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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Dissociative amnesia involves difficulty remembering important personal information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. In the case of a client who has been sexually assaulted and is having difficulty remembering events related to the assault, dissociative amnesia is the likely experience.
B. Depersonalization/derealization disorder involves persistent feelings of detachment from oneself or one's surroundings. While this condition can occur in response to trauma, it typically involves a sense of detachment rather than memory loss.
C. Dissociative identity disorder (DID) involves the presence of two or more distinct personality states, each with its own pattern of perceiving and interacting with the world.
D. Factitious disorder involves the deliberate falsification or exaggeration of physical or psychological symptoms in oneself. It is not directly related to memory loss or difficulty remembering events.
Correct Answer is B
Explanation
B. Fluctuating cognition and visual hallucinations are characteristic features of Lewy body dementia (LBD). LBD is a type of dementia that involves abnormal protein deposits called Lewy bodies in the brain. These deposits can cause fluctuations in cognitive abilities, leading to periods of clarity alternating with confusion or disorientation. Visual hallucinations are also common in LBD, often involving seeing people, animals, or objects that are not present.
A. Prion diseases are not commonly associated with fluctuating cognitive function.
C. HIV infection can cause a range of neurological complications, but they usually manifest differently from the symptoms described in the scenario.
D. Symptoms of TBI-related dementia would depend on the severity and location of the brain injury, but they often involve cognitive deficits consistent with the area of brain damage
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