Which statement made by a patient with borderline personality disorder indicates the treatment plan is effective?
a. "I think you are the best nurse on the unit."
b. "I'm never going to get high on drugs again."
c. "I hate my doctor for not giving me what I ask for."
d. "I felt empty and wanted to cut myself, so I called you."
ANS: D
Seeking a staff member instead of impulsively self-mutilating shows an adaptive coping strategy. The incorrect responses demonstrate idealization, devaluation, and wishful thinking.
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1. Hypothermia related to decreased metabolic state 2. Acute pain related to the effects of a congenital heart defect 3. Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect 4. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow
A pregnant woman who is close to term is admitted to the emergency room after being involved in a motor vehicle crash. Within moments, she experiences a cardiopulmonary arrest. What is a nursing priority in the care of this woman?
A) Initiate cardiopulmonary resuscitation as for any patient. B) Monitor fetal heart tones continuously. C) During care, place a 2-inch wedge under the patient's right hip. D) Administer oxygen by nasal cannula at 2 L/min.
In reporting suspected elder abuse, which of the following is true?
a. nurses are not obligated in any way to report suspicions b. all reporting is a matter of public record c. guidelines for reporting vary by state d. the police should also be called to arrest the perpetrator
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a. coercive. b. expert. c. legitimate. d. reward.