A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:

advise the client to take an anxiolytic to decrease their anxiety level.

restrain the client to prevent self-harm.

assist the client to identify the trigger situation and choose a coping strategy.

encourage the client use self-harm behaviors to release emotion.

Answer and Explanation

The Correct Answer is C

C. Individuals with borderline personality disorder often struggle with intense emotions and may engage in self-harming behaviors as a maladaptive coping mechanism. Helping the client identify triggers for their distress and teaching them alternative coping strategies, such as mindfulness, grounding techniques, or distress tolerance skills, can empower them to manage their emotions in healthier ways.
A. Anxiolytic medications can help alleviate anxiety symptoms but they are not typically the first-line intervention for addressing acute distress in individuals with borderline personality disorder (BPD).
B. Restraint should not be the first response to a client expressing distress or suicidal ideation. Physical restraint should only be used as a last resort in situations where there is an imminent risk of harm to the client or others and should be implemented by trained professionals following established protocols.
D. Encouraging self-harm behaviors reinforces maladaptive coping strategies and can increase the risk of harm to the client. It is essential to provide support and interventions aimed at reducing self-harming behaviors.

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Correct Answer is B

Explanation

B. This statement demonstrates progress and indicates that the client is beginning to take responsibility off themselves for the sexual assault. Acknowledging that the assault was not their fault is a crucial step in healing from trauma. It shows an acceptance of reality and a shift away from self-blame or feelings of guilt.
A. It may indicate that the client is still struggling to acknowledge the true nature of the assault and may not have fully processed their feelings and experiences related to the trauma.
C. This statement may suggest avoidance or attempts to control future situations to prevent similar experiences. While seeking support and safety measures can be beneficial, solely relying on external factors such as double dates to prevent sexual assault may not address underlying issues or promote healing from the trauma.
D. It suggests a continuation of internalized victim-blaming beliefs and may indicate that the client has not fully shifted away from feelings of guilt or responsibility for the assault.

A. fluoxetine. B. oxazepam. C. buspirone. D. amitryptyline.

Correct Answer is B

Explanation

B. Oxazepam is a benzodiazepine and is often used for the management of alcohol withdrawal syndrome. It works by acting on the GABA receptors in the brain, which are the same receptors that alcohol affects, thus helping to alleviate withdrawal symptoms.
A. Fluoxetine is an antidepressant medication belonging to the class of selective serotonin reuptake inhibitors (SSRIs). It is primarily used to treat conditions like depression, anxiety disorders, obsessive- compulsive disorder (OCD), and bulimia nervosa. It is not typically used to manage alcohol withdrawal symptoms.
C. Buspirone is an anti-anxiety medication used to treat generalized anxiety disorder (GAD). It works differently from benzodiazepines and is not typically used to manage alcohol withdrawal symptoms.
D. Amitriptyline is a tricyclic antidepressant used to treat depression, neuropathic pain, and sometimes migraines. Like fluoxetine, it is not typically used to manage alcohol withdrawal symptoms.

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A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A college student experienced a sexual assault when out on a date. After several weeks of crisis intervention therapy, which statement by the client would indicate to the nurse that the student is making progress?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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