A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?

"Ask a family member to check the locks for you at night.".

"Keep a journal of how often you check the locks each night.".

"Snap a rubber band on your wrist when you think about checking the locks.".

"Focus on abdominal breathing whenever you go to check the locks.".

Answer and Explanation

The Correct Answer is C

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Correct Answer is C

Explanation

A.While consistency in staff assignment can be beneficial in many situations, clients with borderline personality disorder often exhibit splitting behavior, where they may see people as all good or all bad. It's more important to provide consistent boundaries rather than focusing solely on staff consistency, as this might inadvertently reinforce splitting behavior.

B.While being empathetic is important in nursing care, being overly sympathetic might reinforce dependency or manipulative behaviors commonly seen in borderline personality disorder. It's crucial to maintain a professional, empathetic, yet firm approach that includes setting and maintaining boundaries.

C.Clients with borderline personality disorder often struggle with boundary issues and can exhibit behaviors such as manipulation, splitting, and impulsivity. Providing consistent boundaries helps create a sense of stability and predictability, which is therapeutic and helps the client learn appropriate interpersonal skills.

D.Encouraging the use of countertransference is not appropriate and can lead to an unprofessional and emotionally charged nurse-client relationship, which can be harmful to the therapeutic process. Instead, nurses should be aware of and manage their own feelings to provide effective and impartial care.

A. "How do you think this event is affecting your life right now?". B. "Who do you talk to when you need help?". C. "What do you usually do to cope with problems in your life?". D. "Are you having thoughts about harming yourself?".

Correct Answer is D

No explanation

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A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?

Correct Answer is D

A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium?

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A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?

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A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?