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. Mouthwash and other products containing alcohol should be avoided while taking disulfiram. Even small amounts of alcohol (such as those found in mouthwash) can lead to adverse reactions when combined with disulfiram.

A. Disulfiram should be taken on an empty stomach, preferably in the morning, to enhance absorption and efficacy. Taking it with food may decrease absorption and reduce its effectiveness in deterring alcohol consumption.

B. Disulfiram tablets should be swallowed whole and not crushed or broken. Crushing the tablets can alter their release mechanism and affect their intended action. However, avoidance of alcohol based substances is more important.

C. Grapefruit juice can interact with certain medications by inhibiting cytochrome P450 enzymes in the liver, affecting drug metabolism. However, there is no specific interaction between grapefruit juice and disulfiram.

A. "The most common manifestation of postpartum depression is harming the infant." B. "Postpartum depression is more likely to occur in women who have a history of depression." C. "Postpartum depression usually begins 48 hours after childbirth." D. "It's common for clients who have postpartum depression to exhibit psychotic behavior."

Correct Answer is B

Explanation

B. Women with a history of depression, particularly those with a previous episode of postpartum depression, are at increased risk of experiencing postpartum depression after childbirth. Other risk factors include a family history of depression, stressful life events during pregnancy or after childbirth, lack of social support, and hormonal fluctuations.

A. While some women with postpartum depression may experience thoughts of harming themselves or their infant, it is not the most common manifestation.

C. Postpartum depression typically begins within the first few weeks to months after delivery. The onset of symptoms can vary from woman to woman, but they commonly develop within the first three months postpartum.

D. Postpartum psychosis is a psychiatric emergency characterized by symptoms such as hallucinations, delusions, disorganized thinking, and severe mood disturbances.

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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 nurse is teaching a client who has a new prescription for disulfiram (Antabuse). Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this condition?

Correct Answer is B

Explanation

A nurse on a mental health unit is caring for a client who has generalized anxiety disorder. The client received a telephone call that was upsetting. and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?

A coherent older client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which is the most likely reason that the client has not reported the abuse?

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?

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?

A nurse is assessing a client who has schizophrenia and has been on long-term treatment with chlorpromazine. He notes the client is experiencing some involuntary movements of the tongue and face. The nurse should suspect the client has developed which of the following adverse effects?

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?

A client experiences panic attacks when confronted with riding in elevators. The therapist is teaching the client ways to relax while incrementally exposing the client to getting on an elevator. This technique is called which of the following?