Which of the following characteristics would the nurse evaluate as indicative of healthy bounda-ries?
1. Giving as much as you can for the sake of giving
2. Believing others can anticipate your needs
3. Letting others define you
4. Taking responsibility to meet one's own needs
ANS: 4
Healthy boundaries are characterized by behaviors that are adaptive. Only option 4 is an example of an adaptive behavior.
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Which behavior is characteristic of grief by a disenfranchised adult child in response to a parent's death following a lengthy, painful illness?
a. Crying out loudly while invoking "God's help in going on with life." b. Announcing to family members that, "I've already grieved the loss." c. Having difficulty even deciding what to wear to the funeral. d. Going on a drinking binge instead of attending the funeral.
The nurse would explain that emergency treatment of a tension pneumothorax requires
a. a small stab wound with a skin blade made into the pleural space. b. covering the chest wall wound with gauze. c. immediate tracheostomy. d. insertion of an 18-gauge needle into the pleural space.
A hospital is considering changing its documentation system to reduce the number of medication errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE) system 2. Electronic medical record 3. Problem-oriented medical record 4. Narrative system
The mother of a young child tells the nurse that when she was breastfeeding her baby, he never had any colds or infections but now that he is weaned, he seems to be sick all of the time. What should the nurse explain to the mother?
1. Most babies won't get sick until they are past the age of 12 months. 2. The breast milk provided passive immunity to the baby that he no longer is receiving. 3. Some children are just prone to getting more infections than others. 4. The child should be immunized against commonly occurring infections to prevent illnesses.