Answer A: Obtaining a no-self-harm contract.
Reason: Since this is the case of a person with borderline personality disorder (BPD), she might engage in self-destructive behaviors, especially when she is upset. The purpose of a no-self-harm contract is to increase a BPD patient's level of safety. So this should be the nursing task of priority.
A 23-year-old woman admitted with borderline personality disorder is admitted to an inpatient unit. Which nursing...
Maps YouTube A 23-year-old woman admitted with borderline personality disorder is admitted to an inpatient unit. Which nursing task is the priority? A. Obtaininga no-self-harm contract B. Assessing the skin for past self injury C. Establishing healthy personal boundaries D. Encouraging social interraction with other clients on the unit.
Personality Disorder Case Study Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had...
Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had been physically and sexually...
Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had been physically and sexually...
Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had been physically and sexually...
You are a nurse on an inpatient psychiatric unit. J.M., a 23-year-old woman, was admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency department for "blacking out at school." She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she has very loose clothing, she is wrapped in a blanket, and her extremities are very thin. She tells you, "I don't know why I'm...
You are a nurse on an inpatient psychiatric unit. J.M., a 23-year-old woman, was Respond to at least one other student admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency department for "blacking out at school." She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she has very loose clothing, she is wrapped in a blanket, and her extremities are very thin. She...
424. You are the nurse caring for 82 year old women in the PACU. The woman begins to awaken and responds to her name but is confused, restless and agitated. What are you aware of? A. Postoperative confusion is an indication of an oxygen problem or possibly a stroke during surgery. B. Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time C. Postoperative confusion is common in the elderly, but it could also indicate a significant...
420. A 42 year old patient is admitted to the emergency department (ED. following being mugged. The patient received blunt trauma to the face and has clear fluid draining from the right nostril. What does the ED nurse know to assess this fluid for? A. Sodium B. Protein C. Calcium D. Glucose 421. As an asthma educator, you are teaching a patient newly diagnosed with asthma and her family about the use of a peak flow meter. What does a...
Case Study
A 32 year old Arab woman is admitted to the hospital with
complaints of abdominal pain. She is accompanied by her husband.
They have a three-year-old girl at home. The husband is the primary
decision maker in the family. The physician on call is male and he
has expressed concern that surgery might be needed.
1. How can you provide culturally competent care to this family
(Name at least 3 items)?
2. What other information do you need...