A clinical instructor is assisting a student understand the nurse-clie

QUESTION

A clinical instructor is assisting a student understand the nurse-client relationship. In which order should the instructor introduce the phases of this process?

1. Old needs and goals are put aside and new ones are adopted.
2. The client uses the available services on the basis of self-interest and needs.
3. The nurse assists the client to understand the problem and the extent of the need for help.
4. The nurse’s focus is to assure the person that the nurse understands the interpersonal meaning of the client’s situation.

ANSWER:

Correct Answer: 3, 4, 2, 1

This nurse-client relationship evolves in four phases: 1. Orientation. During this phase, the client seeks help, and the nurse assists the client to understand the problem and the extent of the need for help. 2. Identification. During this phase, the client assumes a posture of dependence, interdependence, or independence in relation to the nurse (relatedness). The nurse’s focus is to assure the person that the nurse understands the interpersonal meaning of the client’s situation. 3. Exploitation. In this phase, the client derives full value from what the nurse offers through the relationship. The client uses the available services on the basis of self-interest and needs. Power shifts from the nurse to the client. 4. Resolution. In this final phase, old needs and goals are put aside and new ones are adopted. Once older needs are resolved, newer and more mature ones emerge.