A 34-year-old client with borderline personality disorder is admitted to a mental health unit because of a suicide attempt, anxiety, and depression. Which nursing intervention reflects the best understanding of this disorder?
A) Confine the client to a single room with little contact so that the client can get in touch with her feelings of emptiness.
B) Medicate the client with minor tranquilizers or antipsychotics that have proven to be successful in the long-term treatment of this disorder.
C) Use the same care plan for the client as for a schizophrenic client of the same age because "borderlines" experience transient psychosis.
D) Start supportive counseling and have frequent staff meetings to deal with potential staff countertransference and conflict.
D
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Florence Nightingale is noted to have provided the initial basis for evidence-based practice (EBP). She did this by: (Select all that apply.)
a. basing her work in trial and error as well as observation. b. using statistical data as a basis for improvements. c. applying statistical methods such as "pie charting" to display results. d. focusing on bedside care and ignoring nursing education. e. publishing the first EBP journal.
The client may have several diagnostic tests completed to assist with the diagnosis of heart failure. Which of the following diagnostic studies would rule out heart failure being present?
1. BNP 50 pg/mL 2. Hemoglobin 10g/dl 3. Sodium 148 mEq/L 4. Normal EKG
Which of the following drugs causes delayed toxicity to the bone marrow (i.e., white blood cell count hits bottom > 3 weeks after treatment compared to the more usual 7-10 days)?
A. Cisplatin B. Etoposide C. Carmustine (BCNU) D. Doxorubicin E. Cyclophosphamide
A patient holds a knife to the throat and tells a family member that voices are telling the patient to commit suicide. In which way should this patient be admitted to the hospital?
1. Commitment 2. Temporary admission 3. Observational admission 4. Emergency involuntary admission