The home health nurse is doing home visits with a child whose ...

[Jkov05]

The home health nurse is doing home visits with a child whose family seems to be reducing the stress of having a stranger in the home by treating the nurse like a member of the family. This situation is:
 
  a. very therapeutic to the family
  b. placing the nurse at risk for boundary violation
  c. going to make the nurse's working conditions easier
  d. likely to help the child deal with the trust issue more easily

Question 2

When the home health nurse engages in distancing, disinterest, or neglect in interactions with the children and families in his or her assigned caseload, the nurse is said to be in what location on the continuum of professional behavior?
 
  a. under-involvement c. zone of helplessness
  b. over-involvement d. burnout zone

[marict]

Answer to Question 1

B

Feedback
A Incorrect. Without maintaining healthy professional boundaries, therapy cannot be provided to the client or the family.
B Correct. A nurse may become overninvolved, and lose professional status when being treated like just another member of the family.
C Incorrect. The working conditions may seem easier, but the conditions required for a therapeutic professional nursing relationship cease to exist.
D Incorrect. The trust issue depends upon the therapeutic professional nursing relationship.

Answer to Question 2

A

Feedback
A Correct. Under-involvement is signified by distancing, disinterest or neglect in interactions with the children and families in his or her assigned caseload.
B Incorrect. Over-involvement is described as excessive self-disclosure, casual, social conversations, and the family incorporating the nurse as a member of the family. This can be a serious problem for home health nurses.
C Incorrect. The zone of helpfulness is midway between under-involvement and over-involvement.
D Incorrect. Over-involvement can put the home care nurse at risk for burnout, requiring the nurse to withdraw for personal care.

[Jkov05]

Thank you

[marict]

Happy to help you