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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Priapism is not a typical symptom of serotonin syndrome. It may occur with certain medications but is unrelated to serotonin toxicity.
Choice B reason: Bradycardia is not characteristic of serotonin syndrome. Tachycardia is more common due to autonomic hyperactivity.
Choice C reason: Hyperpyrexia (extremely high fever) is a hallmark of severe serotonin syndrome. It reflects autonomic instability and requires immediate intervention.
Choice D reason: Paresthesia may occur but is not a defining feature. Neuromuscular symptoms like clonus and hyperreflexia are more indicative.
Correct Answer is D
Explanation
Choice A reason: This statement reflects continued disordered eating behavior and lack of insight into the structured nature of treatment for anorexia nervosa.
Choice B reason: Allowing the client full control over food choices may reinforce restrictive patterns and undermine nutritional goals. Meal plans are typically structured by the care team.
Choice C reason: Excessive exercise is contraindicated in anorexia treatment due to the risk of further weight loss and cardiac complications. Exercise is usually restricted.
Choice D reason: This statement shows understanding of the therapeutic role of nutrition and willingness to engage in treatment. It reflects effective communication and insight.
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