A nurse is caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?
Explanation & Rationale
Choice A reason: The identification phase involves the client beginning to respond to those who can help them. While the client starts to feel a sense of belonging and begins to identify problems, it is generally too early for the intensive, active work of specialized guided therapy sessions. Choice B reason: The resolution or termination phase occurs when the therapeutic goals have been met and the relationship is concluding. The focus during this stage is on summarizing progress, strengthening independent coping mechanisms, and managing the emotional aspects of ending the nurse-client bond, rather than initiating new therapy. Choice C reason: The orientation phase is the introductory period where the nurse and client establish rapport, define the parameters of the relationship, and identify the client's immediate needs. Because trust is still being built, complex therapeutic interventions like guided therapy are typically deferred until the working phase begins. Choice D reason: The exploitation phase, also known as the working phase, is when the client makes full use of the services offered. During this stage, the nurse supports the client in using professional assistance to achieve therapeutic goals, making it the appropriate time to implement specific guided therapy sessions.