A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

"The client might act seductively."

"The client is overly concerned about minor details."

"The client exhibits impulsive behavior."

"The client is exceptionally clingy to others."

Answer and Explanation

The Correct Answer is C

A.   Incorrect. Acting seductively is more characteristic of histrionic personality disorder.
B.   Incorrect. Being overly concerned about minor details is more characteristic of obsessive-compulsive personality disorder.
C.   Correct. Impulsive behavior, such as reckless spending or self-harm, is a common feature of borderline personality disorder.
D.   Incorrect. Being exceptionally clingy to others is not a defining feature of borderline personality disorder.

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Correct Answer is A

Explanation

A. Correct. In cases where the client is unable to provide informed consent due to incapacitation, the health care surrogate or legally authorized representative should be involved in the decision-making process.
B. Incorrect. While family support is important, the decision for surgery should primarily be based on medical necessity and the best interests of the client.
C. Incorrect. Determining medical necessity is the responsibility of the medical team, not the nurse.
D. Incorrect. Sending the unsigned informed consent form to the risk manager is not a standard nursing responsibility and does not address the issue of informed consent.

A. Natural loss of deciduous teeth B. Nontender, protruding abdomen C. Palpable fontanels D. Head circumference exceeds chest circumference

Correct Answer is B

Explanation

A. Incorrect. The natural loss of deciduous (baby) teeth typically begins around 6 years of age, not at 2 years old.
B. Correct. Toddlers often have a nontender, protruding abdomen due to their underdeveloped abdominal muscles.
C. Incorrect. The fontanels (soft spots on the baby's head) should be closed by 18-24 months of age. Palpable fontanels at 2 years old could indicate abnormal cranial development.
D. Incorrect. It is not typical for a 2-year-old's head circumference to exceed their chest circumference. Head circumference is usually greater in infants but gradually becomes similar to chest circumference by 1-2 years of age.

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A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

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