A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?

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Question 1 of 5

A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?

Correct Answer: C

Rationale: The correct answer is C: Participating in relationships in which the client has control. In borderline personality disorder, individuals often struggle with issues of control and impulsivity. They may seek relationships where they can exert control to manage intense emotions and fear of abandonment. This behavior is a common manifestation of the disorder. Choices A and B are less likely as individuals with borderline personality disorder may have difficulties with group participation and openly expressing feelings due to fear of rejection or abandonment. Choice D is incorrect as individuals with this disorder often struggle with personal boundaries and may violate them in relationships.

Question 2 of 5

A nurse is working as part of a team involved with the testing of a new psychiatric medication. The drug is currently being used in multiple clinical trials at various different sites. The nurse is engaged in which phase of testing?

Correct Answer: C

Rationale: The nurse is in Phase III of testing. This phase involves testing the drug on a larger scale with diverse populations to evaluate its effectiveness, monitor side effects, and compare it to existing treatments. Phase I involves initial safety testing, Phase II involves testing effectiveness and side effects in a larger group, and Phase IV is post-marketing surveillance. In this scenario, the nurse is beyond the initial safety testing and is instead evaluating the drug's effectiveness in a larger scale trial, which aligns with Phase III.

Question 3 of 5

The client asks the nurse about the goal of treatment mental health programs. What would the nurse tell them?

Correct Answer: B

Rationale: The correct answer is B because mental health programs aim to provide safe, structured, and supportive care for individuals with mental health symptoms who can benefit from frequent treatment monitoring. This goal emphasizes the importance of creating a therapeutic environment that offers necessary interventions and support to help individuals manage their symptoms and improve their well-being. Choice A is incorrect because the goal is not solely about transitioning individuals to complete independence quickly, but rather about providing ongoing support and care. Choice C is incorrect as mental health programs are not intended to serve as permanent homes, but rather as treatment settings aimed at improving individuals' mental health. Choice D is incorrect because while close monitoring may be necessary for some clients, it is not the sole goal of mental health programs, which also focus on providing support and treatment interventions.

Question 4 of 5

On an inpatient psychiatric unit, a client states,"I want to learn better ways to handle my anger." This interaction is most likely to occur in which phase of the nurse-client relationship?

Correct Answer: C

Rationale: In the working phase, clients actively engage in exploring and addressing their issues, such as learning coping strategies for anger management. This phase focuses on goal setting, problem-solving, and skill development. The nurse-client relationship has progressed beyond initial introductions (orientation phase) and rapport-building (pre-interaction phase). The termination phase is when the relationship concludes after achieving goals. Thus, the correct answer is C as it aligns with the specific client goal of anger management intervention.

Question 5 of 5

While talking with a patient who has been experiencing aggression and intense anger, the nurse identifies that the patient feels isolation and anxious. Which statement by the nurse would be most appropriate?

Correct Answer: A

Rationale: The most appropriate statement is "This must be scary for you" (A) because it acknowledges the patient's feelings of isolation and anxiety, showing empathy and validation. This helps build rapport and trust with the patient. Choice B is dismissive and minimizes the patient's feelings. Choice C implies the nurse fully understands, which may not be true. Choice D puts the responsibility on the patient to calm down before help is offered, which can escalate the situation.

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