A nurse is working with a group of clients during group therapy. For which of the following client disorders will setting limits serve as an appropriate behavioral management technique?

Delirium

Depression

Antisocial personality disorder

Generalized anxiety disorder

Answer and Explanation

The Correct Answer is C

Choice A reason: Setting limits is not typically the primary behavioral management technique for clients with delirium. Delirium is an acute and often reversible state of confusion that requires addressing the underlying medical cause. Management strategies for delirium focus on reorientation, ensuring safety, and treating any underlying conditions rather than setting behavioral limits.

Choice B reason: Clients with depression may benefit from supportive and empathetic interactions rather than strict behavioral limits. While structure and routine can be helpful, the primary approach for managing depression involves therapeutic communication, medication management, and cognitive-behavioral strategies rather than setting limits on behavior.

Choice C reason: Setting limits is an essential behavioral management technique for clients with antisocial personality disorder. Individuals with this disorder often exhibit manipulative, deceitful, and aggressive behaviors. Clear and consistent limits help establish boundaries and prevent the exploitation of others. This approach promotes accountability and helps manage inappropriate behaviors in a therapeutic setting.

Choice D reason: Generalized anxiety disorder is characterized by excessive and persistent worry. Behavioral management techniques for anxiety disorders typically include cognitive-behavioral therapy, relaxation techniques, and sometimes medication. Setting limits is not a primary intervention for managing anxiety; rather, the focus is on reducing anxiety symptoms through therapeutic strategies.

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Correct Answer is C

Explanation

Choice A reason: This statement is incorrect. Buspirone is not known to cause dependence, which is one of the reasons it is often preferred for the treatment of generalized anxiety disorder. Unlike benzodiazepines, which can lead to dependence and withdrawal symptoms, buspirone does not have these effects, making it a safer long-term option for managing anxiety.

Choice B reason: There is no specific dietary restriction regarding the consumption of leafy green vegetables when taking buspirone. This statement might confuse the client unnecessarily. Dietary interactions are more commonly associated with certain other medications, such as MAO inhibitors, which require patients to avoid tyramine-rich foods to prevent hypertensive crises. However, this does not apply to buspirone.

Choice C reason: This statement is accurate and important for the client to understand. Buspirone typically takes several weeks to achieve its full therapeutic effect. Clients should be advised to continue taking the medication as prescribed and not to expect immediate relief of anxiety symptoms. This information helps set realistic expectations and encourages adherence to the treatment plan.

Choice D reason: This statement is incorrect and could lead to improper medication administration. If a dose of buspirone is missed, it should not be doubled up with the next dose. Instead, clients should take the missed dose as soon as they remember unless it is almost time for their next scheduled dose. Doubling up on doses can increase the risk of side effects and is not a safe practice.

A. A client who has borderline personality disorder and acts impulsively B. A client who has avoidant personality disorder and becomes anxious in social situations C. A client who has dependent personality disorder and clings to nursing staff D. A client who has histrionic personality disorder and seeks constant attention E. The correct answer is: a) A client who has borderline personality disorder and acts impulsively

Correct Answer is A

Explanation

Choice A reason: Clients with borderline personality disorder (BPD) who act impulsively can be a significant safety concern. Impulsive behaviors in BPD can include self-harm, suicidal ideation, substance abuse, and other risky actions. These behaviors can pose immediate and severe threats to the client's safety and require close monitoring, intervention, and support from the healthcare team to manage and mitigate these risks effectively.

Choice B reason: While clients with avoidant personality disorder may experience significant anxiety in social situations, this typically does not pose an immediate threat to their physical safety. The primary concern with avoidant personality disorder is social isolation and the impact on their mental health and quality of life. Anxiety in social situations can be distressing, but it does not inherently lead to dangerous behaviors.

Choice C reason: Clients with dependent personality disorder often exhibit clingy and submissive behaviors, relying heavily on others for support and decision-making. While this can create challenges in managing boundaries and fostering independence, it is not typically associated with immediate safety risks. The focus of care for these clients is on building self-reliance and coping skills.

Choice D reason: Clients with histrionic personality disorder often seek constant attention and may display dramatic, exaggerated behaviors. While this can be disruptive and challenging in a therapeutic setting, it does not usually pose a direct threat to the client's safety. The primary concern is managing interpersonal dynamics and ensuring that the client's behaviors do not negatively impact the therapeutic environment.

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A nurse is working with a group of clients during group therapy. For which of the following client disorders will setting limits serve as an appropriate behavioral management technique?

Nursing Test Bank

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Correct Answer is C

Explanation

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Correct Answer is A

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A nurse is working with a group of clients during group therapy. For which of the following client disorders will setting limits serve as an appropriate behavioral management technique?