The nurse tells his mentor, "Since I've been working with the client, he seems a lot better. I've done things my own way, as opposed to following the treatment plan. I've done him a few fa-vors and gotten good cooperation."

An astute evaluation by the mentor is that the nurse:
1. Has a character disorder
2. Has a rescue fantasy
3. Needs additional orientation to the importance of the team treatment plan
4. Has a highly developed sense of intuition that guides his therapeutic work


ANS: 2
Rescue fantasy occurs when a nurse believes he or she is the only one who can help a specific client. The nurse with a rescue fantasy may act outside or against the treatment plan and may perform favors that are actually nontherapeutic. There are no data to support option 1. Option 3 may or may not be true, and option 4 is untrue.

Nursing

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During descent, an airplane passenger is complaining that his "ears are plugged." What aspect of the structure and function of the ear best accounts for the passenger's complaint?

A) The inner ear adjusts its volume in response to atmospheric pressure, increasing during low pressure and decreasing in high pressure. B) The eustachian tubes must remain patent to equalize pressure between the middle ear and inner ear. C) The tympanic membrane is selectively permeable in order to accommodate pressure changes, and this capacity is often impaired during upper respiratory infections. D) Air must be able to flow between the middle ear and nasopharynx in order to accommodate pressure changes.

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The main purpose of studying research for a BSN student is to:

a. learn how to conduct a small research study. b. learn how to generate new scientific knowledge to use in practice. c. mentor associate-degree prepared nurses in research projects. d. understand the basic principles of research.

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The nurse is caring for a client with acute inflammation of the right knee resulting from a bacterial infection. Which vascular events are occurring as a result of the inflammation? Select all that apply.

A) Vascular permeability B) Cellular infiltration C) Prolonged vasoconstriction D) Thrombosis E) Release of chemical mediators

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Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?

a. "I will make sure he gets his measles vaccine as soon as he gets home." b. "He can stop taking his medication next week." c. "I should check his urine for protein when he goes to the bathroom." d. "He should eat a low-protein diet for the next few weeks."

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