A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

"You should follow up with your regular doctor in the next few months so they can manage your new diagnosis."

"You have made such great progress here. I can see why you feel so well."

"It is recommended that you receive follow-up care from a mental health provider after you are discharged."

"Since you have such a good relationship with your family practice provider, you do not need to see a mental health provider."

Answer and Explanation

The Correct Answer is C

C. Borderline personality disorder often requires ongoing management and support from mental health professionals. It's essential for the nurse to encourage the client to continue receiving appropriate care even after discharge to ensure continued support and monitoring of their condition.

A. Managing a complex mental health condition like borderline personality disorder typically requires specialized care from a mental health provider, such as a psychiatrist or psychologist. B This response focuses on praising the client's progress during their time on the mental health unit but does not address the importance of follow-up care or the need to involve a mental health provider in managing borderline personality disorder.

D. This response may downplay the complexity of the client's condition and the need for specialized care tailored to their mental health needs.

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Correct Answer is A

Explanation

A. Cockroach allergens are common triggers for asthma and allergic reactions in susceptible individuals. Cockroach droppings, saliva, and decomposing body parts contain allergenic proteins that can become airborne and trigger respiratory symptoms such as wheezing, coughing, and shortness of breath in individuals with asthma or allergies.

B. Mold can also trigger an allergic reaction in susceptible individuals but not as significant as cockroach allergens.

C. Hepatitis B is a viral infection that primarily affects the liver and is not directly related to asthma or allergies

D. Radon exposure it is not directly related to asthma or allergies.

A. A. history of self-injurious behavior B. History of trauma during the developmental years C. Borderline personality disorder D. A history of schizophrenia

Correct Answer is B

Explanation

B. Trauma during the developmental years, especially in early childhood, is considered a significant risk factor for the development of DID. Trauma disrupts normal psychological development and can lead to the fragmentation of identity as a coping mechanism to dissociate from overwhelming or traumatic experiences.

A. A history of self-injurious behavior is often associated with various mental health conditions, such as borderline personality disorder, post-traumatic stress disorder (PTSD), or depression but it is not a primary risk factor for dissociative identity disorder (DID).

C. Individuals with BPD may experience dissociative symptoms, particularly during times of stress or intense emotional arousal but BPD itself is not considered a primary risk factor for dissociative identity disorder (DID).

D. Individuals with schizophrenia may experience dissociative symptoms, such as depersonalization or derealization but these symptoms are typically secondary to psychotic experiences rather than being indicative of dissociative identity disorder (DID).

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A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

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Correct Answer is A

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Correct Answer is B

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