A patient says, "My therapist touched my face and asked me out for a romantic evening." The nurse recognizes the therapist engaged in which unethical behavior?
1. Invasion of privacy
2. Inappropriate self-disclosure
3. Failure to maintain boundaries
4. False imprisonment
3. Failure to maintain boundaries
Explanation:
Making sexual advances to a patient constitutes a serious boundary violation, not inappropriate self-disclosure, invasion of privacy, or false imprisonment. The nurse should report the patient's claims following agency protocols.
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The nurse caring for a patient with a brain tumor who has increased intracranial pressure recognizes which of the following as a late sign of increased ICP?
A) Disorientation B) Tachycardia C) Widening pulse pressure D) Headache that is constant
A patient with heart failure is receiving dobutamine (Dobutrex) intravenously at home. Which sign or symptom should the patient and family be instructed to report to the prescriber immediately?
a. Burning or pain at the intravenous (IV) site b. Heart rate between 60 and 70 beats/min c. Urine output of 1600 mL over 24 hours d. Brief episode of shortness of breath
A patient with a history of insomnia has been taking 15 mg of chlordiazepoxide (Librium) at bedtime for the past year. The patient reports having difficulty falling asleep and wakes up frequently during the night
The most appropriate nursing diagnosis to consider is: a. disturbed sleep pattern related to anxiety. b. moderate anxiety related to disturbed sleep pattern. c. insomnia related to tolerance to chlordiazepoxide (Librium). d. thought disorder related to intolerance of chlordiazepoxide (Librium).
Who is at the center of care in The University of California Los Angeles Model?
a. The nurse b. The patient, family, and community c. The patient and family d. The nurse and patient