Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

Who is responsible for health-related decisions during the working phase of a therapeutic relationship?

1. Nurse.

2. Patient.

3. Physician.

4. Family/Caregiver.

The correct answer is: Patient.

In the working phase of a therapeutic relationship, the patient holds the primary responsibility for health-related decisions. This phase is characterized by the patient's active involvement in their own care and decision-making process, where they are encouraged to express their thoughts, feelings, and preferences regarding their health. The nurse's role during this period is to facilitate this process by providing information, support, and guidance, while respecting the autonomy and choices of the patient. The emphasis on patient responsibility aligns with the principles of patient-centered care, which advocate for patients to take an active role in their treatment plans and health outcomes. By recognizing the patient as the decision-maker, it fosters empowerment and encourages a collaborative partnership between the nurse and the patient. The nurse supports the patient’s choices but does not dictate decisions; therefore, the decision-making process is fundamentally centered on the patient's values and needs. This approach not only enhances the patient’s engagement but also promotes better compliance and satisfaction with care outcomes.