What action by the nurse will facilitate the helping relationship during the orientation phase?

16.What is the goal of the nurse in a helping relationship with a client?A)To provide hands-on physical care

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What action by the nurse will facilitate the helping relationship during the orientation phase?

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B)To ensure safety while caring for the clientC)To assist the client to identify and achieve goalsD)To facilitate the client’s interactions with othersAns:CFeedback:A helping relationship exists among people who provide and receive assistance inmeeting human needs. When a nurse and a client are involved in a helping relationship,the nurse assists the client to identify and achieve goals that allow the client’s humanneeds to be met.17.What action by the nurse will facilitate the helping relationship during the orientationphase?

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18.Which of the nursing roles is primarily performed during the working phase of thehelping relationship?

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to the fullest.19.Which term describes a nurse who is sensitive to the client’s feelings, but remainsobjective enough to help the client achieve positive outcomes?

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20.What is the primary focus of communication during the nurse–client relationship?A)Time available to the nurse

B)Nursing activity to be performedC)Client and client needsD)Environment of the clientAns:CFeedback:Communication in the nurse–client relationship should focus on the client and patientneeds, not on the nurse or an activity in which the nurse is engaged.21.Which of the following is an example of a closed-ended question or statement?

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Orientation:

  • In the beginning of the therapeutic relationship, the nurse and client are strangers to each other, yet each individual has preconceptions of what to expect – based on previous relationships, experiences, attitudes and beliefs 
  • The parameters of the relationship are established (e.g., place of meeting, length, frequency, role or service offered, confidentiality, duration of relationship)
  • The client and nurse begin to learn to trust and know each other as partners in the relationship
  • Trust, respect, honesty and effective communication are key principles in establishing a relationship

Working Phase:

  • The working or middle phase of the relationship is where nursing interventions frequently take place
  • Problems and issues are identified and plans to address these are put into action. Positive changes may alternate with resistance and/or lack of change 
  • It is important for the nurse to validate thoughts, feelings and behaviours 
  • The nurse assists the client to explore thoughts (e.g. views of self, others, environment, and problem solving), feelings (e.g. grief, anger, mistrust, sadness), and behaviours (e.g. promiscuity, aggression, withdrawal, hyperactivity)
  • The content to be explored is chosen by the client although the nurse facilitates the process
  • The nurse continues his/her assessment throughout all phases of the relationship
  • New problems and needs may emerge as the nurse-client relationship develops and as earlier identified issues are addressed
  • The nurse advocates for the client to ensure that the client’s perspectives and priorities are reflected in the plan of care

Resolution Phase:

  • The resolution or ending phase is the final stage of the nurse-client relationship
  • After the client’s problems or issues are addressed, the relationship needs to be completed before it can be terminated
  • The ending of the nurse-client relationship is based on mutual understanding and a celebration of goals that have been met 
  • Both the nurse and the client experience growth 
  • Termination may be met with ambivalence
  • The nurse and the client must recognize that loss may accompany the ending of a relationship 
  • Both should share feelings related to the ending of the therapeutic relationship
  • Validating plans for the future may be a useful strategy 
  • Increased autonomy of both the client and the nurse is observed in this phase 

What does a nurse do during the orientation phase of a helping relationship quizlet?

In the orientation phase of building a helping relationship, the nurse should closely observe the patient and prioritize the patient's problems. The nurse should create a warm and empathetic conversation and work to understand the patient's behavior.

What actions should the nurse take during the orientation phase of developing a therapeutic relationship with a client?

The priority nursing action during the orientation phase of the nurse-client relationship should be to establish rapport and develop treatment goals. Rapport implies feelings on the part of both the nurse and the client based on respect, acceptance, a sense of trust, and a nonjudgmental attitude.

When working with the nurse during the orientation phase of the relationship?

The orientation phase is the period when the nurse and patients first meet and goals are set. The goal of the orientation phase is to build trust and respect. Next comes the working phase, which is the period when solutions are explored, tried, and evaluated. The goal of the working phase is to promote change.

Which is the goal for the orientation phase of the nurse

Orientation Stage Establishing therapeutic environment. The roles, goals, rules and limitations of the relationship are defined, nurse gains trust of the client, and the mode of communication are acceptable for both nurse and patient is set. Acceptance of others requires acceptance of self first.