A client on an inpatient psychiatric unit exhibits traits of borderline personality disorder. Which action by the nurse would initiate collaboration with the member of the mental health-care team who can best confirm this diagnosis?

Correct Answer: C

Rationale: Correct Answer: C. Collaborate with the clinical psychologist to prepare the client for personality testing. Rationale: 1. Borderline personality disorder (BPD) diagnosis requires comprehensive assessment, including personality testing. 2. Clinical psychologists are trained to administer and interpret psychological tests, including those for personality disorders. 3. Collaborating with the clinical psychologist ensures the client receives appropriate evaluation and diagnosis. 4. Requesting medication or focusing on occupational or recreational needs may not address the core issue of confirming a BPD diagnosis. Summary: A: Requesting medication is premature without confirming the diagnosis. B: Occupational therapy focuses on retraining skills, not diagnosing personality disorders. D: Planning recreational activities may help with anxiety but does not address the need for a formal diagnosis like personality testing.

Correct Answer: D

Rationale: The correct answer is D because it reflects self-actualization by showing an appreciation for simple pleasures and being in touch with nature, indicating a sense of fulfillment and inner peace. Choice A focuses on external factors, choice B relies on a plan for validation, and choice C emphasizes success through hard work, all of which are not necessarily indicative of self-actualization.

Correct Answer: A

Rationale: The correct answer is A, during the orientation phase. This is the initial phase where the nurse establishes rapport, gathers information, and sets the tone for the relationship. Planning for termination during orientation allows for a smooth transition and helps manage expectations. Addressing termination at the end of the working phase (choice B) may be abrupt and disrupt the therapeutic process. Near the beginning of the termination phase (choice C) is too late as it doesn't allow sufficient time for the patient to process and prepare for closure. Waiting for the patient to bring up termination (choice D) may lead to uncertainty and anxiety for the patient.

Correct Answer: D

Rationale: The correct answer is D because the patient's action can be explained by the concept of interpreting the UAP's behavior as potentially harmful. In this scenario, the patient was asleep and suddenly awakened by the UAP quietly entering the room and touching the bed. The patient's instinctive response of hitting the UAP in the face can be seen as a defensive reaction triggered by perceiving a potential threat or harm from the UAP's unexpected actions. This aligns with the idea that older adults in a vulnerable state may react aggressively when feeling threatened or unsafe. Choice A is incorrect because it generalizes behavior without considering the specific context of the situation. Choice B is incorrect as it does not directly address the patient's perception of harm from the UAP's actions. Choice C is incorrect as there is no evidence provided in the scenario to support the idea that the patient learned violent behavior from other patients.

Correct Answer: C

Rationale: The correct answer is C: Atheism. Atheism is the belief that there is no existence of any gods or deities. In this scenario, the patient explicitly states that "God does not exist for me," indicating a lack of belief in a higher power. Animism (A) is the belief that objects, places, and creatures possess a distinct spiritual essence. Agnosticism (B) is the belief that the existence of a higher power is unknown or unknowable. Polytheism (D) is the belief in multiple gods or deities, which is not reflected in the patient's statement.