A client with borderline personality disorder has been hospitalized several times after self-mutilating
episodes and suicide attempts. The client has entered dialectical behavior therapy on an outpatient
basis.
During therapy, the advanced practice nurse has been counseling her regarding self-harm
behavior management. Today the client called the nurse and reported that she is feeling empty and
anxious and wants to cut her arms. The nurse should
a. arrange for emergency in-patient hospitalization.
b. send her to the crisis intervention unit for 8 to 12 hours.
c. assist the client to identify the trigger situation and choose a coping strategy.
d. advise the client to take an anxiolytic to decrease anxiety level and go to sleep.
Question 2
Lithium citrate 600 mg 3 times daily po is ordered for a client with acute mania who is being treated
as an outpatient. The client calls the mental health nurse, stating he is nauseated.
To lessen the
nausea, the nurse can suggest that the lithium can be taken with
a. meals.
b. an antacid.
c. an antiemetic.
d. a large glass of juice.
Obsessive–compulsive disorder.
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