A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

"You should follow up with your regular doctor in the next few months so they can manage your new diagnosis."

"You have made such great progress here. I can see why you feel so well."

"It is recommended that you receive follow-up care from a mental health provider after you are discharged."

"Since you have such a good relationship with your family practice provider, you do not need to see a mental health provider."

Answer and Explanation

The Correct Answer is C

C. Borderline personality disorder often requires ongoing management and support from mental health professionals. It's essential for the nurse to encourage the client to continue receiving appropriate care even after discharge to ensure continued support and monitoring of their condition.

A. Managing a complex mental health condition like borderline personality disorder typically requires specialized care from a mental health provider, such as a psychiatrist or psychologist. B This response focuses on praising the client's progress during their time on the mental health unit but does not address the importance of follow-up care or the need to involve a mental health provider in managing borderline personality disorder.

D. This response may downplay the complexity of the client's condition and the need for specialized care tailored to their mental health needs.

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Correct Answer is A

Explanation

A. describes secretive behavior, which is indicative of bulimia nervosa.

B. It suggests laxative misuse, which can be a compensatory behavior associated with bulimia nervosa. However, it does not directly address the binge-purge cycle or the emotional aspect of the behavior.

C. This describes behavior more characteristic of anorexia nervosa rather than bulimia nervosa. Anorexia nervosa involves restrictive eating behaviors and a distorted body image, whereas bulimia nervosa typically involves binge eating episodes followed by compensatory behaviors.

D. This feeling of euphoria or emotional relief during binge-purge episodes is not commonly reported by individuals with bulimia nervosa.It is mostly a complusion that bring remorse afterwards.

A. The client will exercise for 30 min each day. B. The client provides a list of exercises that they are interested in. C. The client will exercise daily for the next 2 weeks. D. The client will share their exercise log with an identified support person.

Correct Answer is D

Explanation

D. This promotes accountability by involving an identified support person in the client's exercise plan. Sharing the exercise log with a support person creates a sense of responsibility and encouragement for the client to adhere to their exercise regimen. Knowing that someone else will review their progress can motivate the client to stay committed to their goals and maintain consistency in their exercise routine.

A. Setting a specific duration for daily exercise is a good goal-setting strategy. However, it does not inherently provide a mechanism for accountability. The client may not feel as motivated to adhere to the exercise plan consistently.

B. This option involves client engagement and preference, which is important for promoting adherence to an exercise routine. However, it does not directly address accountability.

C. Setting a specific timeframe for daily exercise is another goal-setting strategy, but without mechanisms for accountability, the client may struggle to maintain consistency.

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A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Correct Answer is A

Explanation

A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?

Correct Answer is D

Explanation

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