Which nursing intervention is most likely to result in heightened self-awareness for a patient diagnosed with a personality disorder in the dramatic-erratic cluster?
a. Setting firm limits on behavior
b. Providing clear expectations for acceptable behavior
c. Using confrontational approaches to reduce self-mutilation
d. Encouraging the patient to keep a daily journal to be shared with the nurse
D
Patients can be helped to understand themselves and their feelings by keeping a journal. Sharing the journal with the nurse fosters greater understanding and a sense of autonomy and responsibility. The other options do not heighten self-awareness.
You might also like to view...
An adolescent tells the nurse that she lives with her mother from Monday to Friday each week and then she lives with her father on Saturday and Sunday. How should the nurse describe this client's family structure?
1. Nuclear. 2. Stepfamily. 3. Extended. 4. Single-parent.
A new client asks, "Why are you doing a gestational age assessment on my baby?" The nurse's best response is:
a. "It was ordered by your physician." b. "This must be done to meet insurance requirements." c. "It helps us identify infants who are at risk for any problems." d. "The gestational age determines how long the infant will be hospitalized."
A combat veteran diagnosed with moderate traumatic brain injury (TBI) will begin pharmacologic therapies that include psychotropic medication. What information should the nurse provide? Select all that apply
a. "We will monitor you closely for how each medication affects you." b. "Medications can be expected to dramatically improve your symptoms." c. "Please be patient as your health care provider identifies the best drugs for your problems." d. "The blood levels of most medications you take will need to be checked with laboratory testing." e. "Be prepared for frequent dose changes as your health care provider adjusts the dose to meet your needs."
When assisting the client who practices Islam or Judaism with meal planning, the nurse knows that both religions share an avoidance of:
1. Alcohol 2. Shellfish 3. Caffeine 4. Pork products