The nurse is aware the patient with borderline personality disorder did not have a family visit this week. The nurse adds an intervention to address the patient's probable perception of abandon-ment. Which intervention would be most appropriate?
a. Schedule patient for pet therapy visit.
b. Arrange for remote activity during next visiting time.
c. Assess daily for evidence of self-mutilation.
d. Assign a young CNA to his care.
C
Patients with borderline personality disorder have a deep fear of abandonment and react with intense, emotionally charge acts, such as suicide attempts or self-mutilation.
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Which of the following is an ethnicity and not a race?
a. African American b. Hispanic c. Pacific Islander d. White
One of the most common terrorist activities is the use of explosives. A common trauma associated with this is Blast Lung Injury. What are the symptoms that would alert a nurse to this problem? The patient presents with:
1. Air emboli and pneumothorax 2. The inability to think rationally 3. Dyspnea, hemoptysis, cough, and chest pain 4. Black sputum.
A toddler fell out of a second-story window. She had a brief loss of consciousness and vomited four times. Since admission, she has been alert and oriented
Her mother asks why a computed tomography (CT) scan is required when she "seems fine." Which explanation should the nurse give? a. Your child may have a brain injury and the CT can rule one out. b. The CT needs to be done because of your child's age. c. Your child may start to have seizures and a baseline CT should be done. d. Your child probably has a skull fracture and the CT can confirm this diagnosis.
What assessment can be made when a client describes the nurse by saying, "Her words and her facial expression go together to give me the same message"? The nurse:
1. Is empathetic 2. Is assertive 3. Conveys positive regard 4. Uses congruent communication