The nurse has begun to treat a client as a mutual friend, ...

[bobbie]

The nurse has begun to treat a client as a mutual friend, focusing on topics of social interest and seeking support from the client. The result that can be anticipated is most likely to be:
 
  1. Blurred boundaries and role confusion
  2. Establishment and maintenance of trust
  3. Client experiencing freedom to grow
  4. Collaboration to determine client needs

Question 2

A client states I can't stand my mother. She's always interfering. The nurse responds, I know what you mean. My mother is very controlling, too. What assessment can be made by the nurse mentor who overhears the interchange?
 
  1. The client has unhealthy boundaries.
  2. The nurse's response was subjective.
  3. The nurse-client relationship is in the working phase.
  4. The nurse is establishing the client-centered goals.

[Jmfn03]

Answer to Question 1

ANS: 1
Becoming the client's friend is a negative event, shifting the focus from client needs, changing the purpose of the relationship, and resulting in boundary blurring and role confusion. The other choices are positive in nature.

Answer to Question 2

ANS: 2
Option 2 is correct; subjective responses emphasize the nurse's feelings, attitudes, and opinions. Options 1 and 3 are incorrect because there are insufficient data to make either of these assess-ments. Option 4 is incorrect because the nurse's response is not objective or client-centered.

[bobbie]

Excellent

[kthug]

Wow, this really help