A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?

I do care about you as a person but nothing more.

I am not the best nurse. All the nurses are good.

The other nurses and I are here to help you get better.

You don't think the other nurses care about you?

Answer and Explanation

The Correct Answer is C

A.   This response may invalidate the client's feelings and might not provide reassurance about the nurse's support.
B.   This response deflects the client's statement and might not address the client's feelings of being cared for.
C.   This response acknowledges the client's feelings, reinforces the presence of the nursing team, and emphasizes the collective goal of helping the client get better.
D.   This response might indirectly question the client's perception and doesn't directly address the client's need for reassurance and support.

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Correct Answer is A

Explanation

A. Explaining the phenomenon of opioid tolerance and receptor response reduction with continued use helps the client understand why increased dosage might be needed.
B. Collecting information on opioid sources is important but doesn't directly address the issue of increased tolerance.
C. Detoxification might be an extreme measure and is not the first step in addressing increased opioid tolerance.
D. Discussing the dangers of opioid misuse is essential, but it doesn't address the specific issue of increased tolerance for pain relief.

A. Involve client in a daily exercise program. B. Ask the client to describe her depression. C. Spend time sitting in silence with the client. D. Observe for signs of possible psychosis.

Correct Answer is C

Explanation

A. Initiating an exercise program might be helpful, but it doesn't directly address the delayed responses or aid in communication.
B. Asking the client to describe her depression might be beneficial, but it may not be suitable if the client's responses are delayed.
C. Spending time in silence with the client can create a safe and supportive environment, allowing the client to communicate at her own pace without feeling pressured.
D. Observing for signs of psychosis is important but doesn't directly address the delayed responses.

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A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client reports needing to increase opioid dosage to achieve the original level of pain relief.Which action should the nurse take?

Correct Answer is A

Explanation

When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

Correct Answer is C

Explanation

The mother of an 8-month-old infant with profound mental and physical disabilities tells the nurse how depressed she is because she realizes that her child will never achieve normal growth and development milestones. How should the nurse respond to this mother?

A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?

A client with post-traumatic stress disorder (PTSD) is admitted to the psychiatric unit. Which intervention is most important for the nurse to include in this client's plan of care?

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A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?

A male client tells the nurse that he has an IQ of 400+ and is a genius and an inventor. He also reports that he is married to a female movie star and thinks that his brother wants a sexual relationship with her. Which is the priority nursing problem for admission to the psychiatric unit?

The nurse is preparing the physical environment to interview a new client for admission to the mental health unit. Which environmental setting facilitates the best outcome of the interview?

A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?