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Practice Question

As part of the plan of care for a client with borderline personality disorder, the nurse reviews the day's schedule with him each morning. While doing so, the client states. "Why don't you shut up already! I can read it myself, you know!" Which of the following is an appropriate nursing response?

Answer Choices:

Correct Answer:

“I expect you to speak to me in a civil tone of voice."

Rationale:

🟣 Clients with borderline personality disorder (BPD) often display impulsivity, intense emotional reactions, and difficulty regulating anger, which may lead to verbal outbursts.

🟣 This response uses clear limit-setting, a key therapeutic strategy for clients with BPD, by calmly stating behavioral expectations without engaging in confrontation or criticism.

🟣 The nurse maintains professional boundaries while modeling respectful communication, which helps build consistency and structure, crucial for clients with BPD.

🟣 Responding with neutral firmness helps avoid reinforcing manipulative or aggressive behaviors and preserves the therapeutic relationship.

🟣 This approach also promotes self-awareness and accountability, encouraging the client to reflect on their behavior in a non-threatening way.

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This question is from LPN Custom Mental Health which contains 43 questions.

More Questions from This Exam
A nurse in a mental health facility is caring for a client who becomes upset and breaks a chair when a visitor does not arrive. The client remains agitated following initial verbal attempts to calm him down. Which of the following interventions should the nurse implement first?

Answer Choices:

A. Plan with the client for how he can better handle frustration.
B. Place the client in a monitored seclusion room until he is calm.
C. Offer the client an antianxiety medication.
D. Restrain the client to prevent injury to himself or others.
A nurse in a mental health facility is caring for a client who becomes upset and breaks a chair when a visitor does not arrive. The client remains agitated following initial verbal attempts to calm him down. Which of the following interventions should the nurse implement first?

Answer Choices:

A. Plan with the client for how he can better handle frustration.
B. Place the client in a monitored seclusion room until he is calm.
C. Offer the client an antianxiety medication.
D. Restrain the client to prevent injury to himself or others.
A nurse in an acute care mental health facility is contributing to the plan of care for a client who is newly diagnosed with schizophrenia and is verbalizing paranoid delusions. Which of the following interventions should the nurse include in the plan?

Answer Choices:

A. Set limits on the amount of time the client talks about delusions,
B. Schedule a variety of competitive stimulating group activities for the client
C. Tell the client that the delusions are not real
D. Avoid asking the client about triggers for the delusions
A nurse is reinforcing teaching with a client who has a prescription for amitriptyline. (Elavil) Which of the following client statement indicates an understanding of the teaching?

Answer Choices:

A. "I should sit on the side of the bed before standing up in the morning
B. I may experience an increased libido."
C. I will avoid drinking caffeinated beverages."
D. I can no longer eat pepperoni pizza."
A nurse is reinforcing teaching with a client who has a prescription for amitriptyline. (Elavil) Which of the following client statement indicates an understanding of the teaching?

Answer Choices:

A. "I should sit on the side of the bed before standing up in the morning
B. I may experience an increased libido."
C. I will avoid drinking caffeinated beverages."
D. I can no longer eat pepperoni pizza."
From Exam
LPN Custom Mental Health

43 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Mental Health
  • Answer Choices: 4
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