The client with a diagnosis of borderline personality disorder shows the nurse multiple superficial cuts to the arms that were made during the night. The client states, "I told the night staff that I was feeling alone
" The nurse recognizes that the self-mutilation may be a result of: 1. Manipulation.
2. Anxiety.
3. Splitting.
4. Impulsive behavior.
4
Rationale: Clients with borderline personality disorder often act before thinking about the potential consequences of their actions. Safety maintenance is a primary concern when working with impulsive clients. Manipulation is an attempt to get needs met through using or exploiting others. Splitting is a type of manipulative behavior that attempts to set one staff member against another. Anxiety is associated with cluster C disorders.
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A mother of two children, an 8-year-old and a 10-year-old, tells you that her husband has recently been deployed to the Middle East
The mother is concerned about the children's constant interest in watching TV news coverage of activities in the Middle East. The most appropriate suggestion for the nurse to make to this mother would be: 1. "Allow the children to watch as much television as they want. This is how they are coping with their father's absence." 2. "It will just take some time to adjust to their father's absence, then everything will return to normal." 3. "The less that you discuss this, the quicker the children will adjust to their father's absence. Try to keep them busy and use distractions to keep their mind off of it." 4. "Spend time with your children, and take cues from them about how much they want to discuss."
Nurse V has been working on the same oncology unit for the past ten years. Lately, her coworkers have noticed that she seems to be having trouble processing information and making decisions when caring for her patients
When asked if she needs any help, she flatly denies that anything is wrong and states that she has been doing things this way for ten years and sees no reason to change. Nurse V is having difficulties in which area of health? a. professional c. intellectual b. social d. spiritual
The role of the LP/VN as a member of the interdisciplinary health care team includes which of the following? (Select all that apply.)
a. participates in the planning of care b. understands the roles and responsibilities of each discipline c. is an advocate for the client's needs d. teaches prosthesis care e. provides appropriate diet to meet client's needs f. evaluates the nursing care plan
Friends and family may begin to separate themselves before a loved one dies
Indicate whether the statement is true or false