A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Inability to maintain employment
Reluctance to discard worthless objects
Avoidance of interpersonal relationships
Intense efforts to avoid abandonment
The Correct Answer is D
Choice A reason:
The statement "Inability to maintain employment" is not a primary characteristic of borderline personality disorder (BPD). While individuals with BPD may struggle with maintaining employment due to emotional instability and interpersonal difficulties, this is not a defining feature of the disorder.
Choice B reason:
The statement "Reluctance to discard worthless objects" is more indicative of hoarding disorder, not BPD. Hoarding disorder involves persistent difficulty discarding or parting with possessions, regardless of their actual value.
Choice C reason:
The statement "Avoidance of interpersonal relationships" is more characteristic of avoidant personality disorder. Individuals with BPD often have intense and unstable relationships rather than avoiding them.
Choice D reason:
The statement "Intense efforts to avoid abandonment" is the correct response. A hallmark of BPD is the fear of abandonment and frantic efforts to avoid real or imagined abandonment. This can lead to unstable relationships and emotional distress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
The statement "Don't worry about it. Your anxiety will lessen once the massage begins" is not appropriate. This response dismisses the client's expressed discomfort and does not address their concerns. It is important to validate the client's feelings and work collaboratively to find an acceptable alternative.
Choice B reason:
The statement "I will request that the massage therapist wear gloves during your treatment" is not a suitable solution. Wearing gloves may not alleviate the client's discomfort with being touched and could still cause anxiety. It is better to explore other treatment options that do not involve physical contact.
Choice C reason:
The statement "Why don't you like to be touched by others?" is not the best approach. While understanding the client's reasons can be helpful, this question may come across as intrusive or judgmental. It is more important to respect the client's boundaries and preferences.
Choice D reason:
The statement "I will tell your provider that you would like a treatment other than massage" is the correct response. This response acknowledges the client's discomfort and takes appropriate action to find an alternative treatment that the client is comfortable with. It shows respect for the client's preferences and ensures their needs are met.
Correct Answer is D
Explanation
Choice A Reason:
Decreased fear of heights is not a typical outcome of electroconvulsive therapy (ECT). ECT is primarily used to treat severe mental health conditions such as major depressive disorder, bipolar disorder, and certain forms of schizophrenia. Phobias, such as a fear of heights, are generally treated with cognitive-behavioral therapy (CBT) or other forms of psychotherapy rather than ECT.
Choice B Reason:
Reduced frequency of seizures is not an expected outcome of ECT. In fact, ECT intentionally induces controlled seizures as part of the treatment process. The therapeutic effects of ECT are believed to result from these induced seizures, which can help alleviate symptoms of severe mental health conditions. Therefore, a reduction in seizure frequency would not indicate the effectiveness of ECT.
Choice C Reason:
Improvement in manifestations of borderline personality disorder (BPD) is not a primary indication for ECT. While ECT can be used in some cases of severe mental health conditions, it is not typically used to treat BPD. The primary treatments for BPD include psychotherapy, such as dialectical behavior therapy (DBT), and medications to manage specific symptoms.
Choice D Reason:
Improvement in manifestations of depression is a key indicator of the effectiveness of ECT. ECT is highly effective in treating severe depression, especially in cases where other treatments have failed. It can lead to significant improvements in mood, energy levels, and overall functioning. Studies have shown that ECT has a high success rate in reducing depressive symptoms and improving the quality of life for individuals with treatment-resistant depression.
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