A nurse is reinforcing teaching with 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?
Medication compliance
Awareness of potential for self-harm
Resources for group therapy in the community
Information about insurance coverage
The Correct Answer is B
A. Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm.
B. Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors.
C. Resources for group therapy in the community are valuable but secondary to ensuring immediate safety.
D. Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia.
B. Fidgeting behavior is more related to anxiety or restlessness rather than EPS.
C. Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine.
D. Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue.
E. Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.
Correct Answer is D
Explanation
A. Sending the client back to their room without addressing their feelings might worsen anxiety and frustration.
B. Dismissing the client’s request could escalate the behavior and contribute to feelings of neglect.
C. Telling the client to wait might not address the underlying issue or concern.
D. Acknowledging the client's feelings and offering to listen is an empathetic response, which can help de-escalate the situation and build trust.
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