In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

Controlled anger

Stable and satisfactory relationships

Little tolerance for being alone

Predictability

Answer and Explanation

The Correct Answer is C

C. Individuals with BPD often experience intense fears of abandonment and may go to great lengths to avoid being alone. They may also have difficulties being alone due to chronic feelings of emptiness and the need for others to help manage emotions. This characteristic is consistent with the known symptoms of BPD, which include efforts to avoid real or perceived abandonment and a pattern of intense and unstable relationships.
A. Individuals with borderline personality disorder (BPD) often struggle with regulating their emotions, including anger. While they may experience intense emotions such as anger, they typically have difficulty controlling or expressing it in a healthy and adaptive manner.
B. Stable and satisfactory relationships: Stability in relationships is often a challenge for individuals with BPD. They may experience intense and unstable interpersonal relationships characterized by idealization and devaluation of others.
D. Predictability is generally lacking in individuals with BPD due to their emotional instability, impulsivity, and difficulty regulating their behaviors and responses to situations.

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Correct Answer is D

Explanation

D. Acupuncture is based on the concept of Qi (pronounced "chee"), or vital energy, flowing along specific pathways or meridians in the body. The insertion of needles at specific points along these meridians is believed to regulate the flow of Qi, restoring balance and promoting healing.
A. Acupuncture primarily involves the insertion of thin needles into specific points on the body to stimulate nerve-rich areas, not the manipulation of the spinal column.
B. Acupuncture does not involve the ingestion of substances, but rather the insertion of needles into specific points on the body to stimulate energy flow.
C. Herbal remedies may be used in conjunction with acupuncture in traditional Chinese medicine but acupuncture itself does not involve the ingestion of substances.

A. Orient the client and offer reassurance B. Encourage the client to drink some fluids C. Orient the client and monitor vital signs D. Assist the client from the stretcher to a wheelchair

Correct Answer is C

Explanation

C. After ECT, the client may be disoriented, confused, or drowsy due to the effects of anesthesia and the procedure itself. Orienting the client to their surroundings and situation helps promote their safety and comfort. Monitoring vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation, is crucial to assess the client's immediate post-procedural status and detect any complications.
A. Offering reassurance can help alleviate any anxiety or confusion the client may experience. However, while this intervention is important, it may not be the first priority immediately upon admission to the Post Anesthesia Care Unit (PACU).
B. Hydration is important after any medical procedure, including ECT. However, immediately after ECT, the client may still be recovering from anesthesia and may not be fully alert or able to safely drink fluids.
D. Assisting the client with mobility is important but it may not be the first intervention performed in the PACU after ECT. The priority immediately upon admission to the PACU is to ensure the client's safety.

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In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client plans to go to an acupuncturist for complementary treatment of alcoholism. He asks the nurse to explain how acupuncture works. The most accurate response would be "Acupuncture is a traditional Chinese medical treatment. The Chinese believe that:

Correct Answer is D

Explanation

A client has just been admitted to the Post Anesthesia Care Unit after electroconvulsive therapy (ECT). Which intervention will the nurse perform first?

Correct Answer is C

Explanation

A client has been taking oxycodone for pain. The client has returned three times for refills of the prescription. In addition to slurred speech, which assessment leads the nurse to suspect opioid Intoxication?

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The nurse should monitor the client for signs and symptoms of digoxin toxicity if the laboratory report reflects a serum:

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