The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?

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Question 1 of 5

The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?

Correct Answer: C

Rationale: Rationale: Choice C is correct because borderline personality disorder is believed to be associated with frontal lobe dysfunction, impacting emotional regulation and impulsivity. The frontal lobe plays a crucial role in personality development. Choices A, B, and D are incorrect because there isn't conclusive evidence linking the disorder to increased serotonin or decreased dopamine activity, or hormonal imbalances.

Question 2 of 5

You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?

Correct Answer: B

Rationale: The correct answer is B because it demonstrates active listening and empathy. By acknowledging the patient's conflicting nonverbal cues, the response shows understanding and encourages further exploration of the patient's feelings. This approach helps build rapport and trust. A: This response is overly optimistic and dismisses the patient's nonverbal cues, missing an opportunity to address underlying concerns. C: This response jumps to conclusions and may come across as judgmental, potentially shutting down communication. D: This response imposes a judgment on the patient without exploring the underlying reasons for the conflicting behavior, which can be counterproductive.

Question 3 of 5

The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?

Correct Answer: C

Rationale: Rationale: Choice C is correct because borderline personality disorder is believed to be associated with frontal lobe dysfunction, impacting emotional regulation and impulsivity. The frontal lobe plays a crucial role in personality development. Choices A, B, and D are incorrect because there isn't conclusive evidence linking the disorder to increased serotonin or decreased dopamine activity, or hormonal imbalances.

Question 4 of 5

A client has been placed in seclusion because the client has been deemed a danger to others. Which is the priority nursing intervention for this client?

Correct Answer: C

Rationale: The correct answer is C because maintaining contact and assuring the client that seclusion will maintain their safety is the priority nursing intervention for a client deemed a danger to others. This intervention helps build trust, reduce anxiety, and promote a therapeutic relationship. A: Having little contact with the client may increase feelings of isolation and exacerbate the client's distress. B: Providing privacy is important, but in this case, ensuring the client's safety is the priority over maintaining confidentiality. D: Teaching relaxation techniques and coping strategies is beneficial, but it is not the immediate priority when the client is in seclusion due to being a danger to others.

Question 5 of 5

A nursing instructor is explaining to a group of nursing students that in addition to facing the stigma associated with being mentally ill, forensic clients who are mentally ill also experience the stigma associated with being a criminal. One of the students asks the instructor how the stigma associated with criminality might influence nursing care. Which response by the instructor would be most appropriate?

Correct Answer: A

Rationale: The correct answer is A because it addresses the potential impact of the stigma associated with criminality on nursing care. Nurses may indeed be reluctant to care for mentally ill criminals due to safety concerns, both for themselves and other clients. This response acknowledges the realistic fears that may exist and how they can influence the quality of care provided. Now, let's analyze why the other choices are incorrect: B: This choice suggests that nurses may prefer to care for forensic clients because they don't believe criminals can be mentally ill, which is not relevant to the question asked. C: This choice implies a generalization that forensic clients only experience mild mental health problems, which is not accurate and does not address the impact of stigma associated with criminality on nursing care. D: This choice mentions unfounded fears about what clients might do post-treatment, which is not directly related to the stigma associated with criminality influencing nursing care.

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