After an episode of self-mutilation, a patient diagnosed with borderline personality disorder will begin individual therapy and group skills training
The goals are to decrease use of dissociation, increase distress tolerance, and regulate affect. Which type of therapy is evident?
a. Rational-emotive behavioral
b. Motivational enhancement
c. Dialectical behavioral
d. Interpersonal
C
Each of the components described in the scenario is a component of dialectical behavioral therapy. The scenario information is not consistent with the components of any of the other types of therapy given as options.
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The nurse has provided preoperative teaching, and determines that further teaching is needed when the client states:
1. "Once I receive the preoperative medication, I will need to remain in bed." 2. "I can wait until just before leaving for the operating room to remove my wedding ring and false teeth." 3. "My family will wait for me in the holding area while I am in surgery." 4. "I should not eat or drink anything for eight hours before surgery."
The nurse is attempting to place a urinary catheter in a 96-year-old female client. The nurse is unable to visualize the client's urinary meatus. An alternate position to facilitate the insertion of the catheter would include
A) supine with the head of bed (HO B) elevated at 90?. B) supine with the bed flat, legs bent and apart. C) supine with the HOB elevated at 30?. D) side-lying lifting up the buttock.
All postoperative patients are at risk for complications. In addition to these complications, what are patients undergoing gastric surgery at increased risk for?
A) Dietary excess B) Bile obstruction C) Decreased intestinal motility D) Hemorrhage
The nurse is caring for a child who is receiving total parenteral nutrition (TPN) for failure to thrive. Which of the following nursing actions might the nurse take to prevent complications from this therapy?
A) Adhere to clean technique when caring for the catheter and administering TPN. B) Ensure that the system remains an open system at all times. C) Secure all connections and open the catheter during tubing and cap changes. D) Use occlusive dressings and chlorhexidine-impregnated sponge (Biopatch) dressings.