When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?
Just before the nurse anticipates the behavior
When the behavior is done
When the staff or family complains about the behavior
When the limit is set
The Correct Answer is D
Choice A reason: Setting consequences just before the behavior occurs does not provide clear expectations and boundaries for the patient.
Choice B reason: Setting consequences after the behavior is done may not effectively prevent the behavior and can lead to inconsistent enforcement.
Choice C reason: Waiting for complaints before setting consequences can lead to a reactive rather than proactive approach to care.
Choice D reason: Consequences should be clearly communicated when the limit is set to establish clear boundaries and expectations, which is essential in managing patients with personality disorders.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: An illusion is a misinterpretation of a real external stimulus. Mr. S is mistaking the cracks in the plaster for snakes, which is an illusion.
Choice B reason: A flashback is a vivid memory of a traumatic event that feels like it is happening again. This does not describe Mr. S's experience.
Choice C reason: A hallucination is a sensory experience of something that does not exist outside the mind. Since Mr. S is misinterpreting an actual visual stimulus (the cracks), it is not a hallucination.
Choice D reason: A delusion is a firmly held false belief resistant to reason or confrontation with actual fact. Mr. S's belief is based on a misinterpretation of a visual stimulus, not a delusion.
Correct Answer is A
Explanation
Choice A reason: An appendectomy is a surgical procedure to remove the appendix, typically due to appendicitis.
Choice B reason: Removal of the colon is known as a colectomy, not an appendectomy.
Choice C reason: Cutting into the appendix may be part of the procedure, but appendectomy specifically refers to the removal of the appendix.
Choice D reason: Repair of the appendix is not a common procedure; appendectomies are performed to remove the appendix, not repair it.
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