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    Mental health proctored exam

    During which phase of the nurse-patient relationship can the nurse anticipate that the patient's identified issues will be explored and resolved?

    Explanation & Rationale

    Choice A rationale The working phase is the central phase of the therapeutic relationship, dedicated to problem identification, exploration of stressors, and the development and testing of new coping mechanisms. It is during this phase that the patient's identified issues are intensely explored and resolved as the nurse and patient work collaboratively towards achieving established goals. Choice B rationale The preorientation phase occurs before the first face-to-face encounter. The nurse's activities involve data gathering and self-assessment, such as reviewing the patient's chart, understanding the clinical context, and examining their own feelings, to prepare for the interaction. No direct patient issues are explored or resolved here. Choice C rationale The orientation phase is the initial period focused on establishing rapport, clarifying roles, setting goals, and establishing a contract for the relationship. While issues are identified, the in-depth work of exploring and resolving those issues has not yet begun; the foundation is merely being laid. Choice D rationale The termination phase is the final stage, focusing on summarizing goals achieved, reviewing the experience, and preparing for separation. The primary goal is to conclude the relationship therapeutically and ensure the patient can maintain gains, not to introduce or resolve new major issues.

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