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 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.

A. The abused person is personally and financially dependent on the abuser. B. The abused person has low self-esteem and defines their success as a person by the ability to make the relationship work. C. The abused person uses alcohol or illegal drugs in the home. D. The abused person believes that they are unable to function without their partner. E. The abused person is afraid that the abuser will kill them if they try to leave.

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

Explanation

A. Financial dependence can create barriers to leaving the relationship, especially if the abused person lacks the means to support themselves or their dependents independently.
B. Low self-esteem and a sense of self-worth tied to the relationship can lead individuals to tolerate abuse in hopes of salvaging the relationship or out of fear of being alone.
D. Fear of independence or uncertainty about managing life without the abuser's presence can deter individuals from leaving the relationship.
E. Fear of retaliation or harm from the abuser, including threats of violence or death, can keep individuals trapped in the relationship out of concern for their safety.
C. While substance abuse may contribute to the complexity of an abusive relationship, it is not necessarily a reason why abused persons remain with an abusive partner. Substance abuse can exacerbate existing issues within the relationship but may not be the primary reason for staying.

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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 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

Which are common reasons why abused persons remain with an abusive partner? Select all that apply.

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

Explanation

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 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 is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?

A nurse is planning care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse include in the client's plan of care?

A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?

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?

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 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?