The nurse is approached by a patient who offers to provide the nurse with tickets to a sporting event in exchange for free home care for 1 week. The nurse accepts this offer. Which standards did the nurse violate?
Select all that apply.
1. HIPAA
2. ANA standards
3. Professional boundaries
4. State nurse practice acts
5. Standards pertinent to specific hospital protocols
Correct Answer: 3, 4
Professional boundaries are the borders between the vulnerability of the patient and the power of the nurse. It is vital that nurses recognize this relationship and establish boundaries to safely and effectively meet the patient's needs. Confusion between the needs of the nurse and those of the patient can result in boundary violations. HIPAA addresses confidentiality. ANA standards address ethics and codes of conduct. Hospital protocols are not a part of this question.
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30 : 60 = x : 20
x = _____ a. 4 b. 10 c. 40 d. 100
An intoxicated client is admitted to your unit and standard orders are instituted including a "banana bag" of IV fluids and a nutritional assessment
Based on these standard orders, what nursing diagnosis would be most appropriate for this client? A) Fluid volume deficit B) Altered nutrition C) Altered health maintenance D) Ineffective individual coping
The patient scheduled for a PET (positron emission tomography) scan of the brain asks if there is any special preparation for the test. The nurse correctly responds with which statements? (Select all that apply.)
a. "There is no special preparation involved with this test since it is noninvasive." b. "You should avoid any tranquilizers or sedatives the night before and the day of the test." c. "You will need to sign a consent form for this test to be performed." d. "You will have an IV inserted for the exam." e. "I'm not really sure. The technician's performing the test will let you know."
A nurse is planning care for a child with human immunodeficiency virus (HIV). Which is the priority nursing diagnosis for this child?
1. Ineffective Peripheral Tissue Perfusion 2. Ineffective Thermoregulation 3. Risk for Fluid Volume Deficit 4. Risk for Infection