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Practice Question

A nurse is caring for a client who has borderline personality disorder and recently used manipulation to gain access to a restricted area. Which of the following responses should the nurse make?

Answer Choices:

Correct Answer:

“Let's discuss the consequences of your actions."

Rationale:

🔷 Clients with borderline personality disorder (BPD) often display behaviors such as manipulation, impulsivity, and boundary testing.

🔷These behaviors are driven by emotional dysregulation and fear of abandonment.

🔷 Responding by discussing the natural consequences promotes accountability without being punitive or confrontational.

🔷 This approach sets firm and consistent limits, which is essential in the therapeutic management of BPD.

🔷 It also encourages the client to engage in reflective thinking and take responsibility for their behavior within a safe, nonjudgmental framework.

🔷 Therapeutic responses must avoid emotional engagement in manipulation and instead support the client's growth in emotional regulation and trust-building.

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This question is from PN Mental Health 2023 which contains 61 questions.

More Questions from This Exam
A nurse is assisting with the care of a client.

Answer Choices:

A. Role play responses to offensive behavior.
B. Use nonthreatening body language when addressing the client.
C. Provide structure and boundaries for the client.
D. Confront the clients aggressive behavior.
E. Teach behavior modification techniques.
F. Place the client in isolation.
G. Redirect the client to an appropriate activity.
H. Limit client privileges on the unit.
I. Touch the client's arm for reassurance.
A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent's guardian represents the presence of a positive support system?

Answer Choices:

A. “I will have to do all I can to monitor my child's relationships."
B. "l anticipate that my child will feel some self-blame."
C. "l should encourage my child to focus solely on the future."
D. "l can encourage my child to think about what they did that allowed this event to happen.”
A nurse is sitting with a client in the dayroom. The client jumps up and states. "There are snakes coming toward me!" Which of the following responses should the nurse make?

Answer Choices:

A. “What do you usually do when this happens?"
B. “Would you like to play cards?"
C. “Let's move to a different room to avoid the snakes."
D. "l understand that you're seeing snakes, but I don't see any."
From Exam
PN Mental Health 2023

61 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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