The novice nurse is learning about the use of boundaries in the therapeutic nurse-patient relationship. What examples will the nurse recognize as boundary violations? Select all that apply

1. Sexual misconduct
2. Last-minute appointment changes
3. Inappropriate self-disclosure
4. Giving or receiving small gifts
5. Disclosing bits of personal information


Answer: 1, 3
Explanation: The National Council of State Boards of Nursing defines boundary crossings as decisions to deviate from a boundary for a therapeutic purpose, such as appointment changes, disclosing bits of personal information, or the giving or receiving of small gifts. These are small breaches with a likely return to expected limits of the professional relationship. Boundary violations may include inappropriate self-disclosure and sexual misconduct.

Nursing

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The dissociative disorder in which a person suddenly and unexpectedly takes on a new identity and a new place of residence is:

A) Dissociative identity disorder/multiple personality disorder B) Dissociative or psychogenic amnesia C) Dissociative or psychogenic fugue D) Mania

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Which drugs were once used therapeutically and are now illegal because of a high potential for abuse? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected

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Access to health care may be more limited for low socioeconomic groups

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