RN Nursing · Therapeutic Nurse-Client Relationship · Practice question
A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
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"Let's talk about how you can change your response to stress."
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✓
"We should establish our roles in the initial session."
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"We should discuss resources to implement in your daily life."
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"Let me show you simple relaxation exercises to manage stress."
Answer & explanation
Correct: "We should establish our roles in the initial session."
During the orientation phase of the therapeutic relationship, the nurse and client establish rapport, clarify roles and expectations, and set the boundaries of the relationship. Establishing roles is the hallmark of this initial phase. Discussing coping strategies, resources, and relaxation exercises are tasks appropriate for the working phase, when the client is actively engaging in problem-solving and skill-building. The orientation phase focuses on introductions, confidentiality, goal-setting, and role clarification. (Stuart, Principles and Practice of Psychiatric Nursing, 10th ed.)
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