A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client's plan of care, the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client, the client says, "Why don't you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client?
"I don't like it when you address me with that tone of voice."
"I know you can, but are you going to read it or not?"
"Fine. Here is the schedule, and I will expect you to be on time to your therapies."
"We do this every day. Why are you so angry with me this morning?"
The Correct Answer is A
A)"I don't like it when you address me with that tone of voice.": This is the most therapeutic response. It addresses the inappropriate behavior (the rude tone) in a calm and direct manner, setting a clear boundary while remaining respectful. By focusing on the behavior, the nurse can maintain professionalism and avoid escalating the situation. This response also encourages the client to recognize the impact of their behavior without feeling attacked.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Crayons and a coloring book: While crayons and coloring books can be entertaining, they may not be suitable for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions. Toddlers at this age are typically more interested in exploring objects and engaging in physical activities.
B. Large building blocks: Large building blocks are suitable for a 12-month-old toddler as they promote fine motor skills, hand-eye coordination, and spatial awareness. They also encourage imaginative play and problem-solving, which are important aspects of cognitive development at this age. Additionally, large blocks are easy to clean and sanitize, making them suitable for use in a hospital setting with contact precautions in place.
C. Hanging crib toys: Hanging crib toys are more appropriate for infants, particularly those who are younger than 12 months old. At 12 months of age, toddlers are usually more mobile and may not be as interested in stationary crib toys.
D. Modeling clay: Modeling clay is not recommended for a 12-month-old toddler, especially in a hospital setting with contact precautions. Modeling clay poses a choking hazard, and toddlers at this age may not have the dexterity or understanding to use it safely. Additionally, modeling clay can be difficult to clean and sanitize between uses, making it unsuitable for use in a hospital environment.
Correct Answer is D
Explanation
A. Launder the child's clothing with fabric softener: Fabric softeners can contain chemicals and fragrances that may irritate the skin of a child with eczema. It's advisable to wash the child's clothing with a mild, fragrance-free detergent and avoid the use of fabric softeners.
B. Dress the child in woolen clothes during cold months: Wool can be irritating to sensitive skin and may exacerbate eczema symptoms. It's best to dress the child in soft, breathable fabrics such as cotton to minimize irritation.
C. Give the child bubble baths every day: Bubble baths can strip the skin of its natural oils and exacerbate eczema symptoms. It's recommended to limit baths to every other day or less frequently and to use lukewarm water without added bubbles or harsh soaps.
D. Apply a topical corticosteroid ointment to the affected area: This is the correct choice. Topical corticosteroids are commonly used to reduce inflammation and relieve itching associated with eczema. They help to control eczema flare-ups and manage symptoms effectively. However, it's important to follow the healthcare provider's instructions regarding the frequency and duration of corticosteroid use and to apply them only to the affected areas of the skin.
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