A nurse is discussing borderline personality disorder and the risk for self-harm with a newly licensed nurse. Which of the following situations should the nurse identify as the highest risk for self-harm?
When discharged from the hospital
When attending dialectical behavior therapy
When attending narrative therapy
When getting married
The Correct Answer is A
A. Individuals with borderline personality disorder (BPD) often experience intense and unstable emotions, impulsivity, and difficulties in regulating their emotions and behaviors. As a result, transitions, such as being discharged from the hospital, can be particularly challenging and may increase the risk of self-harm or suicidal behavior.
B. While dialectical behavior therapy (DBT) is an evidence-based treatment for BPD and focuses on teaching coping skills to manage emotions and reduce self-harming behaviors, attending therapy sessions may actually decrease the risk of self-harm for individuals actively participating in treatment.
C. Narrative therapy is another therapeutic approach that focuses on helping individuals reframe their life stories and experiences. While narrative therapy may be beneficial for some aspects of BPD treatment, it may not specifically address the immediate risk factors for self-harm.
D. Getting married may be a significant life event that brings about both positive and negative emotions, but it does not inherently indicate the highest risk for self-harm in individuals with BPD.
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Related Questions
Correct Answer is D
Explanation
D. Mental illness is complex and multifactorial, and the response to medication can vary widely among individuals. While medication can be effective in alleviating symptoms for many people, factors such as genetic predisposition, neurobiological differences, environmental influences, and individual variability in brain function and structure can all impact treatment response.
A. While medication adherence is important for managing mental illness, it is rarely a cure on its own. Mental illness often requires ongoing treatment and management.
B. Some individuals may experience rapid improvement with medication, while others may take longer to see results or may require adjustments to their treatment plan.
C. Mental illness is not solely determined by willpower, and implying that it is oversimplifies the complex nature of these conditions.
Correct Answer is C
Explanation
C. Vulnerable populations, such as those with low socioeconomic status, the elderly, racial and ethnic minorities, and individuals with certain health conditions, may experience higher levels of health risks due to various factors such as limited access to healthcare, environmental exposures, social determinants of health, and underlying health disparities.
A. Although variability of response to stressors is important it is not the primary concern
B. Although older individuals are vulnerable to risk factors, the nurse should include all vulnerable groups.
D. While resilience can mitigate the impact of risk factors on health outcomes, it is not a determinant of health risk itself.
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