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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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Wrapping the blood pressure cuff snugly around the arm is correct, as the cuff needs to be secure to ensure an accurate reading.
B. Centering the cuff bladder over the brachial artery is correct, as this is necessary for accurate blood pressure measurement.
C. Placing the client's arm above the level of the heart is incorrect. The arm should be at heart level to ensure the accuracy of the reading. If the arm is elevated, it could result in a falsely low reading.
D. Checking the instrument gauge to ensure the reading starts at zero is correct. This step is important to ensure the accuracy of the measurement.

A. Tardive dyskinesia B. Lock Jaw (unable to close mouth) C. Pseudoparkinsonism D. Akathisia

Correct Answer is A

Explanation

A. Tardive dyskinesia is a movement disorder often caused by long-term use of antipsychotic medications like chlorpromazine. Symptoms include involuntary movements such as jerking or lip smacking.
B. Lock Jaw is not a characteristic of tardive dyskinesia; it refers to trismus, often seen with other conditions.
C. Pseudoparkinsonism is characterized by tremors, rigidity, and bradykinesia, typically occurring early in antipsychotic treatment.
D. Akathisia involves restlessness and an inability to stay still, not the involuntary movements associated with tardive dyskinesia.

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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

A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has schizophrenia and has been taking chlorpromazine for 8 years. The nurse notes choreiform or jerking uncontrolled movements, lip smacking, and spastic facial distortions. Which of the following conditions should the nurse document in her finding?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

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