A nurse has completed orientation to a locked psychiatric unit. Which statement best demonstrates that the nurse is prepared to fulfill the professional role?
1. "I took a course in self-defense so I can take care of myself."
2. "I will ask for support from colleagues when I need it."
3. "I know there is a fine line between the clients and the staff."
4. "I can maintain proper distance by engaging in therapeutic interventions."
2
Rationale: Asking for support indicates that the nurse recognizes the emotional challenges of working on a locked psychiatric unit, has engaged in self-reflection, and realizes the value of sharing perceptions, feelings, and concerns with professional colleagues in order to fulfill professional responsibilities. Thinking that one would need a course in self-defense reflects the self-view that the nurse's personal integration is threatened by the environment of the locked unit. Believing that there is a fine line between the clients and staff reveals the nurse has difficulty separating his or her own identity from the client's. Believing that engaging in therapeutic interventions will maintain boundaries indicates a hierarchical perspective of helping others and that the nurse inherently knows how clients should act or feel.
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