A nurse is observing a group of clients on a mental health unit. Which of the following should be reported as an ethical boundary violation?
A nurse checks a sleeping client’s blankets for safety.
A nurse takes the arm of a client to redirect them after they wander into another client’s room.
A nurse tells a client they have been depressed due to a recent divorce.
A nurse reminds a client of their medication schedule.
The Correct Answer is C
Choice A reason: Checking blankets for safety is a routine and appropriate nursing action. It ensures the client’s well-being without breaching boundaries.
Choice B reason: Redirecting a client with gentle physical guidance is acceptable when done respectfully and for safety purposes. It does not constitute a boundary violation.
Choice C reason: Sharing personal emotional experiences with a client crosses professional boundaries. It shifts focus from the client’s needs and may blur therapeutic roles.
Choice D reason: Reminding a client about medication is part of routine care and does not involve personal disclosure or inappropriate behavior.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Choice A reason: While reducing excessive fats and refined carbohydrates may support weight management, the statement lacks nuance. Healthy fats and complex carbohydrates are essential for brain function and mood regulation, especially in mental health contexts.
Choice B reason: Frequent weighing may contribute to obsessive behaviors and anxiety, particularly in clients with body image concerns or eating disorders. It is not universally recommended.
Choice C reason: Gastric acid exposure, especially in clients with purging behaviors or GERD, can damage tooth enamel and increase the risk of dental caries. This is a valid and evidence-based educational point.
Choice D reason: Music therapy is a recognized non-pharmacologic intervention that can support emotional regulation, reduce anxiety, and improve mood. It is appropriate for mental health education.
Choice E reason: Daily laxative use is not a safe or recommended method for weight loss. It can lead to electrolyte imbalances, dependency, and gastrointestinal damage.
Correct Answer is C
Explanation
Choice A reason: Separating the child from the parents is appropriate, but interviewing the child alone may not be ideal. Having trained professionals present ensures proper documentation and support.
Choice B reason: Interviewing the child with the provider and social worker ensures a trauma-informed, multidisciplinary approach. It protects the child and ensures accurate assessment.
Choice C reason: Asking clarifying questions is acceptable, but the nurse must avoid leading or suggestive questioning. The presence of trained professionals helps maintain objectivity.
Choice D reason: Directly asking the parents may lead to denial or defensiveness. It is not the recommended approach in suspected abuse cases.
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