During the working phase, how does the nurse approach problem identification and boundaries?

• A. The Nurse Identifies Issues for the Client
• B. The Nurse Aids in Problem Identification While Maintaining Boundaries
• C. The Nurse Discloses Personal Problems to Build Rapport
• D. The Nurse Avoids Discussing Feelings

Answer: (B)

In the working phase, the emphasis is on collaborative problem identification and maintaining professional boundaries. The nurse helps the client articulate concerns, explore feelings, and clearly identify the real issues to address, guiding the client toward feasible solutions while keeping the relationship professional and safe. Boundaries are kept intact to protect both parties and foster trust, avoiding personal overinvolvement or disclosure that could blur the nurse–client relationship.

This is why assisting in problem identification while maintaining boundaries is the best approach: it empowers the client to recognize and articulate their own problems with the nurse supporting the process, rather than the nurse imposing issues or sharing personal matters. It also ensures that discussions about feelings are relevant to the client’s concerns and conducted within therapeutic limits, rather than avoided or inappropriately disclosed.