A client who has a borderline personality disorder is being discharged today. When the nurse makes morning rounds, the client begins the interaction by claiming the night shift nurse is aloof and expresses joy to see that, "My favorite nurse is on duty now." Which response is best for the nurse to provide to this client's dichotomous tendency?
"I am happy that you are getting better and will be able to go home."
"Tomorrow I will talk to that nurse about how you were treated last night."
"I am glad you like me. Which nurse was acting aloof to you?"
"What did the night nurse do that makes you think the nurse is aloof?"
The Correct Answer is A
A. "I am happy that you are getting better and will be able to go home."
This response focuses on the client’s progress and avoids engaging with their polarized views. It provides positive reinforcement and shifts the focus toward recovery.
B. "Tomorrow I will talk to that nurse about how you were treated last night."
This could escalate the situation and may inadvertently validate the client's idealization or devaluation of others, without fully understanding the dynamics.
C. "I am glad you like me. Which nurse was acting aloof to you?"
This response reinforces the client’s idealization of the current nurse, which could perpetuate dichotomous thinking.
D. "What did the night nurse do that makes you think the nurse is aloof?"
This invites the client to focus on negative perceptions of the night nurse, potentially escalating their emotional instability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Urinalysis: While urinalysis can provide information about urinary tract infections, it is not directly related to monitoring the effectiveness of antibiotic treatment for a respiratory tract
infection.
B. White blood cell (WBC count: Monitoring WBC count can help assess the body's response to infection. A decrease in WBC count can indicate improvement in the infection.
C. Sputum culture and sensitivity: Monitoring sputum culture and sensitivity helps determine if the antibiotic is targeting the specific pathogen causing the respiratory tract infection and if the chosen antibiotic is effective against it.
D. Serum potassium: Monitoring serum potassium levels is important with certain antibiotics,
but it is not directly related to evaluating the effectiveness of antibiotic treatment for a respiratory tract infection.
E. Red blood cell (RBC count: RBC count is not typically monitored to evaluate the effectiveness of antibiotic treatment for a respiratory tract infection.
F. Blood urea nitrogen (BUN): BUN levels are not directly related to assessing the effectiveness of antibiotic treatment for a respiratory tract infection.
Correct Answer is D
Explanation
A. Assisting the client to recall everyone possibly exposed since the onset of symptoms is important for contact tracing but is not the most immediate action to take.
B. Teaching the client to wear a mask, hand wash, and social distance to prevent spreading the virus is important for infection control but does not address the immediate need to prevent
potential transmission to others in the clinic setting.
C. Placing the nasal swab specimen for COVID-19 directly into a biohazard bag is appropriate for specimen handling but does not address the need for immediate infection control measures for the client and others in the clinic setting.
D. Moving the client to a private room, keeping the door closed, and initiating droplet precautions is the most important action to take to prevent potential transmission of COVID-19 to others in the clinic setting, given the client's symptoms and recent travel history.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
