A nurse is preparing to meet with a client who was recently admitted to an outpatient mental health facility. Which of the following actions should the nurse plan to take during the working phase of the nurse-client relationship?
A.
identify the goals that the client achieved during the relationship.
B.
Assist the client to make changes in her behavior.
C.
Inform the client about confidentiality issues.
D.
Discuss the client’s responsibilities for the relationship
The correct answer and Explanation is :
The correct answer is B. Assist the client to make changes in her behavior.
During the working phase of the nurse-client relationship, the primary focus is on helping the client make progress toward their goals. This phase is characterized by active problem-solving and the development of strategies to address the client’s issues. Here’s a more detailed explanation:
- Identifying Goals and Progress (Option A): While identifying goals and assessing progress are important, this action is more aligned with the initial phase of the nurse-client relationship, known as the orientation or introductory phase. In this phase, goals are set, and the groundwork for the therapeutic relationship is established. During the working phase, the focus shifts to working on these goals.
- Behavioral Change (Option B): The working phase is where the therapeutic interventions are actively applied. The nurse and client work together to explore issues, develop coping strategies, and implement behavior changes. This phase involves a lot of active collaboration where the nurse helps the client address specific challenges and make tangible changes in their behavior, which is critical for achieving the goals set earlier.
- Confidentiality (Option C): Informing the client about confidentiality is crucial, but it is generally discussed during the initial phase of the relationship. It sets the boundaries and builds trust, ensuring that the client understands how their information will be protected.
- Client Responsibilities (Option D): Discussing the client’s responsibilities for the relationship is also a part of the orientation phase. This discussion ensures that the client understands their role and responsibilities within the therapeutic process. However, during the working phase, the focus is more on actively addressing the client’s issues rather than discussing responsibilities.
In summary, the working phase is where the nurse actively supports and assists the client in making the necessary changes to achieve their goals.