A nurse is caring for a client who has borderline personality disorder.
Which of the following actions should the nurse take?

Provide consistent boundaries for the client.

Encourage the use of countertransference for the client.

Maintain consistency in assigning healthcare staff for the client.

Demonstrate a sympathetic attitude toward the client when providing care.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Individuals with borderline personality disorder often have difficulty establishing and maintaining boundaries. Providing consistent and clear boundaries helps in promoting a structured and safe environment for the client.

Choice B rationale:

Encouraging the use of countertransference is not appropriate. Countertransference refers to the therapist or nurse's emotional reactions to the client, and it is generally not encouraged as a therapeutic approach.

Choice C rationale:

Maintaining consistency in assigning healthcare staff for the client is essential in promoting stability and reducing anxiety. This is a crucial aspect of care for clients with borderline personality disorder.

Choice D rationale:

Demonstrating a sympathetic attitude is important in providing compassionate care, but it should be balanced with maintaining professional boundaries and not allowing manipulation by the client. Sympathy alone may not be sufficient in effectively managing the client's condition.

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Correct Answer is B

Explanation

Choice A rationale:

Reporting suspected abuse to Child Protective Services is important when there are concerns of child abuse. However, in this scenario, the nurse's first priority should be to ensure the immediate safety and well-being of the child. Without assessing the child's safety, it would be premature to report abuse. Child Protective Services can be involved later if necessary.

Choice C rationale:

Requesting that the parent leave the room while interviewing the child can be a useful strategy when there are concerns about abuse or when the child needs to speak freely. However, this should not be the first action. Ensuring the child's immediate safety takes precedence.

Choice D rationale:

Asking the child how the injury occurred is important in gathering information, but it should not be the first action. Ensuring the child's safety is of primary importance, and this information can be gathered after immediate safety needs are addressed.

A. Lithium. B. Valproate. C. Risperidone. D. Methylphenidate.

Correct Answer is D

Explanation

A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications? The correct answer is Choice D: Methylphenidate.

Choice A rationale:

Lithium is not a medication used to treat attention-deficit hyperactivity disorder (ADHD). It is primarily used to manage bipolar disorder.

Choice B rationale:

Valproate is also not a medication typically prescribed for ADHD. It is primarily used for seizure disorders and mood stabilization in conditions like bipolar disorder.

Choice C rationale:

Risperidone is an atypical antipsychotic medication used to treat conditions like schizophrenia and bipolar disorder but is not a first-line treatment for ADHD. It may be considered in cases of severe aggression or agitation associated with ADHD, but it is not the initial choice.

Choice D rationale:

Methylphenidate is a central nervous system stimulant and is one of the most commonly prescribed medications for the treatment of ADHD in children. It helps improve focus and reduce impulsivity and hyperactivity. It is a first-line treatment for ADHD, making it the most appropriate choice for a child with this diagnosis. .

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A nurse is caring for a client who has borderline personality disorder.Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is caring for a client who has borderline personality disorder.
Which of the following actions should the nurse take?