The nursing staff is discussing boundary setting. Which of the following statements about boundary setting is inaccurate?
1. "Boundaries are established by providing consistent expectations."
2. "Boundaries define the therapeutic relationship."
3. "Boundaries provide guidelines for self-control."
4. "Boundaries are established to make the nursing staff's job easier."
4
Rationale: While the establishment of boundaries may make the nursing staff's job easier, that is not the client-focused therapeutic intention. Boundary setting is implemented to define the therapeutic relationship and to provide consistent expectations and guidelines for client self-control.
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A 4-month-old child is at the clinic for a well-baby check-up and immunizations. Which of these actions is most appropriate when the nurse is assessing an infant's vital signs?
a. The infant's radial pulse should be palpated, and the nurse should notice any fluctuations resulting from activity or exercise. b. The nurse should auscultate an apical rate for 1 minute and then assess for any normal irregularities, such as sinus arrhythmia. c. The infant's blood pressure should be assessed by using a stethoscope with a large diaphragm piece to hear the soft muffled Korotkoff sounds. d. The infant's chest should be observed and the respiratory rate counted for 1 minute; the respiratory pattern may vary significantly.
A client is to undergo psychological testing. Which member of the interdisciplinary team should a nurse consult for this purpose?
1. The psychiatrist 2. The psychiatric social worker 3. The clinical psychologist 4. The clinical nurse specialist
A patient with COPD asks a nurse if nicotine patches are very effective for smoking cessation. What is the best response by the nurse?
a. "No. Only about 25% are successful." b. "Yes. The success rate is between 50% and 60%." c. "No. Prescriptions such as Wellbutrin are 90% effective." d. "Yes. Individual success has been ob-tained with combination of patches and gum."
Use the label to calculate the correct dose. Label provided with the permission of the Glaxo Smith Kline group of companies. Order: Chlorpromazine HCl 50 mg IM stat Give: ____________________
Fill in the blank(s) with correct word