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A client states they have been compliant with antidepressant therapy, but "the meds don't seem to be working anymore." They have no immediate family in the vicinity and are estranged from siblings, saying, "They got over me a long time ago." The client acknowledges having a few friends but expresses, "I don't want to burden them with my stuff. I'm not worth that." Which factors should the nurse consider when evaluating the client's support systems? (Select all that apply.)

Support systems

Physical health

Mental health support

Alcohol consumption

Feelings of self-worth

Family history

Access to lethal means

Answer and Explanation

Correct Answer : A,B,C,E,F,G

Choice A reason: Support systems are crucial for emotional and practical support, especially when dealing with mental health issues.

Choice B reason: Physical health can significantly impact mental health, and vice versa; it's important to consider the client's overall well-being.

Choice C reason: Mental health support, such as therapy or support groups, is essential for someone struggling with the effectiveness of their medication.

Choice D reason: While alcohol consumption can affect mental health, it is not mentioned in the client's statement and therefore cannot be assumed.

Choice E reason: Feelings of self-worth are directly related to mental health and can influence the client's perspective on their value and the burden they perceive themselves to be to others.

Choice F reason: Family history can provide insight into potential hereditary patterns of mental health issues and the client's support network.

Choice G reason: Access to lethal means is a critical safety concern, especially for clients expressing feelings of worthlessness or experiencing severe depression.

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Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Dialectical behavior therapy (DBT) is a well-established treatment for borderline personality disorder, focusing on skills like mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness.

Choice B reason: While behavioral contracts can be part of treatment, they are not as central or evidence-based as DBT for borderline personality disorder.

Choice C reason: Bibliotherapy can be a supportive tool but is not a primary intervention for the complex needs of someone with borderline personality disorder.

Choice D reason: A safety plan is important, especially if there are concerns about self-harm or suicidal ideation, but it is not a comprehensive treatment approach like DBT.

A. Consider a transfer to a unit that does not require counseling of clients. B. Request that another nurse take over the counseling session with the client. C. Discuss with the client the issues surrounding the response made. D. The nurse should examine feelings and responses prior to counseling. E. Talking about feelings and emotions with a trusted colleague.

Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Considering a transfer might avoid the immediate issue but does not address the nurse's countertransference or promote professional growth.

Choice B reason: Requesting another nurse to take over may be appropriate to ensure the client receives unbiased care while the original nurse addresses their countertransference.

Choice C reason: Discussing personal issues with the client is not appropriate as it can blur professional boundaries and may not be therapeutic for the client.

Choice D reason: The nurse should examine their feelings and responses to prevent personal experiences from affecting professional judgment and interactions with clients.

Choice E reason: Talking about feelings and emotions with a trusted colleague can provide support and help the nurse process their feelings in a safe environment.

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Naxlex Comprehensive Predictor Exams

A nurse is planning discharge for a client who has borderline personality disorder. Which of the following interventions should be included for this client?

Correct Answer is A

Explanation

Correct Answer is ["B","D","E"]

Explanation

A college student has been diagnosed with Generalized Anxiety Disorder (GAD). Which of the following symptoms should a campus nurse expect this client to exhibit? (Select all that apply.)

The nurse is educating a client with alcoholism who has been in rehabilitation for two weeks to prepare for discharge. Which statement made by the client indicates that education was effective and the client is best prepared for discharge?

During an assessment of family dynamics for a client with an eating disorder, which observed issue could indicate a reason for the client's eating disorder?

Which of the following statements is associated with a client's child experiencing hair loss?

When engaging with clients, which techniques should the nurse avoid using to foster more therapeutic responses? Select all that apply.

The nurse has established a therapeutic relationship with a client. Which behaviors indicate that the client has entered into the identification phase of the nurse-client relationship?

The nurse is talking with a client who grew up in a home where both parents were alcoholics. Which behaviors does the nurse identify when assessing this client that correlate with this home life? Select all that apply.