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 B

Explanation

A. Both the nurse and therapist took action to ensure safety; therefore, reprimanding might not be appropriate.
B. The best outcome is an educational approach for the team to understand appropriate information sharing in cases of potential harm to others while maintaining patient confidentiality.
C. The nurse's immediate notification was based on safety concerns, which may take precedence over obtaining informed consent.
D. The therapist's action aimed at ensuring safety but might have breached confidentiality without explicit consent.

A. Ask the client to describe and identify the source of the feelings. B. Provide education about ways to cope with anxiety. C. Escort the client from the group to reduce stimuli. D. Assist the client with relaxation techniques in the group.

Correct Answer is D

Explanation

A. Asking the client to describe and identify the source of feelings might escalate the anxiety and might not be immediately helpful in reducing anxiety levels.
B. Providing education about coping with anxiety might be beneficial, but in a moment of severe anxiety, immediate intervention to reduce anxiety is more crucial.
C. Escorting the client from the group might be necessary in some cases, but assisting with relaxation techniques within the group setting can offer immediate support and relief.
D. Assisting the client with relaxation techniques in the group can help reduce anxiety and provide immediate support.

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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?

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Correct Answer is B

Explanation

A nurse who is co-leading group therapy recognizes that a client is beginning to experience severe levels of anxiety. Which intervention is best for the nurse to implement?

Correct Answer is D

Explanation

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