From a behavioral perspective, which nursing intervention is appropriate when caring for a client diagnosed with borderline personality disorder?
1. Seclude the client when inappropriate behaviors are exhibited.
2. Contract with the client to reinforce positive behaviors with unit privileges.
3. Teach the purpose of anti-anxiety medications to improve medication compliance.
4. Encourage the client to journal feelings to improve awareness of abandonment issues.
2
Rationale: The most appropriate nursing intervention from a behavioral perspective is to contract with the client to reinforce positive behaviors with unit privileges. Behavioral strategies offer reinforcement for positive change.
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A nurse is caring for a client who is experiencing nausea and vomiting. Which of the following nursing interventions should the nurse implement to modify the client's environment to relieve nausea and vomiting?
A) Avoid strong odors in the client's room. B) Have the air-conditioning on in the client's room. C) Provide a clean and comfortable bed. D) Provide the client with a mask.
A client who was raped tells the nurse that she must not get pregnant. Which of the following can the nurse respond to this client?
1. "You will not know for sure for at least a few more days.". 2. "There is a medication called Plan B, which is emergency contraception.". 3. "Are you sure the rapist did not use a condom?" 4. "The baby could always be given up for adoption.".
A nurse identifies a child who may be abused or receives information from a teacher that a child may have been abused. Which of the following actions must the nurse take?
a. Call the police immediately to take the child to a safe place b. Contact the parents and ask about it c. Contact the legal authorities as well as the school's principal d. Examine the child to see if the abuse really occurred
Which is the priority focus of recovery models?
A. Empowerment of the health-care team to bring their expertise to decision-making B. Empowerment of the client to make decisions related to individual health care C. Empowerment of the family system to provide supportive care D. Empowerment of the physician to provide appropriate treatments