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 A
Explanation
A. Phase 1 of the cycle of violence, also known as the tension-building phase, is characterized by increasing tension and conflict between the parties involved in the abusive relationship. During this phase, arguments, disagreements, and conflicts escalate in frequency and intensity.
B Physical harm typically occurs during phase 2 of the cycle of violence, known as the acute or explosion phase.
C. This phase follows the acute phase and is characterized by the perpetrator expressing remorse, making excuses for their behavior, or attempting to reconcile with the victim through gestures of affection, gifts, or promises to change. However, these promises are often short- lived and may be followed by a return to tension-building behavior and the cycle of violence repeating.
D. Law enforcement involvement is not specific to phase 1 of the cycle, during which tensions are escalating and conflicts are increasing in frequency.
Correct Answer is B
Explanation
B Primary prevention aims to prevent the onset of a disease or health condition before it occurs. In the context of sexually transmitted infections (STIs), providing education and information about safe sex practices, condom use, and strategies for preventing STIs constitutes primary prevention efforts.
A. Secondary prevention involves early detection and intervention to prevent the progression of a disease or health condition. Examples include screening for STIs and providing prompt treatment to individuals who test positive.
C. Tertiary prevention focuses on managing and reducing the impact of existing disease or health conditions and preventing complications or disability. In the context of STIs, tertiary prevention efforts may include providing ongoing medical care, support, and education to individuals living with STIs
D. Quaternary prevention aims to mitigate or avoid the consequences of unnecessary or excessive healthcare interventions and to protect individuals from overmedicalization. It focuses on promoting prudent and ethical healthcare practices.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today