Which of the following actions indicates that the nurse has gone ...

[misspop]

Which of the following actions indicates that the nurse has gone beyond the boundaries of the clientcaregiver relationship?
 
  a. The nurse consciously focuses on the client during meetings.
  b. The nurse works to establish a trusting relationship with the client.
  c. The nurse instills a sense of hope in the client.
  d. The nurse defends the client to her family and the staff.

Question 2

Which assessment data should a school nurse recognize as a sign of physical neglect?
 
  1. The child is often absent from school and seems apathetic and tired.
  2. The child is very insecure and has poor self-esteem.
  3. The child has multiple bruises on various body parts.
  4. The child has sophisticated knowledge of sexual behaviors.

[Bison]

Answer to Question 1

D
Defending the client to health care providers and the client's family is a behavior that demonstrates a blurring of the therapeutic relationship. Trust, hope, and therapeutic use of self are essential to the therapeutic relationship.

Answer to Question 2

1
Rationale: The nurse should recognize that a child who is often absent from school and seems apathetic and tired may be a victim of neglect. Other indicators of neglect are stealing food or money, lacking medical or dental care, being consistently dirty, lacking sufficient clothing, or stating that there is no one home to provide care.