What indicates that a therapeutic interaction has entered the working stage with a client who has bipolar disorder?

In the context of therapeutic interactions, the working stage is characterized by a deeper level of engagement between the client and the nurse, focusing on addressing the client's identified issues. When a client with bipolar disorder explores the effects of their behavior on their family, it signifies that they are actively reflecting on how their condition impacts not only themselves but also their loved ones. This is an important step in the therapeutic process, as it suggests that the client is beginning to connect their experiences with broader relational dynamics and is willing to engage in meaningful discussion about these effects.

This exploration indicates that the client is moving beyond initial superficial interactions and is ready to confront significant emotional and relational challenges, which is a hallmark of the working stage in therapy. It reflects a level of insight and willingness to explore critical issues that can lead to growth and therapeutic progress.

The other options, while related to the therapeutic process, do not necessarily indicate that the interaction has reached the working stage. Identifying goals for the client-nurse interaction might occur earlier, and expressing ambivalence or simply sharing family history does not reflect the same level of engagement or exploration of impact within the therapeutic relationship.