Which behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that apply.)
a. Nurse visits family on days off.
b. House rules are negotiated.
c. Nurse buys child expensive gifts.
d. Communication is open and two-way.
ANS: B, D
A home care nurse can establish therapeutic nurse-family boundaries by negotiating house rules and ensuring that communication is open and two-way. Visiting the family of off-duty days and buying expensive gifts for the child would be boundary crossing and nontherapeutic.
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A nurse teaches a client who is starting urinary bladder training. Which statement should the nurse include in this client's teaching?
a. "Use the toilet when you first feel the urge, rather than at specific intervals." b. "Try to consciously hold your urine until the scheduled toileting time." c. "Initially try to use the toilet at least every half hour for the first 24 hours." d. "The toileting interval can be increased once you have been continent for a week."
A resident of a long-term care facility refuses to eat until she has had her hair combed and her make-up applied. In this case, what patient need should have priority?
A) the need to have nutrition B) the need to feel good about oneself C) the need to live in a safe environment D) the need for love from others
_________________ is the volume of urine in the bladder after a normal voiding
Fill in the blanks with correct word
The nurse is caring for a male patient whose wife is visiting. The patient has gone to radiology for an x-ray film
The wife says to the nurse, "I'm going to take some of my husband's sildenafil (Viagra). Since it helped him so much, I think it will help me, too." What is the nurse's most appropriate response? a. "This drug has proven harmful for women. You should not take it." b. "Studies show that this drug does not help women with sexual arousal." c. "I encourage you to try it. Some women have benefited significantly from it." d. "Women should use more natural approaches to improve their sexual arousal."