The nurse has been working with a client with an eating disorder for 1 week. During the morning treatment team meeting, the treatment plan is updated. Which would be appropriate interventions at this time in the nurse-client relationship? Select all that apply.

The nurse-client relationship follows a structured progression through the orientation, working, and termination phases. After 1 week, the relationship has typically transitioned into the working phase, where the nurse and client collaborate to achieve behavioral change. This stage is characterized by the implementation of specific nursing interventions to address maladaptive coping and facilitate the development of healthier cognitive and emotional patterns. Rationale: A. Working through resistance is a primary task of the working phase. Clients often struggle with the discomfort of changing deeply ingrained behaviors, necessitating a therapeutic approach to manage defensive mechanisms. The nurse helps the client identify these barriers to ensure the treatment plan remains progressive and effective. B. Explaining boundaries is a specific task of the orientation phase. By 1 week into treatment, these parameters should already be established to provide a consistent framework. Reintroducing them now as a new intervention would be inappropriate unless a specific boundary violation occurred that required immediate redirection. C. Addressing testing behaviors occurs as the client begins to feel safe enough to challenge the therapeutic environment. These behaviors are common during the transition from orientation to the working phase. Identifying and discussing these actions helps maintain professional integrity and allows the client to explore their underlying needs. D. Promoting a positive self-concept is essential during the working phase to replace negative self-evaluations. The nurse utilizes cognitive techniques to help the client recognize their strengths and intrinsic value. This is a core component of the rehabilitative process for clients struggling with identity and self-esteem issues. E. Exploring perceptions of reality allows the nurse to challenge cognitive distortions that the client may hold. This intervention is crucial for clients with eating disorders who often experience body dysmorphia. Correcting these perceptions during the working phase is vital for achieving lasting behavioral and psychological improvement.