A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?
I do care about you as a person but nothing more.
I am not the best nurse. All the nurses are good.
The other nurses and I are here to help you get better.
You don't think the other nurses care about you?
The Correct Answer is C
A. This response may invalidate the client's feelings and might not provide reassurance about the nurse's support.
B. This response deflects the client's statement and might not address the client's feelings of being cared for.
C. This response acknowledges the client's feelings, reinforces the presence of the nursing team, and emphasizes the collective goal of helping the client get better.
D. This response might indirectly question the client's perception and doesn't directly address the client's need for reassurance and support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Disorganization typically refers to thought process issues, not physical symptoms like numbness and tingling.
B. Preoccupation implies a focus on certain thoughts or concerns, which might contribute but doesn't fully explain the physical symptoms.
C. Somatization involves the manifestation of psychological distress as physical symptoms, such as experiencing physical sensations like numbness and tingling after a traumatic event.
D. Reexperience is more related to PTSD and involves the reliving of traumatic events through flashbacks or intrusive thoughts, not physical symptoms like numbness and tingling.

Correct Answer is C
Explanation
A. "The snakes on the wall are going to eat me" indicates a hallucination, specifically a visual hallucination. Hallucinations involve perceiving something that is not present, such as seeing or hearing things that others do not. This statement does not confirm delusions.
B. Hearing voices instructing harm doesn't confirm delusions but auditory hallucinations.
C. "The nurse at night is trying to poison me with pills" reflects a delusion, specifically a persecutory delusion. Delusions are false, fixed beliefs that are not based in reality and are resistant to reasoning or contradictory evidence. This statement indicates a belief that someone is attempting harm, which is characteristic of delusional thinking.
D. Believing fire is burning the skin could suggest a hallucination involving sensations, not necessarily a delusion.

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