Which nursing diagnosis is a priority for clients with Borderline personality disorder?

Correct Answer: C

Rationale: In clients with Borderline Personality Disorder (BPD), the priority nursing diagnosis is "C) Altered thought process." This is because individuals with BPD often experience cognitive distortions, impulsivity, and unstable self-image, leading to difficulties in perception and interpretation of reality. Addressing this altered thought process is crucial in providing effective care and interventions for these clients. Option A, "Risk for injury," may be a concern for clients with BPD due to impulsive behaviors or self-harming tendencies. However, addressing the underlying altered thought process is essential to prevent these behaviors in the first place. Option B, "Ineffective individual coping," is a common issue for individuals with BPD, but it is often a result of the altered thought process. By targeting the cognitive distortions and maladaptive thought patterns, coping mechanisms can be improved. Option D, "Sensory perceptual alteration," is not typically a priority nursing diagnosis for clients with BPD. While individuals with BPD may experience emotional dysregulation and distorted perceptions of others, addressing the altered thought process takes precedence in their care. Educationally, understanding the priority nursing diagnosis for clients with BPD is crucial for nursing students to provide holistic and effective care. By addressing the underlying cognitive distortions and thought patterns, nurses can help clients with BPD navigate their emotions and behaviors more effectively.

Correct Answer: B

Rationale: In this question, the correct answer is B) Hemiplegia. Hemiplegia refers to weakness that affects one side of the body, typically both legs and the lower part of the trunk. This term is commonly associated with conditions such as stroke or brain injury that result in unilateral paralysis. Option A) Paraparesis refers to weakness affecting both legs but not the trunk. Option C) Quadriparesis refers to weakness in all four limbs, not just the lower extremities. Option D) Paraplegia refers to complete paralysis of the lower half of the body, including both legs and the lower trunk. Educationally, understanding these terms is crucial in pharmacology and healthcare settings. Recognizing the difference between hemiplegia, paraparesis, quadriparesis, and paraplegia can help healthcare providers accurately assess and communicate a patient's condition, leading to appropriate treatment interventions and care planning. This knowledge is essential for pharmacology students to effectively communicate with healthcare teams and provide optimal patient care.

Correct Answer: A

Rationale: In the context of a client with major depression, the priority nursing diagnosis of "Altered nutrition" is correct. This is because depression can significantly impact a person's appetite, leading to changes in eating habits, weight loss or gain, and nutritional deficiencies. Addressing altered nutrition is crucial for promoting overall well-being and mental health recovery. Option B, "Altered thought process," while important in the assessment of depression, is not the priority nursing diagnosis in this scenario. Clients with major depression may experience cognitive distortions, but addressing altered nutrition takes precedence due to its direct impact on physical health. Option C, "Self-care deficit," and option D, "Risk for injury," are also important considerations in caring for a client with major depression. However, addressing altered nutrition is more immediate as it directly affects the client's physiological health and can exacerbate depressive symptoms if not managed effectively. Educationally, this question emphasizes the importance of prioritizing nursing diagnoses based on the client's immediate needs and the impact of their condition on overall health. It highlights the interconnectedness of physical and mental health in providing holistic care to clients with depression.

Correct Answer: B

Rationale: In the context of working with emotionally ill clients, the nurse's personality makeup is the most unique tool for several reasons. Firstly, a nurse's personality traits such as empathy, patience, and compassion can significantly impact the therapeutic relationship with the client. A nurse's ability to demonstrate understanding, non-judgmental attitude, and genuine care can help build trust and rapport with emotionally fragile individuals. On the other hand, theoretical knowledge (option A) is essential but not unique to the nurse, as other healthcare professionals also possess this knowledge. Emotional reactions (option C) can be detrimental if they are not managed appropriately, as they may interfere with the therapeutic process. Communication skills (option D) are crucial in all nursing interactions, but they can be learned and developed over time, unlike inherent personality traits. In an educational context, understanding the significance of personality makeup in nursing practice emphasizes the importance of self-awareness, reflection, and ongoing personal development for nurses. It highlights the need for nurses to cultivate positive qualities that can enhance their ability to provide effective care and support to emotionally vulnerable clients.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) Look to recapture the opportunities that were never started or completed. Encouraging the 85-year-old widow to explore unfinished endeavors aligns with Erikson's theory of psychosocial development in older adulthood, where individuals aim to find meaning and purpose in life. By focusing on unfulfilled aspirations, the individual can experience a sense of closure and fulfillment. Option A) Invest her creative energies in promoting social welfare may not be the most appropriate choice as it assumes the individual's primary focus should be on external activities rather than personal growth and reflection. Option B) Redefine her role in society and offer something of value could be limiting as it suggests the individual's worth is solely tied to societal contributions rather than personal satisfaction and self-realization. Option C) Feel a sense of satisfaction in reflecting on her productive life, although important, does not address the potential for personal growth and exploration of missed opportunities, which can be crucial for personal development in older adulthood. Educationally, this question highlights the importance of supporting older adults in finding purpose and fulfillment in later stages of life by encouraging them to reflect on past experiences and pursue personal growth and unfulfilled goals. It emphasizes the significance of self-actualization and personal satisfaction in the aging process.