Group members have worked very hard, and the nurse reminds them that termination is approaching. Termination is considered successful if group members:
A. Decide to continue
B. Elevate group progress
C. Focus on positive experience
D. Stop attending prior to termination
Correct Answer: A. Decide to continue
As the group progresses into the working phase, group members assume more responsibility for the group. The leader becomes more of a facilitator. Comments about behavior in a group are indicators that the group is active and involved. In this phase, the LPN and client evaluate the client’s response to treatment and explore the meaning of the relationship and what goals have been achieved. Discussing the achievements, how the client and LPN feel about concluding the relationship, and plans for the future are an important part of the termination phase.
Option B: Termination of a meaningful nurse-client relationship should be final in any setting. To provide the client with even a hint that the relationship will continue is inappropriate, unprofessional, and unethical; for example, the LPN informs the client that he/she may contact the client on social media to check on their condition after discharge.
Option C: Corresponding to the implementation phase of the nursing process, the working phase focuses on self-direction and self-management to whatever extent possible in promoting the client’s health and wellbeing; for example, the LPN provides information and teaching to a client with diabetes about both the importance of proper nutrition and how eating healthy will benefit the client long term with regards to blood glucose levels. Because of teaching, the client decides not to eat the chocolate bar and chooses to eat the apple instead.
Option D: When the client stops attending the group, termination is considered unsuccessful. Every nurse-client relationship, regardless of circumstance, is based on trust, respect, and professional integrity. It requires the appropriate use of authority or power. The LPN must work with the client toward achieving the client’s goals and ensure that the client receives safe competent care. The LPN utilizes a caring attitude and behaviors to meet the needs of the client.