A nurse is admitting a client who has major depressive disorder. Which of the following actions should the nurse take during the orientation phase of the therapeutic relationship?
Explanation & Rationale
A. Plan the incorporation of new behaviors into daily life: This is part of the working phase of the therapeutic relationship, where interventions are implemented and the client practices new behaviors. It is not the focus of the orientation phase. B. Promote the client's dependence on the caregiver: The goal of therapeutic relationships is to foster autonomy, trust, and self-efficacy, not dependence. Encouraging dependence can hinder the client’s progress and is not appropriate at any phase. C. Solve problems using a model applicable to the client's perspective: Problem-solving occurs primarily during the working phase, once trust is established and goals are clear. It is not the main objective during the orientation phase. D. Mutually decide on the goals for the client's treatment: The orientation phase focuses on building trust, establishing rapport, and collaboratively identifying goals for treatment. Engaging the client in goal setting ensures clarity, promotes cooperation, and sets the foundation for a therapeutic relationship.