A nurse is reinforcing teaching with the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

Medication compliance

Awareness of potential for self-harm

Resources for group therapy in the community

Information about insurance coverage

Answer and Explanation

The Correct Answer is B

A.   Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm.
B.   Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors.
C.   Resources for group therapy in the community are valuable but secondary to ensuring immediate safety.
D.   Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.

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Correct Answer is C

Explanation

A. A pulse deficit refers to a condition where there is a difference between the radial and apical pulse rates, not a phenomenon heard during blood pressure measurement.
B. Diastolic pressure is the point at which sounds fade away or become muffled, but the silence between sounds refers to a different concept, not the actual diastolic pressure.
C. An auscultatory gap is the term used to describe a silent interval between the systolic and diastolic sounds during blood pressure measurement. This can lead to inaccurately low readings if not identified.
D. A widened pulse pressure refers to a larger-than-normal difference between systolic and diastolic pressure, which is not related to the auscultatory silence.

A. Schedule daily seclusion times. B. Encourage group activities. C. Provide a stimulating environment. D. Encourage short rest periods throughout the day.

Correct Answer is D

Explanation

A. Seclusion is not generally recommended for mania unless necessary for safety; it may increase feelings of isolation.
B. Group activities are often not recommended for clients in the manic phase, as they may become overstimulated and disruptive.
C. A stimulating environment may increase hyperactivity and agitation.
D. Short rest periods are recommended for clients in a manic state to help manage their energy levels and prevent exhaustion.

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A nurse is reinforcing teaching with the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)

Correct Answer is C

Explanation

A nurse is assisting with the plan of care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse recommend to include?

Correct Answer is D

Explanation

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

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A nurse is collecting data from a client who has histrionic personality disorder. Which of the following characteristics should the nurse expect?

A nurse is collecting data on a client and finds that Ari is always manic but has had one depressive episode in the last year. Which of the following diagnosis should the nurse suspect?

A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?