Author Question: A client with borderline personality disorder who has transient psychotic episodes involving ... (Read 23 times)

joblessjake · **on:** Jul 19, 2018

A client with borderline personality disorder who has transient psychotic episodes involving auditory hallucinations is being discharged to home.

Which of the following instructions by the nurse is appropriate for helping the client deal with these episodes? A) Call the clinic and ask to speak to someone.
B) Take additional doses of medication until the voices subside.
C) Tell yourself, I'm not really hearing anything.
D) Try to sit quietly until the voices subside.

Question 2

A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is involuntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?

A) Hopelessness related to recent divorce
B) Ineffective coping related to inadequate stress management
C) Spiritual distress related to conflicting thoughts about suicide and sin
D) Risk for suicide related to a highly lethal plan

LVPMS · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Feedback: The client will benefit from talking to a professional who can assist the client during these episodes. Answers B, C, and D are not appropriate instructions to give a client with borderline personality disorder experiencing hallucinations.

Answer to Question 2

D
Feedback: Safety is the priority. The overall goals for the client who is suicidal is to first keep the client safe and later to help him or her to develop new coping skills that do not involve self-harm. Answers A, B, and C are not the priority diagnoses for this client.