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
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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Related Questions
Correct Answer is C
Explanation
A. Encouraging physical activity, like a daily walk, is a positive way to support the client’s mental health
and can help with symptoms of depression.
B. Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan.
C. Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance.
D. Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.
Correct Answer is A
Explanation
A. The nurse’s primary concern is preventing the client from embarrassing herself due to the impulsive and disinhibited behaviors typical of a manic episode.
B. There is no indication that dancing is prohibited; the issue is with inappropriate behavior.
C. The focus of the action is not on sexual behavior but on ensuring the client is appropriately dressed in a social setting.
D. Following policy is important, but the nurse’s action is more about protecting the client from social
embarrassment.
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