Answer to Question 1
B
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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
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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.
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A representative karyotype and a photograph of a child
The family described in Example Case 3