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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Free Nursing Study Resources

Correct Answer is B,D,A,C

Explanation

Answer:

Review the skill level and qualifications of each AP.
Communicate appropriate tasks to the APs with specific expectations.
Monitor progress of task completion with each AP.
Evaluate the APs' performance of each task.

Explanation:

Review the skill level and qualifications of each AP: Before delegating tasks to the assistive personnel (APs), the nurse should assess their individual skills, training, and qualifications to determine their capabilities. This step ensures that tasks are assigned to the APs who are competent and trained to perform them safely and effectively.
Communicate appropriate tasks to the APs with specific expectations: The nurse should clearly communicate the tasks to be delegated to the APs, providing specific instructions and expectations regarding how each task should be performed. This step helps prevent misunderstandings and ensures that the APs understand what is expected of them.
Monitor progress of task completion with each AP: Once tasks are assigned, the nurse should periodically check on the progress of each AP in completing their assigned tasks. Monitoring helps the nurse ensure that tasks are being performed correctly and in a timely manner.
Evaluate the APs' performance of each task: After the tasks are completed, the nurse should evaluate the performance of each AP. This evaluation involves assessing whether the tasks were performed according to the specific expectations communicated earlier and whether there were any issues or deviations during task completion. The evaluation helps identify areas for improvement and provides feedback for the APs to enhance their skills and performance.

A. Position the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate. B. Measure the fundal height to determine the placement of the ultrasound stethoscope. C. Place the client in a side-lying position prior to assessing the fetal heart rate. D. Perform Leopold maneuvers prior to auscultating the fetal heart rate.

Correct Answer is A

Explanation

A. Correct. At 12 weeks of gestation, the nurse should position the ultrasound stethoscope above the symphysis pubis to assess the fetal heart rate.
B. Fundal height measurement is used to assess uterine growth and is not applicable for assessing fetal heart rate.
C. Placing the client in a side-lying position is not necessary for assessing fetal heart rate at 12 weeks of gestation.
D. Leopold maneuvers are used to determine fetal position and lie and are not directly related to auscultating the fetal heart rate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B,D,A,C

Explanation

A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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