The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?
Promoting activities that encourage self-reflection
Identifying community resources
Providing positive feedback
Conveying an accepting attitude
The Correct Answer is D
D. Conveying an accepting attitude involves demonstrating empathy, respect, and non-judgmental acceptance of the client as they are. Clients with BPD often have a fear of rejection and abandonment, so feeling accepted and understood by the nurse is critical for building trust.
A. In the early stages of group intervention, clients may not yet feel comfortable engaging in deep self-reflection without first establishing trust in the nurse and the group.
B. Identifying community resources is important for comprehensive care, but it may not be the most essential aspect initially for establishing trust.
C. Providing positive feedback can help reinforce positive behaviors and build rapport with clients, but it may not be the most essential aspect initially for establishing trust.
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Correct Answer is D
Explanation
D. It offers the child a constructive way to release pent-up energy and frustration in a safe and non- confrontational manner. Physical activity can be a helpful tool in managing anger and disruptive behavior, as it allows the child to channel their emotions into a productive activity.
A. This option is not appropriate because it involves isolating the child in a locked room, which could further escalate the situation and may traumatize the child. Seclusion should only be used as a last resort in situations where the child or others are at risk of harm.
B. Physical restraints should only be used as a last resort in situations where the child poses an immediate danger to themselves or others. Using physical restraints can escalate the situation and may cause physical and psychological harm to the child.
C. Medication may be prescribed to manage symptoms of oppositional defiant disorder. However, using a PRN (as needed) anxiolytic medication to manage acute agitation should only be done under the guidance of a healthcare provider.
Correct Answer is C
Explanation
C. Individuals with schizotypal personality disorder often exhibit aloof and isolative behaviors, coupled with a bland and apathetic manner. This condition is characterized by significant discomfort in social situations, leading to avoidance and a lack of close relationships.
A. Individuals with this disorder may exhibit odd or peculiar behaviors, but they typically do not display manipulative or exploitative tendencies seen in other personality disorders, such as narcissistic personality disorder.
B. individuals with schizotypal personality disorder may display odd or eccentric behaviors but they are less likely to exhibit consistent patterns of generosity or selflessness.
D. Individuals with this disorder may be hypersensitive to criticism or perceived slights from others, which can lead to feelings of social anxiety or discomfort. However, social withdrawal is not a typical finding.
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