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Practice Question

A client with borderline personality disorder tells the nurse, "You are the best nurse on the unit! The other nurses don't care about me the way you do." Which response should the nurse provide to this client?

Answer Choices:

Correct Answer:

The other nurses and I are here to help you get better.

Rationale:

🟢 The client with borderline personality disorder (BPD) is demonstrating splitting, a defense mechanism characterized by idealizing one caregiver and devaluing others.

🟢 The nurse's response should emphasize the team approach and set clear therapeutic boundaries while still validating the client’s emotional needs.

🟢 This answer avoids reinforcing the splitting behavior, which can lead to disruption in care continuity and team conflict.

🟢 It reminds the client that all staff are committed to providing consistent and professional care.

🟢 Maintaining neutrality and reinforcing team unity is essential to managing clients with BPD effectively.

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This question is from RN HESI Mental Health Exam 3 which contains 46 questions.

More Questions from This Exam
A client with depression does not want to communicate with friends, uses television watching as a means of escaping responsibilities, and describes the inability to handle personal circumstances. Which coping strategy should the nurse include in the plan of care?

Answer Choices:

A. Shift attention from self to the needs and requests of others
B. Relax and reduce the amount of effort to solve the problem.
C. Focus on small achievable tasks, not taxing problems.
D. Concentrate on and ventilate emotions when distressed.
A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship. Which is the primary goal for hospitalization that should be included in this client's plan of care?

Answer Choices:

A. Returns to her previous level of functioning.
B. Identifies four of her positive personal traits.
C. Initiates an exercise program to help deal with stress.
D. Describes what she wants from a romantic relationship.
A female college student is admitted to the mental health unit following a drug overdose. The student tells the nurse that she took the overdose following the end of a romantic relationship.Which is the primary goal for hospitalization that should be included in this client's plan of care?

Answer Choices:

A. Returns to her previous level of functioning.
B. Identifies four of her positive personal traits.
C. Initiates an exercise program to help deal with stress.
D. Describes what she wants from a romantic relationship.
When the nurse addresses questions to an adult female client who is depressed, the client's responses are delayed. Which intervention should the nurse include in this client's plan of care?

Answer Choices:

A. Involve client in a daily exercise program.
B. Ask the client to describe her depression.
C. Spend time sitting in silence with the client.
D. Observe for signs of possible psychosis.
A client reports needing to increase opioid dosage to achieve the original level of pain relief. Which action should the nurse take?

Answer Choices:

A. Explain that opioid receptor response reduces with continued use.
B. Collect information on all sources used to obtain opioids.
C. Advise that detoxification will be needed to reattain pain relief.
D. Discuss the dangers of using opioids for non-medical purposes.
From Exam
RN HESI Mental Health Exam 3

46 Questions

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