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 D
Explanation
Choice A rationale:
Continuing to abstain from alcohol is a positive step towards maintaining mental health, not a sign of suicidal ideation.
Choice B rationale:
Finding therapeutic activities like walking around the hospital grounds is a positive coping mechanism, not a sign of suicidal ideation.
Choice C rationale:
Looking forward to future events like seeing grandchildren is a positive sign and not indicative of suicidal ideation.
Choice D rationale:
Giving away possessions, like a pottery collection, can be a sign of suicidal ideation as it may indicate the client is putting their affairs in order.
Correct Answer is C
Explanation
Choice A rationale:
Group discussions about local elections can be stimulating and may exacerbate the client’s manic symptoms.
Choice B rationale:
Watching a video with a group in the day room may not provide enough engagement for a client in a manic phase.
Choice C rationale:
Walking with the nurse in the courtyard provides physical activity and one-on-one interaction, which can help manage energy levels and provide a calming influence.
Choice D rationale:
Participating in a basketball game in the gym could overstimulate the client and potentially lead to injury.
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