Which client situation should a nurse identify as reflective of the impulsive behavior that is commonly associated with borderline personality disorder?
A. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and whispers, "The night nurse is evil. You have to stay."
B. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and states, "I will be up all night if you don't stay with me."
C. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm, yelling, "Please don't go! I can't sleep without you being here."
D. As the day shift nurse leaves the unit, the client suddenly shows the nurse a bloody arm and states, "I cut myself because you are leaving me."
D
The client's statement "I cut myself because you are leaving me" reflects impulsive behavior that is commonly associated with the diagnosis of borderline personality disorder. Repetitive, self-mutilative behaviors are common and are generated by feelings of abandonment following separation from significant others.
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According to DeRosa and Kochura's (2006) article entitled "Implement Culturally Competent Health Care in Your Workplace," cultures have different patterns of verbal and nonverbal communication
Which of the following communication behaviors is not one of the noted communication differences? a. conversational style c. eye contact b. personal behavior d. subject matter
The nurse is reviewing the magnetic resonance imaging (MRI) of a client diagnosed with schizophrenia. The report documents a decrease in brain size and activity in the frontal lobe. Which client symptom correlates with this finding?
A) Auditory hallucinations B) Reasoning ability C) Unstable vital signs D) Disheveled appearance
An example of the secondary level of prevention is:
1. approved infant car seats. 2. breast self-examination. 3. immunizations. 4. support groups for parents of children with Down syndrome.
The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert but has dry mucous membranes
Which additional assessment data indicates to the nurse that the infant is experiencing an early to moderate stage of dehydration? 1. Bradycardia 2. Tachycardia 3. Increased blood pressure 4. Normal fontanels