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. Asking why the client doesn't see the value of treatment is confrontational and dismisses the client’s
experience.
B. Suggesting a group home without addressing the client’s personal goals or preferences could be perceived as dismissive.
C. While complete symptom resolution is not guaranteed, focusing on improving the client’s quality of
life and continuing treatment is more realistic and supportive.
D. The medical model of recovery emphasizes symptom management, but suggesting it works to eliminate all symptoms may be overly optimistic for someone with schizophrenia.

A. The client is hostile and sarcastic towards the staff. B. The client paces in the hallway during the day and most of the night. C. The client gives money away to other clients. D. The client demonstrates flight of ideas once a week but is more quiet during meals

Correct Answer is B

Explanation

A. Hostility and sarcasm are concerning, but they are not as urgent as the risk of injury associated with hyperactivity.
B. Pacing in the hallway during the day and night is indicative of extreme restlessness and may lead to exhaustion or self-harm. The nurse should address this behavior to prevent harm.
C. Giving money away may be problematic, but it is a less immediate risk compared to physical safety.
D. Flight of ideas is a common symptom of mania, but it is less dangerous than pacing and hyperactivity, which can lead to physical harm.

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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

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