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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. By reinforcing the importance of recognizing discrimination in vulnerable populations with staff, healthcare organizations can promote awareness, sensitivity, and understanding among healthcare providers.
A. Updating client charts to reflect socioeconomic status may be important for understanding the social determinants of health but does not directly address healthcare disparities among vulnerable groups.
C. Compiling a list of resources does not directly translate to availability of the resources to all members of the community.
D. Addressing healthcare disparities among vulnerable groups often requires a more comprehensive approach that considers factors beyond medication affordability.
Correct Answer is C
Explanation
C. Methamphetamine use can lead to vasoconstriction and increased blood pressure, which significantly elevate the risk of cardiovascular complications such as heart disease and stroke. The drug's stimulant effects can cause persistent high blood pressure, irregular heart rhythms, inflammation of blood vessels, and damage to the heart muscle.
A, B, D- Methamphetamine have no direct effect on bones health, brain, liver or the pancreas
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