N129 Ch. 15 end of chapter quiz

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Velma told Betty a secret that Mary had told her. This is an example of?

A boundary violation

Twins Jan and Jean still dress alike even though they are grown and married. This is an example of?

Enmeshed boundary

Nancy tried out for the cheerleading squad in junior high, but was rejected. At age 15, she had looked forward to trying out for the cheerleading squad in high school. She took cheerleading classes and practiced for many hours every day. However, when tryouts were held, she was not selected. She has become despondent, and her mother takes her to the mental health clinic for counseling. Nancy tells the nurse, "What's the use of trying? I'm not good at anything!" What nursing intervention is best for Nancy's specific problem?

Explore with Nancy her past successes and accomplishments

A nursing school graduate failing the NCLEX exam and a 15-year-old high school girl not being selected for the cheerleading squad are examples of?

Focal stimuli

Which of the following outcome criteria would be most appropriate for the client described in question 1?

Karen is able to express positive aspects about herself and her life situation

Tommy says to his friend, "I can't ever talk to my Daddy until after he has read his newspaper." This is an example of?

Rigid boundary

Karen's counselor asked her if she would like a hug. This is an example of?

Showing respect for the boundary of another

Karen, age 23, graduated from nursing school with a 3.2/4.0 grade point average. She recently took the NCLEX exam and did not pass. Because of this, she had to give up her graduate nursing job until she can pass the exam. She has become very depressed and has sought counseling at the mental health clinic. Karen says to the psychiatric nurse, "I am a complete failure. I'm so dumb, I can't do anything right." What is the most appropriate nursing diagnosis for Karen?

Situational low self-esteem

The psychiatric nurse encourages Nancy (the client question 3) to express her anger. Why is this an appropriate nursing intervention?

The nurse is attempting to guide Karen through the grief process

The husband says to the wife, "What do you want to do tonight?" and the wife responds, "Whatever you want to do." This is an example of?

Too flexible boundary


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