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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent.
B. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future.
C. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent.
D. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.

A. Impaired gait B. Fidgeting behavior C. Muscle contractions of the neck D. Fluctuating vital signs E. Sexual dysfunction

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

Correct Answer is B

Explanation

A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)

A nurse must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?

A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?

A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?

A nurse is caring for a client who has delusional behavior. The client states, "I can't go to group today. I am expecting a high level official to visit me!" Which of the following responses should the nurse make?

A nurse is collecting data on a client and finds that Ari is always manic but has had one depressive episode in the last year. Which of the following diagnosis should the nurse suspect?