At which phase does the nurse begin to discuss ending the nurse-client relationship?

The nurse begins to discuss ending the nurse-client relationship during the orientation phase, when a contract is established. This phase is crucial because it sets the foundation for the entire therapeutic relationship. During this initial interaction, the nurse and client discuss the goals of care, establish mutual expectations, and clarify the parameters of the relationship, including its eventual conclusion.

By addressing the end of the relationship at this stage, the nurse helps the client understand that the relationship is time-limited and purpose-driven. This proactive approach can alleviate potential anxiety for the client about the eventual separation and reinforces the professionalism of the nurse. Additionally, it opens up avenues for discussing feelings related to the ending of the relationship, which can enhance the overall therapeutic experience.

The other phases mentioned focus on different aspects of the nurse-client relationship. While planning does involve setting goals, it does not directly address the conclusion of the relationship. The working phase is centered on the execution of care and building rapport, rather than discussing its end. The termination phase is focused solely on concluding the relationship, but the groundwork for that conclusion is laid during the orientation phase.