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: Assessing the client's level of anxiety is crucial as it can inform the nurse about the severity of the OCD symptoms and guide further interventions.
Choice B reason: Interrupting compulsive behavior abruptly can cause significant distress to the client and is not recommended without proper behavioral therapy techniques.
Choice C reason: Negative reinforcement techniques are not typically used in OCD management as they can exacerbate anxiety and are not considered therapeutic.
Choice D reason: Encouraging avoidance of anxiety-increasing situations may reinforce OCD behaviors and is not a recommended approach. Exposure and response prevention, a type of cognitive-behavioral therapy, is often used instead.
Correct Answer is B
Explanation
Choice A reason: Patients should not hold their insulin unless instructed by a physician, as it can lead to uncontrolled blood sugar levels.
Choice B reason: Taking vitamins with zinc and vitamin C can help with wound healing and immune function after surgery.
Choice C reason: Smoking should be stopped before surgery as it can impair wound healing and increase the risk of complications.
Choice D reason: Patients are typically advised to fast before surgery to reduce the risk of aspiration during anesthesia.
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