A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is ______________.
Answer(s): B
The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change.Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment. Nurses are less judgmental when they understand the source of the behavior and can be sensitive to client feelings.
During a well-baby check of a 6-month-old infant, the nurse notes abrasions and petechaie of the palate. The nurse should ______________.
Generally oral sex leaves little physical evidence.Injury to the soft palate (such as bruising, abrasions, and petechaie) and pharyngeal gonorrhea are the only signs.Infants are at risk for sexual abuse.
A woman seeks assistance because she recently remembered childhood sexual abuse. The nurse should include which of the following goals for this client?
At least 10% of victims of childhood sexual abuse have periods of complete amnesia about the abuse, followed by delayed recall.Controversial evidence suggests that people who have recovered memories have had part of those memories reconstructed by therapists.The nurse’s role is not to determine if the memories are real, but to help the client deal with the stress caused by the remembered abuse.
When planning intervention for a client during a crisis, which of the following outcomes is most appropriate?
Answer(s): D
The primary goal of crisis intervention is to relieve the symptoms of anxiety and foster constructive coping. Previous psychological issues might recur during crisis, but the focus is on short-term resolution of the current problem.At the end, the nurse credits a client for positive changes and helps him or her understand what was learned. This allows the client to use the learned coping mechanisms when new problems arise.
A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia. Which response helps the husband understand how some people cope with hospitalization?
Answer(s): A
Hospitalization might precipitate a crisis in either the client or family. Clients might become demanding or withdrawn.Family members might become demanding to help them cope with insecurity.
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