During the orientation phase of the helping relationship the nurse might do which of the following?

Appeared in: AIIMS Bhatinda NO - 2019

Explanation

The orientation phase is the initial meeting between the nurse and client, where the foundation for the relationship is built.
A primary task of this phase is to establish a therapeutic contract, which includes collaboratively setting mutual goals.
This process ensures the client is an active partner in their care and that the subsequent 'working phase' is purposeful and directed.
According to Peplau's model, the orientation phase is the problem-defining stage where the nurse and client agree on the goals of the relationship.

Option A: Discussing cards and flowers is a social interaction, not a primary therapeutic task. While it can help build rapport, it is not the main goal-oriented work of this phase.
Option B: Reviewing the client's history and other available data happens during the pre-interaction phase, before the nurse formally meets the client.
Option D: This is an intervention to address a specific client problem. Implementing interventions and working toward goals occurs during the working phase.

Clinical Relevance

Nursing practice connection: Knowing Phases of the Nurse-Client Therapeutic Relationship helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Understanding the phases of the therapeutic relationship allows nurses to be purposeful in their communication and build the trust necessary for effective care.
Establishing mutual goals during the orientation phase is critical for patient-centered care and improves patient adherence to the treatment plan.
What if? If a nurse skips the goal-setting part of the orientation phase and moves directly to interventions, the client may feel that their concerns are not being heard, leading to mistrust and a breakdown of the therapeutic relationship.

How to Approach the Question

First, identify the key concept in the question stem: 'orientation phase of the helping relationship'.
Recall the specific purpose and tasks associated with this phase. The orientation phase is about introductions, building trust, defining roles, and setting the agenda for the relationship.
Evaluate each option based on its fit with the definition of the orientation phase.
Option A (discussing flowers) is social, not therapeutic.
Option B (reviewing history) occurs before the orientation phase (in the pre-interaction phase).
Option D (managing confusion) is an action/intervention, which belongs to the working phase.

Concept Tested & Keywords

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E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 114-116

E6 Nursing Fundamentals Taylor p. 87-89

E6 Nursing Fundamentals Potter Perry 12e Part 1 p. 249-251

Practise the full AIIMS Bhatinda NO - 2019

Attempt every question from this paper in a timed mock, then review the full solution for each one.