A nurse is planning overall strategies to address problems for
a client whohas borderline personality disorder. Which of the
following strategies is the priority for the nurse to incorporate in
th e plan of care?
a. discuss the appropriate use of assertive behavior with the
client
b. encourage the client to attend weekly support group
meetings
c. assist the client to maintain awareness of her thoughts
and feelingsd. implement measures to prevent intentional
self-inflicted injury
2) A nurse is admitting a client who has generalized anxiety
disorder. Whichof the following actions should the nurse plan to
take first?
a. Provide the client with a quiet environment
b. Determine how the client handles stress.
c. Teach the client to use guided imagery.
d. Ask the client to identify her strengths
3) A nurse is conducting an admission interview with a client
who is experiencing mania. Which of the following should the
nurse report to theprovider?
a. States that he hasn’t bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences.
4) A nurse is planning care for a client who has obsessivecompulsive disorder. Which of the following recommendation
should the nurse include inthe clients plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy
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