The nurse is changing the dressing on self-inflicted cigarette burns on a patient with borderline personality disorder. When providing the care, which action is most therapeutic?
a. Change the dressings while being nurtur-ing and caring to keep patient from feeling abandoned.
b. Approach the dressing change with a matter-of-fact demeanor to decrease sec-ondary gains of sympathy.
c. Present a stern attitude to underscore the seriousness of the act.
d. Interact in a professional and distant manner to diminish the opportunity for manipulation.
B
The person with borderline personality disorder will seek additional secondary gains in terms of attention about the manipulative act of self-mutilation. Nurturing will reinforce the effectiveness of the mutilation to gain attention. Stern and distant demeanors may appear confrontational to the patient and reduce the therapeutic aspects of the intervention.
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a. 1/2 b. 72 c. 96 d. 2 2/3
The nurse is obtaining the height and weight of an older adult client. The client asks why the height is 1 inch less than last year. What is the best response by the nurse?
1. "Your bones are weaker and are shrinking." 2. "I am sure you are mistaken and just don't remember from last year." 3. "Your height decreases with age due to musculoskeletal changes." 4. "Stand up straighter this time and we will measure again."
A patient who has a history of coronary artery
disease has been instructed to take one 81-mg aspirin tablet a day. The patient asks about the purpose of this aspirin. Which response by the nurse is correct? a. "Aspirin is given reduce anxiety." b. "It helps to reduce inflammation." c. "Aspirin is given to relieve pain." d. "It will help to prevent clot formation."
A middle-aged female patient reports constant anxiety, inability to sleep, and headaches. Which health problem should the nurse suspect this patient is experiencing?
A. Amenorrhea B. Perimenopause C. Dysmenorrhea D. Postmenopause