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."
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 C
Explanation
C. Stalking involves persistent and unwanted attention or behavior directed towards a specific individual, causing fear, distress, or concern for their safety. Stalking behaviors may include following the victim, surveillance, unwanted communication (such as letters, emails, or messages), vandalism, or leaving gifts or items at the victim's location
A. Bullying involves aggressive behavior or intentional harm directed toward another person, typically in a repeated or habitual manner.
B. Abandonment refers to the act of deserting or leaving someone or something behind, often without adequate support or care.
D. Assault involves the intentional infliction of physical harm or injury on another person, or the threat of such harm, causing fear or apprehension of imminent harm.
Correct Answer is D
Explanation
D. Mental illness is complex and multifactorial, and the response to medication can vary widely among individuals. While medication can be effective in alleviating symptoms for many people, factors such as genetic predisposition, neurobiological differences, environmental influences, and individual variability in brain function and structure can all impact treatment response.
A. While medication adherence is important for managing mental illness, it is rarely a cure on its own. Mental illness often requires ongoing treatment and management.
B. Some individuals may experience rapid improvement with medication, while others may take longer to see results or may require adjustments to their treatment plan.
C. Mental illness is not solely determined by willpower, and implying that it is oversimplifies the complex nature of these conditions.
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