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
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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Related Questions
Correct Answer is D
Explanation
D. It emphasizes the importance of addressing the client's immediate emotional and psychological needs. Reassurance and comfort can help alleviate the client's distress and promote a sense of security, which is essential for their well-being.
A. Participation in group activities may be beneficial for some clients with schizophrenia but it is not the priority when the client is experiencing confusion and distortions in thinking.
B. Medication management is an important aspect of caring for clients with schizophrenia. However, the decision to administer PRN medications should be based on a comprehensive assessment of the client's symptoms and needs.
C. Distraction techniques may be helpful for managing symptoms of anxiety or agitation in some clients, but they are not the priority.
Correct Answer is C
Explanation
A. Late-onset schizophrenia typically presents with symptoms such as hallucinations, delusions, disorganized thinking, and social withdrawal. However, this does not differentiate it from typical schizophrenia.
B. Substance use, including cannabis use, is a known risk factor for the development of schizophrenia, particularly in individuals who are genetically predisposed to the disorder. However, cannabis use as a teenager alone does not necessarily indicate late-onset schizophrenia.
C. Paraphrenia or late onset schizophrenia generally occurs later in life and symptoms persist and intensify as the client ages. Schizophrenia is rarely diagnosed after the age of 40 and is considered late onset if diagnosed after the age of 40.
D. Family history of psychosis or schizophrenia is a significant risk factor for developing schizophrenia, including late-onset schizophrenia. However, having a family member who mirrors the client's behaviors of psychosis is not a specific finding indicative of late-onset schizophrenia.
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