A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?

The client still journals their feelings about their sister's death 7 years ago.

The client took courses online and experienced cyberbullying,

The client reports that they primarily eat fast food while living on a limited budget.

The client reports missing classes due to suffering from seasonal allergies.

Answer and Explanation

The Correct Answer is B

B. Experiencing cyberbullying can have significant negative effects on an adolescent's mental health and well-being. Addressing cyberbullying promptly is crucial to ensuring the client's safety and mental health.

A. Journaling their feelings about their sister's death suggests that they are actively processing their emotions, which can be a healthy coping mechanism.

C. Addressing dietary habits and providing education on healthy eating is important but it may not be as urgent as addressing issues such as cyberbullying or mental health concerns.

D. While supporting the client with managing their allergies is important, it may not be the priority for immediate intervention compared to issues such as cyberbullying or mental health concerns.

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Correct Answer is B

Explanation

B. Borderline personality disorder (BPD) is characterized by unstable mood, behavior, and relationships, often leading to impulsive behaviors including self-harm. It's crucial for the family to understand the potential for self-harm in individuals with BPD and to learn how to recognize warning signs and effectively intervene to ensure the client's safety.

A. While medication may be a component of treatment for some individuals with BPD, it is not typically the first-line intervention for managing the disorder.

C. Group therapy, particularly dialectical behavior therapy (DBT) groups, can be beneficial for individuals with BPD as they provide opportunities for skill-buildin. However, it may not be the immediate priority when teaching the family about BPD.

D. Insurance coverage can be addressed at a later time, and the immediate focus should be on providing information and support to help the family understand and cope with the diagnosis and its implications for the client's well-being.

A. "You should follow up with your regular doctor in the next few months so they can manage your new diagnosis." B. "You have made such great progress here. I can see why you feel so well." C. "It is recommended that you receive follow-up care from a mental health provider after you are discharged." D. "Since you have such a good relationship with your family practice provider, you do not need to see a mental health provider."

Correct Answer is C

Explanation

C. Borderline personality disorder often requires ongoing management and support from mental health professionals. It's essential for the nurse to encourage the client to continue receiving appropriate care even after discharge to ensure continued support and monitoring of their condition.

A. Managing a complex mental health condition like borderline personality disorder typically requires specialized care from a mental health provider, such as a psychiatrist or psychologist. B This response focuses on praising the client's progress during their time on the mental health unit but does not address the importance of follow-up care or the need to involve a mental health provider in managing borderline personality disorder.

D. This response may downplay the complexity of the client's condition and the need for specialized care tailored to their mental health needs.

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A nurse is evaluating the social profile of a new adolescent client at a community health clinic. Which of the following actions by the client is the priority for the nurse to address?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?

Correct Answer is B

Explanation

A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for an adolescent client who has a history of depression and suicidal ideation. Which of the following client statements should the nurse identify as requiring further intervention?

A nurse is caring for a client who is experiencing fluctuating cognition and visual hallucinations. Which of the following types of dementia should the nurse expect this client to have?

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

A nurse is caring for a client who recently gave birth. The nurse notices the newborn is displaying manifestations of opioid withdrawal. The nurse should recognize the newborn's manifestations as signs of which of the following conditions?

A nurse is caring for a client who frequently breaks their arms and other bones on purpose. The nurse understands that the client likely has which diagnosis?

A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?