A nurse is contributing to the plan of care for a client who has borderline personality disorder.
Which of the following interventions should the nurse recommend?

Encourage the client to communicate with staff when feeling urges for self-harm.

Assist the client in developing healthy coping mechanisms for intense emotions.

Advise the client to avoid expressing their feelings assertively.

Offer the client additional attention only when self-mutilating behaviors occur.

Answer and Explanation

Correct Answer : A,B

Choice A rationale

Encouraging communication with staff during self-harm urges is a crucial intervention for clients with borderline personality disorder. This allows for immediate support, redirection of focus, and the opportunity to implement coping strategies before an episode of self-harm occurs, aligning with the principles of dialectical behavior therapy often used for this disorder.

Choice B rationale

Assisting the client in developing healthy coping mechanisms for intense emotions is fundamental in managing borderline personality disorder. Individuals with this disorder often experience emotional dysregulation, and learning adaptive coping skills provides them with tools to manage distress, reduce impulsivity, and decrease the likelihood of self-harm.

Choice C rationale

Advising the client to avoid expressing feelings assertively is countertherapeutic. Clients with borderline personality disorder may struggle with expressing emotions appropriately. Encouraging avoidance can lead to suppressed feelings, potential emotional outbursts, and increased risk of self-harm. Assertive communication skills should be fostered.

Choice D rationale

Offering additional attention only when self-mutilating behaviors occur can inadvertently reinforce these behaviors. This approach can create a pattern where the client engages in self-harm to gain attention, rather than learning healthier ways to seek support and manage their emotions. Consistent and proactive support is more effective.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Bulimia nervosa can be difficult to detect because individuals with the disorder often maintain a normal weight or may even be slightly overweight. Their eating and purging behaviors are often carried out in secret, and they may not appear outwardly ill or underweight, unlike individuals with anorexia nervosa.

Choice B rationale

People with bulimia nervosa engage in episodes of binge eating, consuming a large amount of food in a short period, followed by compensatory behaviors to prevent weight gain. Therefore, they do not eat an average amount of food on a daily basis; their intake is characterized by extremes.

Choice C rationale

Vomiting is one, but not the only, compensatory behavior associated with bulimia nervosa. Individuals may also use other methods such as misuse of laxatives, diuretics, excessive exercise, or fasting to counteract the effects of binge eating. The absence of vomiting does not rule out bulimia nervosa.

Choice D rationale

While bulimia nervosa has significant physical health consequences, the direct risk of developing diabetes mellitus is not a primary complication. Eating disorders can lead to various metabolic disturbances, but diabetes is more directly linked to factors like obesity, genetics, and insulin resistance. Electrolyte imbalances, esophageal damage, and cardiac arrhythmias are more immediate risks. .

A. A client who has a bruise on their shin. B. A client who is 9 kg (20 lb) over their recommended weight. C. A client whose caregiver pays the client's bills. D. A client who is wearing soiled clothing.

Correct Answer is D

Explanation

Choice A rationale

While a bruise on the shin could indicate abuse, it could also result from an accidental bump or fall, which are common in older adults due to factors like impaired balance or decreased bone density. A single bruise alone is not definitive evidence of caregiver abuse or neglect and requires further assessment to determine the cause.

Choice B rationale

Being 9 kg (20 lb) over the recommended weight is indicative of potential overeating or a sedentary lifestyle, both of which are health concerns but not direct indicators of caregiver abuse or neglect. Weight management is related to dietary habits and physical activity levels, not necessarily the actions of a caregiver.

Choice C rationale

A caregiver paying a client's bills is not necessarily indicative of abuse or neglect. It could be a sign of assistance and support, especially if the client has difficulty managing their finances. Financial arrangements between a client and caregiver need to be assessed within the context of their relationship and the client's capacity.

Choice D rationale

Wearing soiled clothing suggests a lack of proper hygiene and care, which could be a sign of neglect by the caregiver. Inadequate attention to basic needs like cleanliness can lead to skin breakdown, infections, and a decline in the client's overall health and well-being. This warrants further investigation into the care provided.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is contributing to the plan of care for a client who has borderline personality disorder.Which of the following interventions should the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is participating in a community program about eating disorders.Which of the following information about bulimia nervosa should the nurse include in the presentation?

Correct Answer is A

Explanation

A nurse is caring for a group of older adult clients who receive home care.Which of the following clients should the nurse interview about the possibility of caregiver abuse or neglect?

Correct Answer is D

Explanation

A nurse is collecting data from an adult client in an outpatient mental health clinic.The nurse should identify which of the following events as a potential cause of a maturational crisis?

A nurse is contributing to the plan of care for a client who experiences panic attacks.Which of the following strategies should be included for implementation during an attack?

A nurse is caring for a male client who is to begin therapy with valproic acid.Which of the following diagnostic results should the nurse plan to review before administering the first dose?

A nurse is reviewing the medical record of a 50-year-old male client who has schizophrenia in an inpatient mental health facility Exhibits Which of the following findings should the nurse report to the provider? (Select all that apply.)

A nurse in a mental health facility is collecting a blood specimen from a client.The client is hallucinating and states, "That looks like a snake, and it won't let it take all of my blood.”. Which of the following responses should the nurse make?

A nurse is reviewing the medical record of a 50-year-old male client who has schizophrenia in an inpatient mental health facility Exhibits Complete the following sentence by using the list of options: The nurse should clarify the prescription for clozapine due to the client’s dropdown.

A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt.Which of the following behaviors indicates that the contract has been effective?

A nurse is contributing to the plan of care for a client who has borderline personality disorder.
Which of the following interventions should the nurse recommend?