A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client's plan of care, the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client, the client says, "Why don't you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client?
"I don't like it when you address me with that tone of voice."
"I know you can, but are you going to read it or not?"
"Fine. Here is the schedule, and I will expect you to be on time to your therapies."
"We do this every day. Why are you so angry with me this morning?"
The Correct Answer is A
A)"I don't like it when you address me with that tone of voice.": This is the most therapeutic response. It addresses the inappropriate behavior (the rude tone) in a calm and direct manner, setting a clear boundary while remaining respectful. By focusing on the behavior, the nurse can maintain professionalism and avoid escalating the situation. This response also encourages the client to recognize the impact of their behavior without feeling attacked.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Launder the child's clothing with fabric softener: Fabric softeners can contain chemicals and fragrances that may irritate the skin of a child with eczema. It's advisable to wash the child's clothing with a mild, fragrance-free detergent and avoid the use of fabric softeners.
B. Dress the child in woolen clothes during cold months: Wool can be irritating to sensitive skin and may exacerbate eczema symptoms. It's best to dress the child in soft, breathable fabrics such as cotton to minimize irritation.
C. Give the child bubble baths every day: Bubble baths can strip the skin of its natural oils and exacerbate eczema symptoms. It's recommended to limit baths to every other day or less frequently and to use lukewarm water without added bubbles or harsh soaps.
D. Apply a topical corticosteroid ointment to the affected area: This is the correct choice. Topical corticosteroids are commonly used to reduce inflammation and relieve itching associated with eczema. They help to control eczema flare-ups and manage symptoms effectively. However, it's important to follow the healthcare provider's instructions regarding the frequency and duration of corticosteroid use and to apply them only to the affected areas of the skin.
Correct Answer is B
Explanation
A. Rickets: Rickets is a condition caused by a deficiency of vitamin D, calcium, or phosphate, leading to softening and weakening of the bones. While milk is a good source of vitamin D and calcium, excessive consumption of milk alone may not necessarily lead to rickets unless the child has inadequate exposure to sunlight or a diet lacking in other essential nutrients.
B. Iron deficiency anemia: This is the correct choice. Excessive consumption of milk, particularly if it replaces solid foods in the diet, can lead to iron deficiency anemia in toddlers. Cow's milk is low in iron and can inhibit iron absorption from other foods, leading to iron deficiency over time. Iron deficiency anemia can result in fatigue, weakness, developmental delays, and impaired cognitive function in young children.
C. Obesity: While excessive milk consumption can contribute to excessive calorie intake, leading to weight gain and potentially obesity, the scenario describes a toddler with a poor appetite for solid foods. Therefore, the primary concern in this case is not obesity but rather the risk of nutritional deficiencies, particularly iron deficiency anemia.
D. Diabetes mellitus: Excessive milk consumption alone is not a direct risk factor for diabetes mellitus in toddlers. However, a diet high in refined sugars and excessive calorie intake, including from milk, can contribute to the development of obesity and insulin resistance, increasing the risk of type 2 diabetes mellitus later in life. However, the primary concern in this scenario is the risk of nutritional deficiencies, particularly iron deficiency anemia, rather than diabetes mellitus.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.