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 C

Explanation

C. This statement suggests that the adolescent client lacks a supportive network or resources to discuss their problems, which can be concerning given their history of depression and suicidal ideation. It indicates a potential lack of social support, which is crucial for individuals struggling with mental health issues.

A. This statement indicates a positive behavior change, as the client has refrained from using drugs for a significant period.

B. Engaging in recreational activities and social interactions, such as participating in a dance program, can be beneficial for mental health and well-being.

D. This statement suggests that the client may be experiencing academic difficulties or stress related to missing classes. While missing classes can be concerning, the client's acknowledgment of the situation and intention to catch up may indicate a proactive approach to addressing academic challenges.

A. HIV infection B. Alzheimer's disease C. Prion disease D. Substance use disorder

Correct Answer is B

Explanation

B In Alzheimer's disease, cortical thinning typically begins in the temporal and parietal lobes of the brain, areas associated with memory, language, and higher cognitive functions. As the disease progresses, cortical thinning may extend to other regions of the brain, contributing to the worsening cognitive decline seen in affected individuals.

A. HIV-associated neurocognitive disorders (HAND) can result in various structural and functional changes in the brain, including cortical atrophy, but cortical thinning is not a specific hallmark of HIV infection-related dementia.

C. Prion diseases can lead to spongiform changes and neuronal loss in the brain, but cortical thinning is not typically described as a characteristic feature.

D. Chronic substance abuse, particularly alcohol and certain drugs, can lead to structural and functional changes in the brain, including cortical atrophy. However, cortical thinning is not specific to substance use disorder-related dementia and can occur in various other neurological conditions as well.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?

Correct Answer is B

Explanation

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