A nurse on a mental health unit is caring for a client.
The nurse is contributing to the plan of care for the client. Which of the following actions should the nurse recommend? (Select all that apply.)
Establish consequences for unacceptable behaviors.
Encourage the client to verbalize their feelings.
Provide clear boundaries for behavior toward peers and staff members.
Determine if the client is having thoughts of harming themselves or others.
Bargain with the client when setting behavioral expectations.
Instruct the client on coping mechanisms and relaxation techniques.
Correct Answer : A,B,C,D,F
A. Establish consequences for unacceptable behaviors: This approach helps the client understand the impact of their actions and encourages accountability, which is important for behavior management in borderline personality disorder.
B. Encourage the client to verbalize their feelings: Encouraging the expression of feelings helps the client develop better emotional awareness and communication skills, which are essential for managing their emotions and interpersonal relationships.
C. Provide clear boundaries for behavior toward peers and staff members: Setting clear boundaries is crucial for maintaining a safe environment and helps the client understand acceptable behavior, promoting healthier interactions with others.
D. Determine if the client is having thoughts of harming themselves or others: Regular assessment of self-harm and harm to others is essential, especially given the client's history of self-injury and a recent suicide attempt. This ensures the client's safety and allows for timely intervention if needed.
E. Instruct the client on coping mechanisms and relaxation techniques: Teaching coping strategies and relaxation techniques equips the client with tools to manage anxiety and emotional distress, which are common in borderline personality disorder.
F. Bargain with the client when setting behavioral expectations: Bargaining may reinforce manipulative behaviors and does not provide the structure that clients with borderline personality disorder often need. Instead, establishing firm and consistent expectations without negotiation is more beneficial for their treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Antisocial personality disorder: This disorder is characterized by a disregard for societal rules and the rights of others. Clients with antisocial personality disorder may refuse to follow instructions and demonstrate a lack of respect for rules, indicating a pattern of behavior consistent with this diagnosis.
B. Schizotypal personality disorder: Individuals with schizotypal personality disorder typically exhibit eccentric behaviors, social anxiety, and odd beliefs but are not primarily characterized by a blatant disregard for rules or authority. Their behavior is more focused on social discomfort than defiance of rules.
C. Narcissistic personality disorder: While clients with narcissistic personality disorder may believe they are above the rules and display entitlement, their behavior is often driven by a need for admiration and self-importance rather than outright defiance of rules.
D. Histrionic personality disorder: Individuals with histrionic personality disorder typically seek attention and may be dramatic in their expressions. However, their behaviors are more focused on emotionality and attention-seeking rather than a direct refusal to follow rules or instructions.
Correct Answer is A
Explanation
A. Dependent personality disorder: This personality disorder is classified as part of Cluster C, characterized by anxious and fearful behaviors. Individuals with Dependent personality disorder exhibit a pervasive and excessive need to be taken care of, leading to submissive and clinging behaviors. They often struggle with making decisions without excessive advice and reassurance from others, which can significantly impact their relationships and functioning.
B. Antisocial personality disorder: Antisocial personality disorder is part of Cluster B, which includes dramatic, emotional, or erratic behaviors. Antisocial personality disorder is characterized by a disregard for the rights of others and a lack of empathy. Individuals may engage in deceitful behavior and may have a history of criminal activities, demonstrating a pattern of violating societal norms.
C. Borderline personality disorder: Borderline personality disorder is classified under Cluster B. It is characterized by instability in relationships, self-image, and emotions, as well as impulsive behaviors. Individuals with this disorder often experience intense emotional fluctuations and may engage in self-destructive behaviors, making it difficult to maintain stable relationships and a consistent sense of identity.
D. Paranoid personality disorder: Paranoid personality disorder is classified under Cluster A personality disorders, which include odd or eccentric behaviors. Paranoid personality disorder involves a pervasive distrust and suspiciousness of others. Individuals often interpret benign actions as malevolent, leading to significant challenges in social and interpersonal relationships due to their chronic skepticism and suspicion.
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