Patients expect a nurse to act in their best interests and to respect their dignity. This means that a nurse abstains from attaining personal gain at the patient’s expense and refrains from jeopardizing the therapeutic nurse–patient relationship. At times, boundaries are crossed while attempting to meet a special therapeutic need of the patient. Which of the following scenarios are considered boundary violations?  Select all that apply.

A nurse is engaged in a therapeutic conversation with a patient on a locked inpatient mental health unit. The patient states: “Please don’t tell anyone about what we talked about I don’t want anyone to know about what we talked about.” How should the nurse respond to this request?

Silence can be an extremely valuable therapeutic technique. The therapeutic value of silence includes:

(3/6) JT was found in his dorm unresponsive with a bottle of Vicodin on the floor.  He was taken to an emergency room, stabilized and admitted to the medical floor for 24-hour observation.  When questioned, he denied suicidal thoughts and continually requested discharge stating: “Everything is fine. I need to go to school in the morning. I have a test.” Concerned for his safety, the RN requests a consultation with the Psychiatric Emergency Team (P.E.T.) clinician.  The P.E.T. RN assesses JT and determines that he is in imminent danger of harming himself.  Collateral data shows a recent break-up with his girlfriend and failing grades in school. His appetite is poor and he finds it difficult to fall asleep and stay asleep. His relationship with his parents is “strained” at best, as they require “perfect behavior and excellent grades.” The P.E.T. Team RN places him on a 5150 with a plan to transfer to an inpatient behavioral health facility in the morning. Upon arrival to the behavioral health unit, what should the RN do to ensure the patient is aware of his involuntary admission status?

Although _____ was used to treat a variety of disorders in the past, it is now mostly used for treating severe depression, for which it appears to be more effective than placebo or antidepressant medication.

Failure to comply with the instructions when solving a task is a common deficit in patients with:

In the “classic” arrangement, which type to mangrove would you expect to find furthest from open water?

Identify the tissue labeled in the slide above (be specific)  

Name the muscle in the image below

The muscle in the image above, contracts during exhalation or inhalation?