Question

A nurse develops a relationship with a client who has bipolar disorder with episodes of mania. The nurse concludes that their therapeutic interaction has entered the working stage when the client does what?

1) Identifies goals for the client-nurse interaction
2) Explores the effect of bipolar behavior on the family
3) Expresses ambivalence about meeting with the nurse
4) Informs the nurse that other family members are bipolar

Answer 1

The working stage of a therapeutic interaction is identified when the client identifies goals for the client-nurse interaction. The correct option is 1.

Step-by-step explanation:

The working stage of a therapeutic interaction between a nurse and a client with bipolar disorder experiencing manic episodes is identified when the client identifies goals for the client-nurse interaction.

This stage is characterized by the client actively participating in the therapeutic process and collaboratively setting goals with the nurse.

The client expressing ambivalence about meeting with the nurse or informing the nurse about other family members being bipolar may not necessarily indicate that the working stage has been reached. The correct option is 1.

Answer 2

The nurse concludes that their therapeutic interaction has entered the working stage when the client 1) Identifies goals for the client-nurse interaction.

Step-by-step explanation:

In the context of a nurse-client relationship, the working stage is generally characterized by active involvement and progress towards therapeutic goals. When considering the options presented, identifying goals for the client-nurse interaction is indicative of entering the working stage of a therapeutic relationship. This stage typically involves collaborative goal-setting and problem-solving that are directed at dealing with the issues presented by the client's condition.

Exploring the effect of bipolar behavior on the family can be a part of this work, as might sharing information about family history with bipolar disorder. However, these actions do not, in isolation, indicate the therapeutic interaction has moved to the working stage. Expressing ambivalence about meeting with the nurse usually occurs earlier in the relationship, when rapport is being established, not in the working stage.

Hence, the correct answer is Option 1.