Which nursing intervention is most likely to be listed in the ...

[urbanoutfitters]

Which nursing intervention is most likely to be listed in the clinical pathway as part of a basic level
  psychiatric nurse's duties to a psychiatric client on day 1 of hospitalization?
 
  a. Provide a safe environment.
  b. Assign therapeutic activities.
  c. Order admission laboratory studies.
  d. Educate client and family about illness and medications.

Question 2

A nurse realizes that he believes he is the only one who truly understands a particular client and that
  other staff are too critical of the client. The nurse has identified a situation known as
 
  a. boundary blurring.
  b. sexual harassment.
  c. positive regard.
  d. egalitarianism.

[meltdown117]

Answer to Question 1

ANS: A
The nurse is responsible for options A and D, but client education about illness and medications
usually begins on day 2 after assessments are completed. Providing a safe environment begins at the
time of admission. Option B is usually the responsibility of activities therapists. Option C would be
the responsibility of a physician, physician assistant, or nurse practitioner.

Answer to Question 2

ANS: A
When the role of the nurse and the role of the client shift, boundary blurring may arise. In this
situation the nurse is becoming overinvolved with the client as a probable result of unrecognized
countertransference . When boundary issues occur, the need for supervision exists. Option B: The
situation does not describe sexual harassment. Options C and D: Data are not present to suggest
positive regard or egalitarian behavior.