A client with borderline personality disorder says to the nurse, "I feel so comfortable talking with you. You seem to have a special way about you that really helps me." Which would be the most appropriate response by the nurse?

"I'm glad you feel comfortable with me."

"I am sorry I cannot be your friend."

"You feel other's don't understand you?"

"I'm here to help you just as all the staff members are."

Answer and Explanation

The Correct Answer is D

D. It acknowledges the client’s comfort while emphasizing the nurse’s professional role. It sets clear boundaries and reinforces that the nurse’s primary purpose is to provide care and support within the therapeutic context.

A. This response acknowledges the client’s feelings but does not set clear boundaries. It may

inadvertently encourage the client to view the nurse as a friend rather than a professional caregiver.

B. While this response establishes boundaries, it may come across as abrupt or cold. It lacks empathy and understanding.

C. This response reflects empathy and encourages further exploration of the client’s feelings. However, it does not address the professional boundaries explicitly.

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Correct Answer is D

Explanation

D. The constant repetitive cleaning behavior observed in the client with OCD is likely an attempt to decrease anxiety associated with obsessive thoughts or fears of contamination.

A. While individuals with OCD may engage in compulsive behaviors to gain a sense of control over their environment, the primary motivation behind these behaviors is not to manipulate others.

B. While engaging in repetitive cleaning behaviors may occupy the client's time and attention, the primary purpose of these behaviors is not necessarily to decrease the time available for interaction with people.

C. While individuals with OCD may experience distress or anxiety related to their obsessions and may engage in compulsive behaviors to reduce these feelings, the goal is typically to alleviate anxiety

A. "I will probably always need to take this medication for my anxiety." B. "This medication will relax me, so I can focus on problem solving." C. "This medication presents no risk of addiction or dependence." D. "My anxiety will be eliminated if I take this medication as prescribed."

Correct Answer is B

Explanation

B. Anxiolytics are prescribed to reduce symptoms of anxiety, such as nervousness or restlessness, which can interfere with problem-solving and decision-making abilities. By alleviating anxiety symptoms, the medication can help the client focus more effectively on addressing underlying issues or stressors.

A. While anxiolytics can be effective in managing acute symptoms of anxiety, they are not typically intended for long-term use.

C. Many anxiolytic medications, particularly benzodiazepines, carry a risk of dependence and addiction if used improperly or for an extended period.

D. While anxiolytics can help alleviate symptoms of anxiety, they may not completely eliminate anxiety in all situations.

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A client with borderline personality disorder says to the nurse, "I feel so comfortable talking with you. You seem to have a special way about you that really helps me." Which would be the most appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?

Correct Answer is D

Explanation

An anxiolytic agent has been prescribed for the client. Which of the following statements by the client would indicate to the nurse that client education about this medication has been effective?

Correct Answer is B

Explanation

A nurse is caring for a client who was admitted with acute psychosis and is being treated with haloperidol. The nurse should suspect that the client may be experiencing tardive dyskinesia when the client exhibits which of the following? (Select all that apply)

A nurse in a hospital is caring for a client who has agoraphobia. Which of the following statements by the client indicates understanding of the goals of treatment?

The client with schizophrenia believes the student nurses are there to spy on the clients. The client is suffering from which of the following symptoms?

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A nurse is caring for a client who has schizophrenia and generalized anxiety disorder. The client has a prescription for alprazolam 0.25 mg PO every 8 hr PRN anxiety. For which of the following client statements should the nurse consider administering alprazolam?

A nurse is caring for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following actions should the nurse take first?

A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

A nurse is caring for a client who has depression. The client refuses to get out of bed, go to activities, or participate in any of the unit's programs. Which of the following responses should the nurse make?