A client with a diagnosis of borderline personality disorder has had several hospitalizations for suicide attempts and self-mutilation. A priority nursing intervention for this client would include which of the following?
1. Safety maintenance
2. Social interaction
3. Anxiety reduction
4. Concrete communication
1
Rationale: Safety maintenance is a priority nursing intervention for a client with a history of self-mutilation and suicide attempts. Concrete communication is a nursing intervention for clients with cognitive impairments. Increasing social interaction is a nursing intervention appropriate for clients with cluster A diagnoses. Anxiety reduction is a nursing intervention appropriate for clients with cluster C diagnoses.
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The nurse is caring for a client receiving an extensive regime of chemotherapy. The nurse recognizes that the client's ability to avoid muscle wasting during this treatment is most affected by:
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A caregiver asks the nurse to explain his infant's weight loss of 10% of birth weight, which occurred by the third or fourth day after birth
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