Which of the following actions indicates that the nurse has gone beyond the boundaries of the client–caregiver relationship?
a. The nurse consciously focuses on the client during meetings.
b. The nurse works to establish a trusting relationship with the client.
c. The nurse instills a sense of hope in the client.
d. The nurse defends the client to her family and the staff.
D
Defending the client to health care providers and the client's family is a behavior that demonstrates a blurring of the therapeutic relationship. Trust, hope, and therapeutic use of self are essential to the therapeutic relationship.
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A nurse is caring for a patient with Paget's disease and is reviewing the patient's most recent laboratory values. Which of the following values is most characteristic of Paget's disease?
A) An elevated level of parathyroid hormone and low calcitonin levels B) A low serum alkaline phosphatase level and a low serum calcium level C) An elevated serum alkaline phosphatase level and a normal serum calcium level D) An elevated calcitonin level and low levels of parathyroid hormone
Which of the following clients at term should go to the hospital or birth center the soonest after labor begins?
a. Gravida 2, para 1 who lives 10 minutes away b. Gravida 1, para 0 who lives 40 minutes away c. Gravida 3, para 2 whose longest previous labor was 4 hours d. Gravida 2, para 1 whose first labor lasted 16 hours
A nurse is caring for a client who displays addiction behavior toward the use of alcohol
The client states to the nurse, "I have been in jail twice for driving under the influence." When planning care for this client, which behavioral therapy is most appropriate? A) Positive reinforcement B) Negative reinforcement C) Positive punishment D) Negative punishment
The nurse is caring for a client who has inhalation anthrax. What nursing actions are of the highest priority? (Select all that apply.)
a. Placing the client in an isolation room b. Teaching the client how to use a mask c. Teaching the client about long-term anti-biotic therapy d. Using handwashing and other Standard Precautions e. Reporting suspected cases to the proper authorities