A nurse provides care for a client hospitalized with a severe respiratory infection. During the shift, the client repeatedly activates the call bell for minor demands, attempts to touch the nurse's arm, and makes sexually explicit remarks regarding the nurse's appearance. Which of the following is the priority behavioral intervention for the nurse to implement?
- Directly inform the client that the comments are unacceptable and clearly define the professional boundaries of the nurse-client relationship.Cevap
- BAsk the client to explain the reasoning behind their need to make sexually explicit statements.
- CReassign the client's routine vital signs and hygiene care to unlicensed assistive personnel to reduce further conflict.
- DContact the prescribing provider to request an as-needed antianxiety medication to calm the client's disinhibited behavior.
Cevap
The priority intervention is to directly inform the client that their comments are unacceptable and clearly establish professional boundaries.
The nurse must immediately set firm, clear limits on inappropriate behavior to establish professional boundaries and maintain a therapeutic environment. Direct communication without anger or judgment is the most effective initial behavioral intervention when a client exhibits boundary-testing or sexually explicit behavior.
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Anahtar Kavram
Behavioral Limit Setting and Professional Boundaries