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Practice Question

A nurse is reviewing the medical records of clients that may be at risk to engage in self-injury. The nurse identifies which information as risk for self-harm behaviors?

Answer Choices:

Correct Answer:

A client that has a history of borderline personality disorder.

Rationale:

💠 Borderline personality disorder (BPD) is strongly associated with self-injurious behaviors such as cutting, burning, or other forms of self-harm. These actions are often used as a maladaptive coping mechanism to manage intense emotional dysregulation, feelings of emptiness, and fear of abandonment.

💠 Individuals with BPD frequently experience impulsivity and rapid mood changes, which can increase the likelihood of acting on self-harm urges during periods of stress or perceived rejection.

💠 Self-harm in this population is not always a suicide attempt but rather a method to relieve emotional pain, express distress, or regain a sense of control.

💠 The presence of a history of self-injury or BPD diagnosis should prompt nurses to implement safety measures, conduct thorough risk assessments, and initiate early interventions such as emotional support, crisis planning, and referral to appropriate mental health services.

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This question is from Examplify Mental Health 1 which contains 56 questions.

More Questions from This Exam
A nurse in an acute mental health facility is caring for a new client with histrionic personality disorder. Which is the priority intervention for

Answer Choices:

A. Promoting appropriate behavior during group therapy sessions
B. Encouraging client input in the treatment plan
C. Communicating with the client using concrete language
D. Demonstrating assertive behavior
A highly agitated client paces the unit and states, "I could buy and sell this place." The client's mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this client's behavior?

Answer Choices:

A. "Rates mood 8/10, Exhibiting looseness of association, Euphoric."
B. "Mood euthymic, Exhibiting magical thinking, Restless."
C. "Mood labile, Exhibiting delusions of reference, Hyperactive."
D. "Agitated and pacing, Exhibiting grandiosity, Mood labile."
The nurse notices a client with bipolar disorder is escalating and is becoming very agitated. Which nursing intervention is most appropriate?

Answer Choices:

A. Hold the client's hand while walking in the hallway.
B. Provide the client with adequate personal space.
C. Maintain continuous eye contact when talking to the client.
D. Instruct the client to watch television in the dayroom.
A client's spouse filed charges after repeatedly being battered. Which statement by this person supports an antisocial personality

Answer Choices:

A. "I have a quick temper, but I can usually keep it under control."
B. "I'm feeling terrible about the way my behavior has hurt my family."
C. "I've done some stupid things in my life, but I've learned a lesson."
D. "I hit because I am tired of being nagged. My spouse deserves the beating.
From Exam
Examplify Mental Health 1

56 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Mental Health
  • Answer Choices: 4
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