When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?
Just before the nurse anticipates the behavior
When the behavior is done
When the staff or family complains about the behavior
When the limit is set
The Correct Answer is D
Choice A reason: Setting consequences just before the behavior occurs does not provide clear expectations and boundaries for the patient.
Choice B reason: Setting consequences after the behavior is done may not effectively prevent the behavior and can lead to inconsistent enforcement.
Choice C reason: Waiting for complaints before setting consequences can lead to a reactive rather than proactive approach to care.
Choice D reason: Consequences should be clearly communicated when the limit is set to establish clear boundaries and expectations, which is essential in managing patients with personality disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Lying prone may be part of the care plan but is not specifically aimed at promoting ambulation.
Choice B reason: Coordination exercises are important but secondary to building the strength necessary for using mobility aids.
Choice C reason: Building upper body strength is essential for a patient who has had an above-the-knee amputation to be able to use assistive devices for ambulation effectively.
Choice D reason: Maintaining residual limb elevation is important for reducing swelling but does not directly promote ambulation.
Correct Answer is D
Explanation
Choice A reason: Respiratory depression is not a typical finding associated with anemia; it is more related to respiratory or central nervous system issues.
Choice B reason: Intense abdominal pain is not a common symptom of anemia and would likely indicate other medical conditions.
Choice C reason: Bradycardia, or slow heart rate, is not commonly associated with anemia. Anemia usually causes tachycardia, or a fast heart rate, as the body attempts to compensate for the reduced oxygen-carrying capacity of the blood.
Choice D reason: Dyspnea on exertion is a common symptom of anemia, as the reduced number of red blood cells leads to decreased oxygen delivery to the tissues, causing shortness of breath during activities.
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