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Chapter 4: Problem 172

What behavior on the part of Mr. Jones will produce the evaluation that the termination of the therapeutic nurse-client relationship has been handled successfully? 1\. The nurse gives his/her personal phone number and permission to call after discharge. 2\. The nurse avoids upsetting the client by gradually focusing on other clients beginning one week prior to his discharge. 3\. The nurse summarizes with Mr. Jones the changes that have happened during their time together and evaluates goals attainment. 4\. The nurse offers to meet Mr. Jones for coffee and conversation three times a week for two weeks after his discharge.

Short Answer

Expert verified
Option 3 demonstrates a successful handling of the termination.

Step by step solution

01

Identify Objective

First, determine what constitutes a successful termination of a therapeutic nurse-client relationship. Typically, this involves a professional and clear conclusion that prepares the client for independence.
02

Analyze Each Option

Look at each option provided in the context of appropriate professional boundaries and effectiveness in concluding the therapeutic relationship.
03

Evaluate Option 1

Option 1 suggests giving a personal phone number. This is generally not appropriate as it can blur professional boundaries.
04

Evaluate Option 2

Option 2 involves the nurse avoiding the client by focusing on others. This approach does not provide proper closure or support for the client.
05

Evaluate Option 3

Option 3 suggests summarizing changes and evaluating goals. This involves the client in the termination process and offers closure, making it a professional and effective approach.
06

Evaluate Option 4

Option 4 suggests meeting outside of the professional setting, which could compromise professional boundaries.
07

Conclusion

Option 3 is the most appropriate as it maintains professional boundaries while providing a comprehensive and supportive closure for the client.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Professional Boundaries
Professional boundaries are essential in any therapeutic nurse-client relationship. These boundaries help ensure that both the nurse and the client interact in a manner that is ethical, respectful, and maintains the focus on the client's well-being. Blurring these boundaries can lead to complications in the therapeutic process and may impact the client's progress negatively. Some critical aspects of maintaining professional boundaries include:
  • Keeping personal contact information private to avoid any blurring of lines between personal and professional interactions.
  • Avoiding any form of communication that is not related to the client's care.
  • Ensuring all interaction stays focused on supporting the client's goals without introducing a personal agenda.
Maintaining these boundaries helps build trust and respect, which are crucial for effective therapeutic work. It supports a clear, professional relationship that is conducive to achieving the client's therapeutic goals.
Goal Evaluation
Evaluating goals is a key part of any therapeutic process, as it helps both the nurse and the client understand the progress that has been made and identify areas that may need further work. It is essentially about measuring the effectiveness of interventions and understanding client outcomes. During goal evaluation, the following steps might be included:
  • Reviewing the goals that were initially set at the beginning of the therapy.
  • Discussing with the client any changes in behaviors or attitudes that have been observed.
  • Identifying which goals have been met, partially met, or not met at all.
Goal evaluation allows the client to see their progress, reinforcing positive changes and motivating further improvement. It also provides the nurse with insights that can inform future therapeutic strategies.
Therapeutic Communication
Therapeutic communication is a cornerstone of effective nursing practice. It involves a range of skills and strategies that facilitate the formation of a strong nurse-client relationship. A nurse who excels in therapeutic communication is able to convey empathy, understanding, and support, all of which are needed for the client鈥檚 healing process. Key elements of therapeutic communication include:
  • Active listening, which shows the client that their feelings and thoughts are being acknowledged and respected.
  • Open-ended questions that encourage the client to explore their feelings and thoughts deeply.
  • Reflective responses that help clarify and validate what the client is experiencing.
These techniques help in creating a safe environment where clients feel comfortable expressing themselves, leading to better therapeutic outcomes.
Nursing Education
Nursing education plays a crucial role in preparing nurses to establish and maintain therapeutic nurse-client relationships effectively. It provides the knowledge and skills necessary to navigate the complexities of professional practice. Components of nursing education related to therapeutic relationships include:
  • Training on ethical considerations and professional boundary management.
  • Instruction in communication skills, emphasizing both verbal and non-verbal techniques.
  • Opportunities for clinical practice, where students can apply theoretical knowledge in real-world settings.
Nursing education ensures that nurses are not only knowledgeable about the disease processes and medical treatments but also skilled in the humanistic aspects of patient care. Continuous education and professional development are important to keep these skills sharp and relevant.

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Most popular questions from this chapter

A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse consults with the couple and recommends the husband can help with therapy by: 1\. telling his wife to stop cleaning whenever he notices her actions. 2\. making a baseline record of the time the wife spends cleaning. 3\. decreasing the stimuli in the home. 4\. helping his wife with cleaning.

A client has received counseling for a crisis situation following the death of a family member. Which statement indicates that no further teaching is required? 1\. "I know that I will never feel out of control again." 2\. "I have learned how to identify stress and how to deal with the feelings." 3\. "I will take my Valium whenever I begin to feel stressed." 4\. "I am embarrassed that I lost control. It will never happen again."

A client comes to a mental health center after losing all of his belongings in a fire. Which is an appropriate short-term goal for the nursing diagnosis of "ineffective individual coping?" 1\. The client will stop blaming himself for inappropriate electrical wiring. 2\. The client will replace items destroyed in the fire to decrease the sense of loss. 3\. The client will explore buried problems brought forward from this loss. 4\. The client will share feelings about the present crisis.

A man becomes restless and anxious following retirement. He states, "I do not know what is wrong with me. I was looking forward to having the time to do my favorite hobbies. Now I cannot concentrate on anything." The nurse suspects the client is developing which type of crisis? 1\. maturational 2\. adventitious 3\. situational 4\. transitional

Methadone is used to aid withdrawal and provide maintenance for persons with opiate addiction because methadone: 1\. replaces endorphins so craving is diminished. 2\. produces dramatic negative symptoms if opiates are used. 3\. enhances euphoria by increasing neurotransmitters of enkaphalens. 4\. does not interfere with the ability to function productively.
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