During the working phase, who identifies issues and how do boundaries apply?

• A. The Nurse Identifies Issues for the Client
• B. The Client Identifies Issues with the Nurse Aiding While Maintaining Boundaries
• C. The Client Refuses to Discuss Issues
• D. The Nurse Ends the Session When Issues Arise

Answer: (B)

In the working phase, the relationship becomes a collaborative problem‑solving process where the client actively identifies issues with the nurse’s support, while boundaries are maintained to keep the interaction professional and safe. The client bringing up concerns demonstrates engagement, insight, and a move toward change, with the nurse guiding the discussion, offering feedback, and ensuring boundaries aren’t crossed. This shared exploration helps the client develop coping strategies and self-awareness within a structured, therapeutic frame.

That’s why the best choice is the client identifying issues with the nurse aiding while maintaining boundaries—the client’s active involvement is central, and the nurse’s role is to support and facilitate within professional limits. The other options don’t fit because having the nurse identify issues for the client reduces client autonomy; asking the client to refuse discussion halts progress; and ending the session whenever issues arise prematurely terminates the therapeutic work and disregards ongoing boundary management.