A client with borderline personality disorder says to the nurse, "I feel so comfortable talking with you. You seem to have a special way about you that really helps me." Which would be the most appropriate response by the nurse?

"I'm glad you feel comfortable with me."

"I am sorry I cannot be your friend."

"You feel other's don't understand you?"

"I'm here to help you just as all the staff members are."

Answer and Explanation

The Correct Answer is D

D. It acknowledges the client’s comfort while emphasizing the nurse’s professional role. It sets clear boundaries and reinforces that the nurse’s primary purpose is to provide care and support within the therapeutic context.

A. This response acknowledges the client’s feelings but does not set clear boundaries. It may

inadvertently encourage the client to view the nurse as a friend rather than a professional caregiver.

B. While this response establishes boundaries, it may come across as abrupt or cold. It lacks empathy and understanding.

C. This response reflects empathy and encourages further exploration of the client’s feelings. However, it does not address the professional boundaries explicitly.

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Correct Answer is B

Explanation

B. Methadone is a long-acting opioid agonist that helps stabilize individuals with opioid dependence by alleviating withdrawal symptoms and reducing drug cravings.

A. Methadone maintenance treatment (MMT) is a recognized and evidence-based approach for managing opioid dependence. When used as prescribed under the supervision of healthcare professionals, methadone is administered orally in controlled doses

C. Methadone is an opioid medication with the potential for dependence and addiction, especially when used improperly or in higher doses than prescribed.

D. Methadone is a long-acting opioid agonist that acts on the same receptors in the brain as heroin and other opioids. However, when used as prescribed for opioid dependence treatment, methadone is administered in controlled doses that are carefully titrated to stabilize individuals without producing euphoria or intoxication.

A. Talk to the client and identify the specific limits that are required of the client's behavior. B. Escort the client to her room each time the nurse observes the client socializing with other clients. C. Discuss the problem in a community meeting with the other clients on the unit present. D. Tell the other clients to ignore the client's lies.

Correct Answer is A

Explanation

A. Engaging in a conversation with the client allows the nurse to set clear expectations and boundaries. The nurse can explain the acceptable behavior and the consequences of disruptive actions. It’s essential to approach this conversation calmly and professionally.

B. While removing the client from social situations may temporarily prevent disruptive behavior, it does not address the underlying issue. Isolating the client may also negatively impact their well- being. It’s better to address the behavior directly rather than resorting to isolation.

C. Holding a community meeting involving all clients may not be appropriate or effective. It could escalate tensions and create an uncomfortable environment for everyone. Individualized interventions are more effective.

D. Ignoring disruptive behavior may not be the best approach. It’s essential to address the issue directly rather than expecting other clients to tolerate disruptive behavior.

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A client with borderline personality disorder says to the nurse, "I feel so comfortable talking with you. You seem to have a special way about you that really helps me." Which would be the most appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is exploring treatment options with a client addicted to heroin. Which information regarding the use of methadone is important for the nurse to include?

Correct Answer is B

Explanation

A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain to the nursing staff about the client's disruptive behaviors. Which of the following initial actions should the nurse take?

Correct Answer is A

Explanation

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