A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

When discharged from the hospital

When attending dialectical behavior therapy

When attending narrative therapy

When getting married

Answer and Explanation

The Correct Answer is A

A. Individuals with borderline personality disorder (BPD) often experience intense and unstable emotions, impulsivity, and difficulties in regulating their emotions and behaviors. As a result, transitions, such as being discharged from the hospital, can be particularly challenging and may increase the risk of self-harm or suicidal behavior.

B. While dialectical behavior therapy (DBT) is an evidence-based treatment for BPD and focuses on teaching coping skills to manage emotions and reduce self-harming behaviors, attending therapy sessions may actually decrease the risk of self-harm for individuals actively participating in treatment.

C. Narrative therapy is another therapeutic approach that focuses on helping individuals reframe their life stories and experiences. While narrative therapy may be beneficial for some aspects of BPD treatment, it may not specifically address the immediate risk factors for self-harm.

D. Getting married may be a significant life event that brings about both positive and negative emotions, but it does not inherently indicate the highest risk for self-harm in individuals with BPD.

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Correct Answer is D

Explanation

D. Telehealth can greatly benefit homebound clients or those who have difficulty accessing a physician's office due to various reasons such as mobility issues, geographical distance, or lack of transportation. It allows them to communicate with their primary care providers remotely, facilitating access to necessary healthcare services.

A. Telehealth is particularly beneficial for certain types of consultations, follow-up appointments, monitoring chronic conditions, mental health counseling, and providing education and support. B Telehealth is not necessarily a separate program but rather an alternative mode of delivering healthcare services.

C. Telehealth consultations may result in the issuance of prescriptions or recommendations for medical equipment or services, which would then be subject to the individual's health insurance coverage or out-of-pocket expenses.

A. Interpersonal therapy B. Antipsychotic medications C. Dialectical behavior therapy D. Antidepressant medications

Correct Answer is A

Explanation

A. Interpersonal therapy (IPT) focuses on improving interpersonal relationships and social functioning, which is crucial for individuals with avoidant personality disorder. This therapy helps clients work through feelings of inadequacy, sensitivity to criticism, and fear of rejection, aiming to enhance their ability to connect with others and improve their social skills.

B. Antipsychotic medications are primarily used to treat psychotic disorders such as schizophrenia and bipolar disorder with psychotic features. They are not the first-line treatment for avoidant personality disorder.

C. While DBT is useful for emotional regulation and has applications in various personality disorders, it is primarily designed for borderline personality disorder and may not be the first choice for avoidant personality disorder.

D Dialectical behavior therapy (DBT) is a type of cognitive-behavioral therapy (CBT) that emphasizes acceptance and change strategies.

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A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing telehealth with a group of state legislators. Which of the following statements pertinent to homebound clients should the nurse include in the discussion?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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