The nurse is caring for a patient who consults with family members before making every treatment decision. Based on the nurse's observation. which type of boundary exists within the family structure?
Diffuse
Clear
Differentiation
Rigid
The Correct Answer is A
Choice A Reason:
Diffuse is correct. In a diffuse or permeable family boundary, there is a lack of clear separation between family members. Decisions and responsibilities may be shared extensively, and individual autonomy is limited. The patient's behavior of consulting with family members before making treatment decisions suggests a diffuse boundary where decision-making involves significant input from various family members.
Choice B Reason:
Clear is incorrect. - In a clear or rigid boundary, there is a distinct separation between family members, and individual autonomy is highly emphasized. The described behavior does not align with a clear boundary.
Choice C Reason:
Differentiation is incorrect. Differentiation refers to the ability of family members to maintain their individuality while remaining emotionally connected. The behavior described is more indicative of a diffuse boundary than a differentiation issue.
Choice D Reason:
Rigid is incorrect. A rigid boundary is characterized by strict rules and limited flexibility. The described behavior does not align with a rigid boundary where decision-making might be more centralized and less consultative.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
"How many in the group feel that Jack is ready to be discharged?” This response focuses on the group's opinion rather than addressing Jack's concerns directly. It may not provide the emotional support Jack needs.
Choice B Reason:
"Maybe others in the group have similar feelings.” This response acknowledges Jack's concerns, normalizes his feelings by suggesting that others might share similar concerns, and creates an opportunity for group members to express their thoughts and provide support. It fosters an open and empathetic group dynamic.
Choice C Reason:
"Jack, you ought to be happy that you are leaving." This response is dismissive of Jack's feelings and may invalidate his concerns. It lacks empathy and may hinder open communication.
Choice D Reason:
“Jack maybe you're not ready to be discharged.” While this response acknowledges Jack's fears, it assumes he is not ready without exploring his specific concerns. It might not encourage a constructive discussion about his readiness for discharge.
Correct Answer is B
Explanation
Choice A Reason:
Limited the role of the nurse to medication administration and documentation is inappropriate. Peplau's theory goes beyond medication administration and documentation. It emphasizes the interpersonal aspect of nursing, focusing on the therapeutic relationship between the nurse and the patient.
Choice B Reason:
Included both an interpersonal theory and a definition of nursing roles is appropriate. Peplau's Interpersonal Theory of Nursing focuses on the nurse-patient relationship and includes both an interpersonal theory and a definition of nursing roles. Peplau emphasized the importance of the nurse's therapeutic use of self in the relationship with the patient.
Choice C Reason:
Depended on moral theory linked to gender is inappropriate. Peplau's theory is not specifically linked to moral theory or gender. It is more focused on the dynamics of interpersonal relationships in the healthcare context.
Choice D Reason:
Defined the role of the nurse in the mental health setting as an extension of the psychiatrist is inappropriate. While Peplau's theory is applicable to mental health settings, it doesn't define the role of the nurse as merely an extension of the psychiatrist. It highlights the nurse's unique role in building therapeutic relationships and assisting patients in their psychosocial needs.

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