QUESTION
The psychiatric nurse’s practice is based on Peplau’s Interpersonal Relations Model.
The nurse has developed a relationship with a client in which the client has assumed the power. How would Peplau identify this phase of the relationship?
1. Orientation
2. Identification
3. Exploitation
4. Resolution
ANSWER:
Correct Answer: 3
Peplau’s model identifies the four phases listed as options. Exploitation occurs when the client derives full value from what the nurse offers and the power in the relationship shifts from the nurse to the client. In orientation the client seeks help, and the nurse assists the client in understanding the problem and the extent of the need for help. During the identification phase, the client assumes a posture of dependence, interdependence, or independence in relation to the nurse. The nurse’s focus is to assure the person that the nurse understands the interpersonal meaning of the client’s situation. Resolution is the final phase in which old needs and goals are put aside and new ones adopted.
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