Question

During the orientation phase of a nurse-client relationship, the nurse notes a change in the client's behavior. The client has forgotten a scheduled session and then accuses the nurse of breaking confidentiality. The nurse interprets this as suggesting what?

Answer 1

During the orientation phase, if a patient forgets a session and accuses the nurse of breaking confidentiality, it may indicate disorientation, memory issues, stress-related symptoms, potential cognitive impairment or mistrust in the healthcare environment.

Step-by-step explanation:

Orientation refers to a patient's awareness of their immediate circumstances, encompassing the awareness of time, place, and personal identity. If a client during the orientation phase of a nurse-client relationship forgets a scheduled session and accuses the nurse of breaking confidentiality, the nurse might interpret this behavior as a sign of disorientation or memory issues. This could reflect the client's stress-related symptoms, possible cognitive impairment, or even mistrust issues with the healthcare environment. Sometimes, disruptions in orientation can be evidenced by inconsistencies in a client's understanding of the time, the place they are in, or their current situation.