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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Related Questions
Correct Answer is D
Explanation
D. Tardive dyskinesia (TD) is a side effect associated with long-term use of antipsychotic medications, particularly first-generation or typical antipsychotics. It is characterized by involuntary, repetitive movements of the face, tongue, lips, and sometimes extremities.
A. These are symptoms of psychotic disorders such as schizophrenia and are often the target symptoms for which antipsychotic medications are prescribed. However, tardive dyskinesia is a distinct adverse effect of antipsychotic use
B. Nausea and vomiting are common side effects of many medications, including antipsychotics, particularly during the initial stages of treatment. However, they are not typically associated with tardive dyskinesia.
C. Seizures and tremors are potential adverse effects of some antipsychotic medications, particularly atypical antipsychotics. However, they are not characteristic of tardive dyskinesia
Correct Answer is D
Explanation
D. This response reflects empathy and validates the client's feelings of hopelessness. It acknowledges the client's emotional state and demonstrates active listening. By reflecting back the client's words, the nurse conveys understanding and creates an opportunity for further exploration of the client's feelings and concerns.
A. While addressing medication concerns is important, this response may not fully acknowledge the client's feelings of hopelessness and may come across as dismissive of their emotional distress.
B. This response offers the client an opportunity to speak with a therapist, which can be beneficial for addressing emotional distress and exploring coping strategies. However, it does not directly acknowledge the client's current feelings of hopelessness
C. This response does not address the client's feelings of hopelessness and may not effectively validate their emotional experience.
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