A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?

Offer the client information about a support group for parents.

Suggest the children live with other relatives.

Notify child protective services.

Encourage the children to visit the psychiatric unit when the client is leaving.

Answer and Explanation

The Correct Answer is A

A Offering information about support groups for parents can provide the client with access to peer support, education, and resources to help them navigate the challenges of parenting while dealing with their mental health condition. This approach supports the client's autonomy and emphasizes a strengths-based perspective, promoting resilience and well-being for both the client and their children.

B. This option may not be appropriate without further assessment of the client's ability to care for their children.

C. This option should be considered only if there are significant concerns about the safety and welfare of the children, such as neglect or abuse, which cannot be addressed through other means.

D. Encouraging the children to visit the psychiatric unit may not be appropriate, as it may be overwhelming or distressing for them.

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Correct Answer is D

Explanation

D. FNSD involves neurological symptoms that cannot be explained by a medical or neurological condition but are believed to be related to psychological factors. In this case, the client's symptoms of numbness are likely somatic manifestations of underlying psychological distress or conflict.

A. Factitious disorder involves intentionally producing or feigning physical or psychological symptoms for the purpose of assuming the sick role.

B. Dissociative amnesia involves memory loss that is not attributable to neurological conditions or substance use and is often associated with stressful or traumatic events.

C. Depersonalization/derealization disorder involves experiences of detachment from oneself or one's surroundings.

A. "Regular physical examinations are commonly used to diagnose mental illness." B. "Screening for mental illness is difficult because most mental illnesses cannot be detected through laboratory testing." C. "Risk factors for developing a mental illness are unknown, making screening difficult." D. "Mental illnesses can be detected through regular blood tests."

Correct Answer is B

Explanation

B. Mental illnesses are primarily diagnosed through clinical assessments, interviews, and observation of symptoms by mental health professionals. While laboratory tests may be used to rule out other medical conditions that could mimic psychiatric symptoms or to monitor the effects of medication, they are not typically used as primary screening tools for mental illness.

A. Regular physical examinations are important for overall health and may help identify physical conditions that could contribute to or coexist with mental health symptoms. However, physical examinations alone are not sufficient for diagnosing mental illness.

C. There are known risk factors associated with the development of various mental health conditions.

D. There are no specific blood tests that can definitively diagnose most mental health disorders. Blood tests may be used to rule out physical conditions that could be contributing to symptoms or to monitor medication levels, but they are not direct diagnostic tools for mental illness.

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A nurse is providing discharge teaching to a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?

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