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    Mental health proctored exam

    Which action would the nurse take during the termination phase of the therapeutic relationship with the patient?

    Explanation & Rationale

    Choice A rationale Exploring the problem-causing area and establishing an initial treatment contract are central tasks of the orientation phase of the therapeutic relationship. This phase focuses on building rapport, defining the patient's needs and goals, and clarifying the roles and expectations of both the nurse and the patient within the professional boundaries. Choice B rationale The termination phase is the final stage of the therapeutic relationship, where the focus shifts to concluding the relationship constructively. A key action is summarizing the goals and objectives achieved, reinforcing the patient's progress, acknowledging the growth and changes made, and preparing the patient for independence, which validates the therapeutic work completed. Choice C rationale Taking the patient's personal telephone number constitutes a boundary violation, as it blurs the distinction between a professional and a personal relationship. Maintaining strict professional boundaries is critical throughout all phases of the therapeutic relationship to ensure the focus remains on the patient's therapeutic needs and to prevent potential exploitation. Choice D rationale Socializing with the patient, such as going for coffee, is a clear boundary violation that transforms the professional relationship into a personal one. The therapeutic relationship must remain professional and goal-directed, maintaining an objective stance to ensure the patient's needs and safety are always the paramount concern.

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