A nurse is reviewing the medical record of a client who performs self-injury.
Which of the following information should the nurse identify as placing the client at risk for self-harm behaviors?
The client has a history of bulimia nervosa.
The client has a parent who has dependent personality disorder.
The client has borderline personality disorder.
The client recently received a promotion at work.
The Correct Answer is C
Choice A rationale:
While bulimia nervosa can be associated with self-harm behaviors, it is not as strongly linked as borderline personality disorder.
Choice B rationale:
Having a parent with dependent personality disorder is not a specific risk factor for self-harm behaviors.
Choice C rationale:
Borderline personality disorder is strongly associated with self-harm behaviors.
Choice D rationale:
Receiving a promotion at work is generally considered a positive event and is not typically associated with an increased risk of self-harm behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Monitoring the client closely to prevent self-mutilation is more associated with self-harm disorders rather than dependent personality disorder.
Choice B rationale:
Giving positive feedback when the client is assertive with staff or clients can encourage independence and confidence.
Choice C rationale:
Discouraging flamboyant or seductive behaviors is more related to histrionic personality disorder.
Choice D rationale:
Setting limits to prevent exploitation of other clients is more associated with antisocial personality disorder.
Correct Answer is B
Explanation
Choice A rationale:
Increased flatulence is not typically associated with lithium toxicity.
Choice B rationale:
Vomiting is a common symptom of lithium toxicity, indicating the client understands the teaching.
Choice C rationale:
While loss of appetite can occur in various conditions, it’s not a specific indicator of lithium toxicity.
Choice D rationale:
Headaches can be caused by various factors and are not specifically associated with lithium toxicity.
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