A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?

Assign the same staff members daily to provide care for the client.

Explore feelings of abandonment.

Avoid discussing maladaptive behaviors with the client.

Encourage dependent behaviors.

Answer and Explanation

The Correct Answer is A

A.   Consistency in staffing helps establish a therapeutic relationship and promotes trust and predictability, which can improve social interactions for clients with borderline personality disorder.
B.   Exploring feelings of abandonment may be appropriate in therapy sessions but is not specifically aimed at improving social interactions.
C.   Discussing maladaptive behaviors and working towards behavior change is important in the treatment of borderline personality disorder and should not be avoided.
D.   Encouraging dependent behaviors can perpetuate maladaptive patterns and hinder progress in treatment for clients with borderline personality disorder.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]

Explanation

Impaired cognition, insomnia, seizures

Increased blood pressure, increased heart rate, diaphoresis

Lack of appetite, vomiting

Malaise, tremulousness

A. Recommend that the client try to sleep during the day when it is quieter. B. Keep conversations and activities to a minimum during the nighttime. C. Turn on the client's television at night to cover up environmental noises. D. Tell the client that they will eventually get used to people talking at night.

Correct Answer is B

Explanation

A. Encouraging the client to sleep during the day disrupts the natural sleep-wake cycle and may not address the underlying issue of noise disturbances at night.

B. Minimizing conversations and activities during the nighttime promotes a quieter environment conducive to sleep, addressing the client's concern directly.
C. Using a television to cover up noise may not address the root cause of the client's sleep disturbance and could interfere with sleep hygiene.
D. Dismissing the client's concern and suggesting they will eventually get used to the noise does not address the immediate issue or offer practical solutions.

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Body system	Findings
Neurological	Impaired cognition

	Insomnia Seizures
Cardiovascular	Increased blood pressure Increased heart rate Diaphoresis
Gastrointestinal	Lack of appetite Vomiting
Musculoskeletal	Malaise Tremulousness

A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]

Explanation

A nurse is caring for a client who is receiving inpatient treatment for an eating disorder. The client states, "I just can't sleep soundly here because It's too noisy." Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is talking to a client following a group therapy session. The client tells the nurse that one of the other clients in the group made an inappropriate comment. Which of the following responses should the nurse make?

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