Answer to Question 1
D
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A Incorrect. To maintain professional boundaries in therapeutic relationships, the nurse must commit to not accepting and giving gifts.
B Incorrect. To maintain professional boundaries in therapeutic relationships, the nurse must commit to not becoming emotionally involved.
C Incorrect. To maintain professional boundaries in therapeutic relationships, the nurse must commit to not doing all the care for the child.
D Correct. Nurses should avoid personal behaviors that signal over-involvement such as socializing with the child or their family.
Answer to Question 2
A
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A Correct. Priority should be placed on providing the mother emotional support. Not only is she dealing with grief associated with not having a normal baby and the medical, social, and intellectual implications associated with spina bifida, but she is going through the postpartum period. She may be extremely emotional and vulnerable.
B Incorrect. Initially, priority would not be placed on helping the mother understand spina bifida completely. At the time of diagnosis the initial facts are usually overwhelming. The nurse needs to help the mother sort out her feelings first.
C Incorrect. Priority would not be placed on the mother's decision to breastfeed or bottle feed.
D Incorrect. Explaining this problem to family and friends does not address the mother's needs.
A nurse shows empathy to a client.
A nurse prepares a client for anesthesia and surgery.
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Nurse palpating the patient's brachial artery
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