Therapeutic Comm Q 11

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A patient’s unresolved feelings related to loss would be most likely observed during which phase of the therapeutic nurse-patient relationship?

  

     A. Trusting

     B. Working

     C. Orientation

     D. Termination

    

    

Correct Answer: D. Termination

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In the termination phase, the relationship comes to a close. Ending treatment sometimes may be traumatic for patients who have come to value the relationship and the help. Because loss is an issue, any unresolved feelings related to loss may resurface during this phase.

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Option A: Sometimes during the working phase of the relationship, the nurse may choose to self-disclose information about themselves to relate to the client. Limited self-disclosure may be beneficial when it helps the client express their feelings as they relate their experience to what the nurse has disclosed. Sharing personal information with a client can deepen trust.

Option B: Within this phase, relevant treatment goals are established to guide nursing interventions and client actions, and the conversation in the working phase turns to active problem solving related to assessed needs. Clients can more deeply disclose concerns/issues that they are having.

Option C: The nurse begins to build a sense of trust by providing the client with basic information (name, professional status, and essential information about the purpose and nature of the relationship). Introductions are important even when the client is confused, aphasic, unresponsive, or unable to respond. Nonverbal supportive communication such as a handshake, eye contact, a smile, and appropriate body language reinforce spoken words.

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