A new psychiatric nurse is concerned about maintaining appropriate boundaries in relationships with clients. Which of the following BEST reflects an appropriate outcome for the nurse-client relationship? The nurse will:
a. set rigid boundaries with all clients
b. establish a close friendly relationship with all clients
c. share personal beliefs with selected clients
d. establish a warm, caring relationship with clients
D
The outcome reflective of appropriate boundaries would focus on the nurse's ability to establish a warm, caring relationship with the client. Setting rigid boundaries, developing a close friendship, or sharing personal beliefs are not professional behaviors and would violate boundary issues.
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A patient requires neuromuscular blockade (NMB) as part of treatment of refractive increased intracranial pressure. The nursing care for this patient includes: (Select all that apply.)
a. administration of sedatives concurrently with neuromuscular blockade. b. dangling the patient's feet over the edge of the bed and assisting the patient to sit up in a chair at least twice each day. c. ensuring that deep vein thrombosis prophylaxis is initiated. d. providing interventions for eye care, oral care, and skin care.
Persons using nasal sprays are advised to limit the use of the spray container to one person and one episode of illness because:
a. once the container is opened, the medication rapidly loses its effectiveness. b. viruses may colonize the tip of the container, thus spreading infection. c. once exposed to air, the medication is likely to become contaminated with fungi. d. the medications deactivate before the next infection.
The most serious complication of thromboembolism is:
a. Gangrene b. Hemorrhage c. Varicose veins d. Pulmonary embolism
MC In addressing factors that contribute to poverty, homelessness, and the health of the community, the nurse should assess
A. Employment and home environment. B. Lack of affordable housing and social support. C. Mental illness and social support. D. Mobility and age of client.