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 A
Explanation
Choice A Reason:
Engaging in friendly interactions with the client is correct. Developing a therapeutic relationship involves creating a supportive and empathetic connection with the client. Engaging in friendly interactions helps build trust and rapport. This approach fosters a positive environment for communication and collaboration.
Choice B Reason:
Instructing the client on how he should behave is incorrect. Instructing the client on how to behave can be perceived as directive and may hinder the development of a collaborative and trusting relationship.
Choice C Reason:
Setting limits for the relationship is incorrect. While setting boundaries is important, using the term "limits" can convey a sense of restriction. It's crucial to establish appropriate boundaries, but the term "limits" may not promote the openness needed in a therapeutic relationship.
Choice D Reason:
Promoting the use of transference by the client is incorrect. Promoting transference involves encouraging the client to project feelings from past relationships onto the nurse. This is generally not considered a therapeutic approach and may lead to misunderstandings in the therapeutic relationship.
Correct Answer is D
Explanation
Choice A Reason:
Overidentification is correct. Overidentification refers to a therapist or nurse identifying too closely with the patient, making it difficult to maintain professional boundaries.
Choice B Reason:
Overinvolvement is incorrect. Overinvolvement occurs when a therapist or nurse becomes excessively involved in a patient's life, potentially blurring professional boundaries.
Choice C Reason:
Countertransference is incorrect. Countertransference involves the emotional reactions that the therapist or nurse may have in response to the patient's transference. It reflects the therapist or nurse's unresolved issues and emotional responses triggered by the patient.
Choice D Reason:
Transference is incorrect. Transference occurs when a patient unconsciously projects feelings and attitudes from past relationships onto the nurse or therapist. In this case, the patient is attributing characteristics of being indifferent and cold to the nurse, similar to how they perceive their mother. This phenomenon is a form of unconscious redirection of emotions or attitudes.
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