A client with borderline personality disorder is having difficulty with memories of sexual abuse. She has a history of suicidal gestures, self-mutilation, sexual addiction, and substance addiction
She complains of vague pains, menstrual problems, and headaches. She entered the partial hospi-tal program to prevent another suicide gesture or self-mutilation. The nurse recognizes that col-laborative therapy may be helpful for this client and knows that the most useful collaboration in this case would be the client, the nurse, and the:
1. Occupational therapist exploring ways to reduce stress
2. Physical therapist exploring ways to reduce back pain
3. Acupuncturist exploring ways to reduce pain
4. Sexologist exploring healthy sexuality and safe sex
ANS: 1
An occupational therapist can determine ways to increase adaptive functioning and independent living skills. Groups on stress reduction, self-awareness, and feelings are often co-led by occupa-tional therapists. Options 2 and 3: Physical therapists and acupuncturists would focus more on pain management, which is not the priority problem. Option 4: Sexual acting out is a way of managing stress, so the focus should, more properly, be on stress reduction.
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A patient newly diagnosed with Parkinson's disease has been taking levodopa/carbidopa (Sinemet) for several weeks and complains of nausea and vomiting. The nurse tells the patient to discuss what with the provider?
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Ordered: Rabeprazole sodium 60 mg po daily. On hand: Rabeprazole sodium 20 mg tablets.The amount to administer is ________.
Fill in the blank(s) with the appropriate word(s).
A woman has a long-running compulsion to repeatedly check if the doors of her home are locked and has received a diagnosis of obsessive-compulsive disorder (OCD)
Her husband is at a loss to understand her irrational behavior and has sought help from a therapist himself to deal with the effect that his wife's OCD is having on their daily lives. Which of the husband's following statements would require correction? A) "It's a relief to know that this can be changed if she continues with therapy and the medications she's been prescribed." B) "It's odd that someone like her and someone who's depressed might both respond positively to the same drugs." C) "I thought that this was something exceedingly rare, but I'm actually a bit relieved to learn that others have this disorder as well." D) "I'm glad that this is something that's a result of life stressors and is not associated with any dysfunction in her brain."