Which outcome has priority for a patient with borderline personality disorder being dis-charged from an outpatient treatment environment?

a. Patient demonstrates control over self-destructive impulses.
b. Patient can identify symptoms that indicate a need for psychotherapy.
c. Patient demonstrates an understanding of the importance of medication compli-ance.
d. Patient actively participates in a community 12-step group related to relevant care.


ANS: A
The patient's ability to control self-destructive impulses has priority over the other options because doing so will affect patient safety.

Nursing

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The nurse is caring for a patient who underwent a bowel resection 2 hours ago. His urine output for the past 2 hours totals 50 mL. Which action should the nurse take?

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Which statement explains why nurses must be leaders to be successful in client care?

1. "You have to be a leader if you want physicians to respect you and the work you do." 2. "To function effectively in managed care, you have to be a good leader." 3. "Leadership skills will help you be assertive when you give orders to staff and clients." 4. "To direct client care activities and get the outcomes you desire, you need good leadership skills."

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An effective method to decrease absenteeism is to increase a nurse?s responsibility because a person with:

1. An important job realizes others depend on them. 2. Additional duties may fear termination. 3. Higher responsibilities will have less stress. 4. Less responsibility is always less motivated.

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The nurse is setting up a teaching session with

an 85-year-old patient who will be going home on anticoagulant therapy. Which educational strategy would reflect consideration of the age-related changes that may exist with this patient? a. Show a video about anticoagulation ther-apy. b. Present all the information in one session just before discharge. c. Give the patient pamphlets about the medications to read at home. d. Develop large-print handouts that reflect the verbal information presented.

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