Which nursing intervention is most appropriate when caring for a client diagnosed with BPD using a behavioral approach?

Correct Answer: B

Rationale: The correct answer is B because using a behavioral approach involves reinforcing positive behaviors. By contracting with the client to reinforce positive behaviors with unit privileges, it encourages the client to continue displaying appropriate behaviors. Secluding the client (choice A) may worsen feelings of abandonment, teaching about medications (choice C) may not directly address behavioral issues, and journaling (choice D) may not focus on reinforcing positive behaviors. Overall, choice B aligns best with the principles of behavioral interventions for BPD.

Correct Answer: B

Rationale: The correct answer is B because providing simple directions and praising the client's independent self-care efforts is appropriate for a teenager with moderate ID. This approach promotes independence and self-esteem while offering necessary support. Choice A is incorrect as it does not encourage independence and may hinder the client's growth. Choice C is incorrect as complete autonomy may not be realistic or safe for the client. Choice D is incorrect as it can create dependency and hinder the client's development of self-care skills.

Correct Answer: B

Rationale: The correct answer is B: Provide consistent caregivers. Consistency in caregivers helps children with ASD feel secure by establishing a routine and building trust. This familiarity can reduce anxiety and promote a sense of stability. It also allows the child to develop a sense of attachment and predictability, which are crucial for their emotional well-being. Encouraging and rewarding peer contact (A) may be overwhelming for a child with ASD and can lead to increased stress. Providing a variety of safe daily activities (C) is important, but consistency in caregivers is more essential for creating a secure environment. Maintaining close physical contact throughout the day (D) may not be suitable for all children with ASD, as they may have sensory sensitivities or personal space boundaries.

Correct Answer: D

Rationale: The correct answer is D: Tremor. Aripiprazole is an antipsychotic medication that can cause extrapyramidal side effects like tremor, especially in young clients. Tremor can impact daily activities and quality of life. Dizziness, headache, and nausea are common side effects of aripiprazole but are typically less concerning and may improve over time. Assessing for tremor is crucial in adolescents to prevent potential long-term effects.

Correct Answer: A

Rationale: The correct answer is A because breaking down tasks into smaller, manageable steps is beneficial for clients with ADHD who struggle with a short attention span. By setting short-term goals, the client is more likely to stay focused and motivated as they can see progress more frequently. This approach helps prevent the feeling of being overwhelmed by a large task. Choice B is incorrect because repetition of instructions is not directly related to breaking down tasks into smaller steps for better focus in ADHD clients. Choice C is incorrect because while the approach encourages independence, it does not specifically address the issue of managing a short attention span. Choice D is incorrect as it focuses on the client's ability to assimilate information rather than the strategy of setting achievable goals for individuals with ADHD.