The nurse is changing the dressing on self-inflicted cigarette burns on a patient with borderline personality disorder. When providing the care, which action by the nurse would be most thera-peutic?
a. Perform the actions while being nurturing and caring to keep patient from feeling abandoned.
b. Approach the interventions with a mat-ter-of-fact demeanor to decrease second-ary 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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When doing a computerized search for quantitative studies on a topic:
A) The best place to begin is to use a search engine such as Yahoo or Google B) The primary keyword to use in the search typically would be the population C) The keywords to start the search typically would be the independent and dependent variables D) The specific subject headings used in each bibliographic database would have to be learned
During lower extremity inspection of a client with early chronic venous disease, the nurse would expect to find
a. decreased peripheral pulses. b. dependent cyanosis. c. muscular hypertrophy. d. pitting edema of the lower extremities.
Who was the first nurse to develop a nursing theory?
A) Clara Barton C) Florence Nightingale B) Dorothea Dix D) Virginia Henderson
Nurses may find dealing with grieving persons difficult because nurses:
a. avoid discussing sources of grief. b. believe that intervention is usually not helpful. c. have their own unresolved grief. d. believe that grief is personal and should be dealt with independently.