A nurse begins to bathe a newly admitted client who reports that they have not had anything to eat that day.
The nurse interrupts the bath and obtains a healthy meal for the client.
This action by the nurse is an example of which of the following?

Countertransference.

Promoting trust.

Boundary crossing.

Veracity.

Answer and Explanation

The Correct Answer is B

Choice A rationale: Countertransference is not the appropriate concept in this scenario. Countertransference refers to the nurse's emotional response to the client, which may be based on the nurse's unresolved issues and can negatively affect the therapeutic relationship. In this case, the nurse's actions are not driven by unresolved issues but by a desire to meet the client's basic needs.

Choice B rationale: Promoting trust is the most suitable explanation for the nurse's actions. By interrupting the bath and providing a healthy meal to a newly admitted client who hasn't eaten all day, the nurse is demonstrating empathy, compassion, and a commitment to meeting the client's physiological needs. This action helps build trust between the nurse and the client, as the client can see that their well-being is a priority.

Choice C rationale: Boundary crossing refers to actions that may blur or violate professional boundaries between a nurse and a client. While the nurse is going beyond the routine bath to provide a meal, this action is justified by the client's immediate need and doesn't constitute an inappropriate boundary crossing. The nurse is still maintaining professionalism in caring for the client.

Choice D rationale: Veracity is the principle of truth-telling and honesty in healthcare. It doesn't directly apply to this situation since the nurse's actions are not about providing information or disclosing something to the client. Instead, the nurse's primary concern is the client's nutritional well-being.

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Correct Answer is A

Explanation

Choice A rationale:

The charge nurse should identify the social worker as appropriate to share client information with when it involves an involuntarily committed school-age client. This choice is correct because sharing information with a social worker who is actively involved in the client's care and has a legitimate need to know is in line with ethical and legal confidentiality requirements. Confidentiality should be maintained to protect the client's privacy, but sharing information with a healthcare team member who needs it to provide appropriate care is acceptable.

Choice B rationale:

Sharing a client's medical information with the client's employer due to concerns about substance use is not appropriate without the client's explicit consent. It is important to respect the client's confidentiality unless there is a legal obligation or a safety concern. In this case, obtaining the client's permission to share such information is crucial.

Choice C rationale:

Sharing a client's medical information with their partner after the client reports intimate partner abuse should be done with caution. While there may be instances where sharing is necessary to ensure the client's safety, it should ideally be done with the client's consent and while involving appropriate authorities. In some jurisdictions, there may be mandatory reporting requirements for domestic violence, but the client's consent should still be sought when possible.

Choice D rationale:

Sharing a client's medical information with a nurse from another unit after the client commits suicide is not appropriate without a legitimate reason, such as continuity of care. In such cases, information sharing should be limited to what is necessary for the provision of care and should be in accordance with facility policies and privacy laws. The primary consideration should be maintaining confidentiality while ensuring the safety and well-being of other patients and healthcare staff.

A. Laissez-faire leadership style. B. Self-blame for financial problems. C. High self-esteem. D. Rigid expectations of behavior.

Correct Answer is D

Explanation

Choice A rationale:

A laissez-faire leadership style is characterized by a lack of involvement or control, and it is not typically associated with perpetrators of child abuse.

Choice B rationale:

Self-blame for financial problems may lead to stress but is not a characteristic finding of perpetrators of child abuse.

Choice C rationale:

High self-esteem is not typically associated with perpetrators of child abuse. In fact, abusers often have low self-esteem and exert power and control over others to compensate for it.

Choice D rationale:

Perpetrators of child abuse often have rigid expectations of behavior from their children and may employ authoritarian parenting styles. This characteristic can contribute to abusive behaviors.

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A nurse begins to bathe a newly admitted client who reports that they have not had anything to eat that day. The nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client's medical information.Which of the following individuals should the charge nurse identify as appropriate with whom to share client information?

Correct Answer is A

Explanation

A nurse is discussing risk factors for child abuse with members of a parenting group.The nurse should identify which of the following findings as characteristic of perpetrators of child abuse?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for a cervical cap as a form of contraception.Which of the following statements by the client indicates an understanding of the teaching?

A nurse is assisting with the plan of care for a client who is scheduled for hemodialysis via an arteriovenous fistula in the arm. Which of the following actions should the nurse recommend?

The practical nurse (PN) is providing instructions to the unlicensed assistive personnel (UAP) preparing to give a total bed bath to an immobile client who has a continuous feeding via gastrostomy tube (GT). Which instruction is most important for the PN to emphasize?

A nurse in a long-term care facility observes an assistive personnel who is incorrectly monitoring a client's blood glucose level. The nurse should report this observation to which of the following personnel first?

A nurse is reviewing the plan of care for a group of clients.The nurse should identify that informed consent is required for which of the following procedures?

A nurse is caring for a 2-year-old child who has Clostridium difficile.Which of the following actions should the nurse take?

A nurse is preparing to give change-of-shift report on a client who is 2 days postoperative following a total knee arthroscopy. Which of the following information should the nurse include in the report? (Select all that apply)

A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxy-methamphetamine. Which of the following findings should the nurse expect?

A nurse begins to bathe a newly admitted client who reports that they have not had anything to eat that day.
The nurse interrupts the bath and obtains a healthy meal for the client.
This action by the nurse is an example of which of the following?