A nurse is providing care for a client who has schizophrenia. The client is unemployed and unhoused. Which of the following concepts regarding themselves should the nurse be aware of?

Health equity

Social determinants of health

Treatment protocols

Unconscious bias

Answer and Explanation

The Correct Answer is B

B. Social determinants of health are the conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life. These determinants include factors such as socioeconomic status, education, employment, housing, and access to healthcare.

A. Health equity refers to the absence of disparities in health and healthcare among different populations. However, this option does not specifically address the client's situation of unemployment and homelessness.

C. Treatment protocols are important for guiding clinical practice but they do not directly address the social determinants of health impacting the client's situation.

D. Unconscious bias refers to implicit attitudes or stereotypes that influence judgments and behaviors in a subconscious manner but do not directly address the social determinants of health impacting the client's situation of unemployment and homelessness.

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Correct Answer is A

Explanation

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.

A. Explain to the client that self-harm behaviors do not increase their risk for accidental death. B. Inform the client that self-harm behavior cannot become a serious problem in the future. C. Encourage the client to identify the emotions they feel immediately before performing the self- harm behavior. D. Place the client in one-on-one direct observation due to overt suicidal intent.

Correct Answer is C

Explanation

C Encouraging the client to identify the emotions they feel immediately before performing the self-harm behavior is an important intervention. It can help the client develop insight into triggers and underlying emotions that contribute to the behavior. Identifying and addressing these emotions can be a crucial step in developing healthier coping mechanisms.

A. It is crucial to convey the potential risks associated with self-harm and emphasize the importance of seeking help and safer coping strategies.

B. Non-suicidal self-harm is a significant concern that requires attention and appropriate intervention. While NSSH does not necessarily indicate immediate suicidal intent, it can indicate significant distress

D. NSSH does not necessarily indicate suicidal intent, and placing the client in constant observation without clinical justification may be intrusive and undermine therapeutic rapport.

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A nurse is providing care for a client who has schizophrenia. The client is unemployed and unhoused. Which of the following concepts regarding themselves should the nurse be aware of?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse on a mental health unit is planning care for a client who has a new diagnosis of non- suicidal self-harm (NSSH). Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

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