A nurse identified a nursing diagnosis of self-mutilation for a female diagnosed with borderline personality disorder. The patient has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis?

Correct Answer: B

Rationale: The correct answer is B: Demonstrate a decrease in frequency and intensity of cutting. This outcome is the most important because it directly addresses the behavior of self-mutilation, which is the primary concern in this case. By demonstrating a decrease in cutting, the patient shows progress in managing their impulses and emotions. The other choices are not as critical for addressing the immediate safety and well-being of the patient. Choice A focuses on identifying triggers, which is important but not as urgent as reducing the actual self-harm behavior. Choice C regarding socialization and Choice D regarding self-care are important aspects of treatment but do not directly address the self-mutilation behavior.

Correct Answer: A

Rationale: The correct answer is A because it shows a supportive and open-minded approach. By expressing interest in the patient's choice and requesting to see the app, Carolina demonstrates respect for the patient's autonomy and willingness to explore new methods. This response can help maintain a positive therapeutic relationship and potentially integrate the app into the treatment plan if appropriate. Choice B is incorrect because it comes off as dismissive and may make the patient feel invalidated. Choice C is incorrect as it guilt-trips the patient and may damage the therapeutic relationship. Choice D is incorrect as it comes off as confrontational and may make the patient defensive.

Correct Answer: B

Rationale: The correct answer is B because it directly addresses an individual's personal ability to manage stress by inquiring about their engagement in hobbies. Hobbies can serve as a coping mechanism for stress. Choices A, C, and D do not focus on stress management abilities but rather on medical history, medication adherence, and social support, respectively. These factors are important but do not directly assess an individual's personal ability to manage stress.

Correct Answer: A

Rationale: The correct answer is A: Alarm. This stage occurs first in the General Adaptation Syndrome (GAS) model proposed by Hans Selye. During the alarm stage, the body recognizes a stressor and initiates the physiological fight-or-flight response. This includes activation of the sympathetic nervous system and release of stress hormones like adrenaline. The body prepares to either confront the stressor or flee from it. The other choices (B: Resistance, C: Exhaustion, D: Eustress) occur after the alarm stage in the GAS model. Resistance is the stage where the body adapts to the stressor, exhaustion is when the body's resources are depleted, and eustress refers to positive stress.

Correct Answer: D

Rationale: The correct answer is D because anxiety and depression are common reactions to posttraumatic events like incest. This survivor's symptoms are considered normal responses to the trauma she experienced. It is crucial to validate her feelings and experiences. Choice A is incorrect as eradicating these symptoms completely may not be realistic. Choice B is incorrect as these symptoms may persist longer than expected. Choice C is incorrect as these symptoms are not abnormal given the circumstances. In summary, choice D is correct because it acknowledges the survivor's experiences as normal reactions to trauma, promoting understanding and validation in the therapeutic process.