A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?

Maintain consistency in assigning health care staff for the client.

Demonstrate a sympathetic attitude toward the client when providing care.

Provide consistent boundaries for the client.

Encourage the use of countertransference for the client.

Answer and Explanation

The Correct Answer is C

A. While consistency in staff assignment can be beneficial in many situations, clients with borderline personality disorder often exhibit splitting behavior, where they may see people as all good or all bad. It's more important to provide consistent boundaries rather than focusing solely on staff consistency, as this might inadvertently reinforce splitting behavior.

B. While being empathetic is important in nursing care, being overly sympathetic might reinforce dependency or manipulative behaviors commonly seen in borderline personality disorder. It's crucial to maintain a professional, empathetic, yet firm approach that includes setting and maintaining boundaries.

C. Clients with borderline personality disorder often struggle with boundary issues and can exhibit behaviors such as manipulation, splitting, and impulsivity. Providing consistent boundaries helps create a sense of stability and predictability, which is therapeutic and helps the client learn appropriate interpersonal skills.

D. Encouraging the use of countertransference is not appropriate and can lead to an unprofessional and emotionally charged nurse-client relationship, which can be harmful to the therapeutic process. Instead, nurses should be aware of and manage their own feelings to provide effective and impartial care.

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Correct Answer is A

No explanation

A. "Everyone gets depressed from time to time.". B. "Older adults are usually diagnosed with depressive disorder as they age.". C. "You shouldn't worry about this, because depressive disorder is easily treated.". D. "Tell me the reasons you think your mother is depressed.".

Correct Answer is D

Explanation

The correct answer is Choice d. "Tell me the reasons you think your mother is depressed."

Rationale for Choice a. "Everyone gets depressed from time to time."

This response is dismissive and minimizes the daughter's concerns. It suggests that depression is not a serious condition and does not warrant professional attention.
It fails to acknowledge the daughter's feelings of worry and anxiety.
It does not gather any information about the mother's symptoms or the reasons for the daughter's concern.

Rationale for Choice b. "Older adults are usually diagnosed with depressive disorder as they age."

While it is true that depression is more common in older adults, this response does not address the daughter's concerns about her mother's specific symptoms.
It may unnecessarily alarm the daughter by suggesting that depression is an inevitable part of aging.
It does not encourage the daughter to share her observations and concerns.

Rationale for Choice c. "You shouldn't worry about this, because depressive disorder is easily treated."

This response is premature and potentially misleading. It offers reassurance without first gathering enough information to determine whether the mother is actually depressed.
It may discourage the daughter from sharing important details about her mother's condition.
It implies that treatment for depression is always simple and straightforward, which is not always the case.

Rationale for Choice d. "Tell me the reasons you think your mother is depressed."

This response is the most appropriate because it encourages the daughter to share her observations and concerns.
It demonstrates that the nurse is taking the daughter's concerns seriously.
It allows the nurse to gather more information about the mother's symptoms and the potential reasons for her depression.
It opens the door to further assessment and discussion, which are essential for accurate diagnosis and treatment planning.

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A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, "I feel unmotivated and don't feel like leaving my home." Which of the following recommendations should the nurse make to address the client's social isolation?

Correct Answer is A

An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, "I'm so worried that my mother is depressed." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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