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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: This response acknowledges the client's feelings without agreeing with the delusion or challenging their reality, which can help in building trust and rapport.

Choice B reason: Asking "Why do you think you are being lied about and poisoned?" could potentially reinforce the delusion and lead the client to further justify their beliefs.

Choice C reason: Directly telling the client they are mistaken can be confrontational and may damage the therapeutic relationship.

Choice D reason: Asking "Who is lying about you and trying to poison you?" can validate the delusion and is not a therapeutic response.

A. History of bulimia. B. Drinks green tea. C. Consumes spicy foods 5 to 8 times weekly. D. History of ibuprofen use.

Correct Answer is D

Explanation

Choice A reason: While bulimia can contribute to gastrointestinal issues, it is not as directly linked to peptic ulcers as the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Choice B reason: Drinking green tea is not typically associated with an increased risk of peptic ulcers.

Choice C reason: Consuming spicy foods is a commonly believed risk factor, but it is not supported by strong evidence as a direct cause of peptic ulcers.

Choice D reason: The use of NSAIDs, such as ibuprofen, is a well-established risk factor for the development of peptic ulcers due to their effect on the stomach lining.

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When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has schizophrenia. The client states, "They lie about me all the time and are trying to poison my food." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following findings should the nurse identify as a risk factor for this condition?

Correct Answer is D

Explanation

Ms. T complains of headaches and body pains whenever her husband mentions that the house needs to be cleaned. This has been a recurring problem for more than 6 months. Ms. T probably is suffering from what kind of disorder?

The nurse is caring for a client on the third day following abdominal surgery and assesses the absence of bowel sounds, abdominal distention, and the client passing no flatus. These findings indicate the client is experiencing which of the following postoperative complications?

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

Which clinical finding will the nurse anticipate for a patient experiencing a panic attack?

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

We encourage the patient to cough and deep breathe after surgery to prevent:

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)