A nurse on a mental health unit is caring for a client.

Exhibits

The nurse is contributing to the plan of care for the client. Which of the following actions should the nurse recommend? (Select all that apply.)

Establish consequences for unacceptable behaviors.

Encourage the client to verbalize their feelings.

Provide clear boundaries for behavior toward peers and staff members.

Determine if the client is having thoughts of harming themselves or others.

Bargain with the client when setting behavioral expectations.

Instruct the client on coping mechanisms and relaxation techniques.

Answer and Explanation

Correct Answer : A,B,C,D,F

A. Establish consequences for unacceptable behaviors: This approach helps the client understand the impact of their actions and encourages accountability, which is important for behavior management in borderline personality disorder.
B. Encourage the client to verbalize their feelings: Encouraging the expression of feelings helps the client develop better emotional awareness and communication skills, which are essential for managing their emotions and interpersonal relationships.
C. Provide clear boundaries for behavior toward peers and staff members: Setting clear boundaries is crucial for maintaining a safe environment and helps the client understand acceptable behavior, promoting healthier interactions with others.
D. Determine if the client is having thoughts of harming themselves or others: Regular assessment of self-harm and harm to others is essential, especially given the client's history of self-injury and a recent suicide attempt. This ensures the client's safety and allows for timely intervention if needed.
E. Instruct the client on coping mechanisms and relaxation techniques: Teaching coping strategies and relaxation techniques equips the client with tools to manage anxiety and emotional distress, which are common in borderline personality disorder.
F. Bargain with the client when setting behavioral expectations: Bargaining may reinforce manipulative behaviors and does not provide the structure that clients with borderline personality disorder often need. Instead, establishing firm and consistent expectations without negotiation is more beneficial for their treatment.

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Correct Answer is D

Explanation

A. Schizophrenia: Schizophrenia is a severe mental disorder characterized by delusions, hallucinations, and disorganized thinking. It is not commonly associated as a comorbidity with somatic symptom disorder.
B. Borderline personality disorder: While there may be some overlap in symptoms between borderline personality disorder and somatic symptom disorder, borderline personality disorder is not a typical comorbidity. The focus of borderline personality disorder is more on emotional instability and interpersonal difficulties.
C. Bipolar disorder: Bipolar disorder involves mood swings between depressive and manic episodes. Although some individuals with somatic symptom disorder may experience mood disturbances, bipolar disorder is not specifically recognized as a common comorbidity.
D. Major depressive disorder: Major depressive disorder is frequently seen as a comorbidity with somatic symptom disorder. Individuals with somatic symptom disorder may experience significant distress related to their physical symptoms, leading to feelings of hopelessness, sadness, and other depressive symptoms. The overlap of physical and emotional symptoms makes this a likely comorbidity.

A. Dissociative amnesia B. Factitious disorder C. Illness anxiety disorder D. Functional neurological symptom disorder

Correct Answer is B

Explanation

A. Dissociative amnesia: This diagnosis involves a loss of memory for personal information or events, typically following trauma or stress. It does not relate to intentionally causing injuries or symptoms.
B. Factitious disorder: Individuals with factitious disorder intentionally produce or feign physical or psychological symptoms to assume the role of a sick person. This behavior can include causing self-harm, such as breaking bones, to gain attention, sympathy, or care from others. The client's actions align with this diagnosis.
C. Illness anxiety disorder: Previously known as hypochondriasis, this disorder involves excessive worry about having a serious illness despite having no significant medical evidence. Individuals with this disorder do not intentionally cause harm to themselves; rather, they focus on perceived health concerns.
D. Functional neurological symptom disorder: This disorder involves neurological symptoms that cannot be explained by medical conditions. While individuals may have genuine neurological symptoms, they do not typically engage in self-harm or intentionally inflict injuries as seen in factitious disorder.

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A nurse on a mental health unit is caring for a client. Exhibits The nurse is contributing to the plan of care for the client. Which of the following actions should the nurse recommend? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has somatic symptom disorder. Which of the following would be a likely comorbidity of somatic symptom disorder?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A nurse on a mental health unit is caring for a client.

Exhibits

The nurse is contributing to the plan of care for the client. Which of the following actions should the nurse recommend? (Select all that apply.)