Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder?

Using authoritative leadership to help clients learn to conform to societal norms

Being firm, consistent, and empathetic, while addressing specific client behaviors

Promoting client expression by implementing laissez-faire leadership

Overlooking inappropriate behaviors to avoid promoting secondary gains

Answer and Explanation

The Correct Answer is B

A. Using authoritative leadership to help clients learn to conform to societal norms: Authoritative leadership may be perceived as controlling and is unlikely to be effective with clients diagnosed with borderline personality disorder. It can lead to resistance and difficulties in building a therapeutic alliance.

B. Being firm, consistent, and empathetic, while addressing specific client behaviors: This approach is most appropriate. Clients with borderline personality disorder often benefit from clear and consistent boundaries, along with empathy from the nurse. Addressing specific behaviors helps establish a structured and safe therapeutic environment.

C. Promoting client expression by implementing laissez-faire leadership: Laissez-faire leadership, characterized by minimal interference or direction, is generally not suitable for clients with borderline personality disorder. They may struggle with emotional dysregulation and benefit from a more structured and supportive approach.

D. Overlooking inappropriate behaviors to avoid promoting secondary gains: Overlooking inappropriate behaviors may reinforce maladaptive patterns and hinder progress in therapy. It is essential to address and work through specific behaviors while maintaining empathy and consistency.

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Free Nursing Study Resources

Correct Answer is A

Explanation

To calculate the number of tablets needed, you can use the formula:

Number of tablets =Total dosage ordered/Dosage strength per tablet

In this case:

Number of tablets =150mg/50 mg/tablet

Number of tablets=3tablets

So, the correct answer is:

3.0 Tabs

A. To emphasize that the client is capable of consuming food without purging B. To incorporate specific foods into the meal plan to reflect pleasant memories C. To assist the client to become more compliant with the treatment plan D. To gain additional information about the progression of the disease process

Correct Answer is A

Explanation

A. To emphasize that the client is capable of consuming food without purging: This is the correct purpose of the intervention. By recalling a time when the client was able to consume food without engaging in purging behaviors, the nurse aims to highlight the client's capability to eat without resorting to unhealthy practices.

B. To incorporate specific foods into the meal plan to reflect pleasant memories: While incorporating pleasant memories into the meal plan can be a positive aspect of treatment, the primary purpose of the intervention described is to focus on the client's ability to eat without purging.

C. To assist the client to become more compliant with the treatment plan: While promoting compliance with the treatment plan is important, the specific intervention described is more about exploring the client's past experiences with eating without purging to reinforce the possibility of achieving healthier eating habits.

D. To gain additional information about the progression of the disease process: The intervention is not primarily aimed at gaining information about the progression of the disease process. Instead, it is focused on emphasizing the client's capacity to eat without engaging in purging behaviors.

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Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Thorazine 150mg PO was order for a client. Thorazine is available in 50mg tablets. How many tablets will you administer?

Correct Answer is A

Explanation

A nurse working with a client diagnosed with bulimia nervosa ask the client to recall a time in life when food could be consumed without purging Which is the purpose of this nursing intervention?

Correct Answer is A

Explanation

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