Answer to Question 1
Answer: A
Priorities of care for a client with a personality disorder include safety, managing crisis, setting limits, and improving socialization. Because of the nature of the disorder, it may be difficult for a therapeutic nurse-client relationship to be formed, so the nurse should not focus on this. The nurse should not confront the client by asking what purpose is served by disrupting others. Placing the client in a jacket restraint is not indicated in response to this behavior. The best intervention would be for the nurse to remove the disruptive client from the room and address the behavior privately.
Answer to Question 2
Answer: C, E
The nurse should explain that the medal can be safety pinned to the client's gown. This approach would ensure compliance with the client's religious needs as well as safety for any surgical intervention planned for the client. The nurse should also document that the medal is being worn by the client. The nurse should not keep the medal on the client but remove it after anesthesia is provided. The nurse should not tell the client that the medal will be lost if worn or confront the client by asking if the medal is going to ensure successful surgery.
Client on IV patient-controlled analgesia (PCA).
This young child is pulling at the ear and acting fussy, two important signs of otitis media.
The Big Five Personality Dimensions
The areas in which reading-associated increases in activity were observed in the fMRI study of ...
Measuring the client’s height with a platform scale
Consistency and Change in Personality Over the Lifespan