A nurse in a mental health clinic is caring for a client who is grieving.

Exhibits

A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.

Statement regarding outlook on living

Statement related to feelings of sadness and anger.

Knowledge of expectations during group meetings.

Awareness of the therapist's role.

Statement related to use of pharmacological interventions.

Answer and Explanation

Correct Answer : A,B,E

A. The client's statement, "I can't go on living without my child," indicates a potentially serious risk to their safety and well-being. This statement suggests that the client may be experiencing suicidal ideation or extreme despair, which requires immediate attention and intervention.

B. While sadness and anger are expected components of grief, the intensity of these feelings and their persistence need to be assessed for any signs of complicated grief or potential for self-harm. Addressing these emotions is critical to ensuring the client’s safety and providing appropriate support.

C. While understanding the expectations during group meetings is important for therapy, it is not as immediately critical as addressing the client's statements about their outlook on living and their medication adherence.

D. Knowledge about the therapist’s role is important for therapeutic alliance, but it is less urgent compared to addressing the client’s potentially dangerous outlook on living and their medication issues.

E. The client’s refusal to take the prescribed medication, with the belief that it "will not help," indicates a possible issue with medication adherence or effectiveness. This needs to be addressed to ensure that the client is receiving appropriate treatment for their mental health needs.

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

Explanation

Rationale:

A. Taking a lunch break is an important self-care practice to rest and recharge during a workday.

B. Eating balanced and nutritious meals is crucial for maintaining physical health and energy levels.

C. Establishing healthy boundaries helps prevent burnout and maintain work-life balance.

D. Regular exercise is recommended for overall well-being, but “occasionally” might not be sufficient for effective self-care.

E. Taking time for relaxation helps manage stress and maintain mental health.

A. Denial B. Reaction formation C. Splitting D. Regression

Correct Answer is C

Explanation

Rationale:

A. Denial involves refusing to accept reality but is not as characteristic of borderline personality disorder as splitting.

B. Reaction formation involves behaving in a manner opposite to one's true feelings, which is not the primary defense mechanism in borderline personality disorder.

C. Splitting is a common defense mechanism in borderline personality disorder where the client views people or situations as all good or all bad, potentially causing conflict within the healthcare team.

D. Regression involves reverting to earlier developmental stages but does not typically cause division among healthcare providers.

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A nurse in a mental health clinic is caring for a client who is grieving. Exhibits A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a presentation for newly hired nurses about self-care of the nurse. Which of the following examples of self-care routines should be included?(Select All that Apply.)

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

Explanation

A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?

Correct Answer is C

Explanation

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A nurse in a mental health clinic is caring for a client who is grieving.

Exhibits

A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.