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A nurse is caring for a client who has borderline personality disorder (BPD).

Check the 6 assessment findings that require immediate follow-up:.

Financial situation.

Increased use of mood-altering substances.

Sexual behaviors.

Hepatitis Viral Study (HAA) results.

BUN level.

Hgb level.

Sodium level.

Being admitted frequently

Recent loss of a parent

Answer and Explanation

Correct Answer : A,B,C,D,G,I

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

Explanation

Choice A rationale:
Blunt affect is a negative symptom of schizophrenia, characterized by diminished expression of emotion.
Choice B rationale:
Delusions are considered positive symptoms of schizophrenia, not negative.
Choice C rationale:
Anhedonia, or the inability to feel pleasure, is a negative symptom of schizophrenia.
Choice D rationale:
Hallucinations are considered positive symptoms of schizophrenia, not negative.
Choice E rationale:
Poor judgment is not specifically categorized as a negative symptom of schizophrenia.

A. Educating the client to the policies upon admission to the unit. B. Instructing the client that intrusive behaviors are not appropriate. C. Ensuring that the client's medication therapy is administered in a timely manner. D. Setting and maintaining consistent unit policies that are enforced by all staff.

Correct Answer is D

Explanation

Choice A rationale:
While educating the client about policies upon admission to the unit is important, it may not have the greatest impact on both the management of care and on milieu environment.
Choice B rationale:
Instructing the client that intrusive behaviors are not appropriate is important, but it may not have the greatest impact on both the management of care and on milieu environment.
Choice C rationale:
Ensuring that the client’s medication therapy is administered in a timely manner is crucial, but it may not have the greatest impact on both the management of care and on milieu environment.
Choice D rationale:
Setting and maintaining consistent unit policies that are enforced by all staff can create a stable and predictable environment, which can have a significant impact on both the management of care and on milieu environment.

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A nurse is caring for a client who has borderline personality disorder (BPD). Check the 6 assessment findings that require immediate follow-up:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.).

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

Explanation

Which nursing intervention will have the greatest impact on both the management of care and on milieu environment when considering the clients diagnosed with bipolar disorder?

Correct Answer is D

Explanation

A nurse is discussing schizophrenia spectrum disorders with a client. The client states, "My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?.

A nurse is reviewing medication records for several clients who have bipolar disorder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder.(Select all that apply.).

A nurse is reviewing the medical record of a client who performs self-injury. Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?

A nurse is assessing for the presence of extrapyramidal side effects (EPS) in a client who is taking chlorpromazine. Which of the following findings should the nurse recognize as EPS? (Select all that apply.).

A nurse is reviewing discharge instructions with a client who has bipolar disorder and is taking lithium. Which of the following manifestations should the nurse include as an indication of mild toxicity?

A nurse is caring for a client who has borderline personality disorder (BPD).

Check the 6 assessment findings that require immediate follow-up:.