Situations that qualify as abandonment are when the nurse (more ...

[tnt_battle]

Situations that qualify as abandonment are when the nurse (more than one answer may be correct)
 
  A. allows a client exhibiting mania to refuse hospitalization without taking further action.
  B. terminates employment without referring a seriously mentally ill client for aftercare.
  C. calls police to bring a suicidal client to the hospital after a suicide attempt.
  D. refers a client with persistent paranoid schizophrenia to assertive community treatment.

Question 2

A client with schizophrenia anxiously describes seeing the left side of her body merge with the wall
  as she walked down the corridor and of seeing her face appear and disappear in the bathroom mirror.
  As the nurse listens she should
 
  a. sit close to the client on the bed.
  b. place an arm protectively around the client's shoulders.
  c. place a hand on the client's arm and exert light pressure.
  d. maintain the normal social interaction distance from the client.

[janeli]

Answer to Question 1

ANS:
A, B
Rationale: Abandonment arises when a nurse does not place a client safely in the hands of another
health professional before discontinuing treatment. Options C and D provide for patient safety.

Answer to Question 2

D
The client is describing phenomena that indicate personal boundary difficulties. The nurse should
maintain appropriate social distance from the client and not touch her because the client is anxious
about her inability to maintain ego boundaries and merging or being swallowed by the environment.
Physical closeness or touch could precipitate panic.