MH Nurse Lab Questions and Correct Answers | Latest Update | A+

Mrs. B is diagnosed with borderline personality disorder has a nursing diagnosis of Risk for self-directed violence, which is related to the client's self mutilation behavior (burning arms with cigarettes). Which client behavior would indicate a positive outcome of intervention?` Ans: Mrs. B tells the nurse about wanting to burn herself. Nurse Aldrich is working with the family of Mary Ann, a client with personality disorder. Which of the following should Nurse Aldrich encourage the family members to work on? Ans: Improving self-functioning Nurse Florence assesses Mrs. B with borderline personality disorder. Which of the following behaviors are common to this diagnosis? Select all that apply. Ans: Intense fear of being alone Evidence of self-mutilating attempts Unstable moods with impulsive behaviors When a client with personality disorder begins demonstrating manipulative behavior, which of the following nursing actions are most appropriate? Select all that apply. Ans: A. Ask the client to think about the consequences of behavior. C. Develop a consistent team approach to handle the client's behaviors. E. Provide immediate feedback concerning the client's specific behaviors. F. Set limits in a clear, direct manner. Barbara is a client with borderline personality disorder. She is defensive and emotionally labile and often becomes suddenly and explosively angry. When interacting with her, you as nurse would: Ans: take a calm, quiet, and non confrontational approach, and avoid arguing with Barbara. Nurse Danita is working with clients who have personality disorders. Which of the following techniques would the nurse use to deal with her own feelings that interfere with therapeutic performance? Ans: Seeking peer or supervisor direction A client with antisocial personality disorder was admitted in a unit at Nurseslabs Hospital. The newly admitted client stole money from an elderly in the unit. Which of the following is the most appropriate for the nurse to say to this client? Ans: "The consequences of stealing are loss of privileges." Angela has a history of conflict-filled relationships. Despite an expressed desire for friends, she acts in ways that tend to alienate people. Which nursing intervention would be important for Angela? Ans: Establish a therapeutic relationship in which the nurse uses role-modeling and roleplaying for appropriate behaviors. Tyrion describes himself as "very religious, with strong opinions about what is right and what is wrong." He is quite judgmental about beliefs and lifestyles that are "unacceptable." Which statement supports the nurse's analysis that this client's behavior is typical of someone with a personality disorder? Ans: Inflexible behaviors, along with use of rigid defense mechanisms, are characteristic. Which statement about an individual with personality disorder is true? Ans: The individual typically remains in the mainstream of society, although he has problems in social and occu