the hope of postponing termination. The expression of the cause of the anxiety is reflective of the working phase while a general statement of the problem is appropriate for the introduction phase. Expressing a need for help is seen in the preinteraction phase.
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