Author Question: A nursing strategy that makes limit setting better accepted by clients with personality disorders is ... (Read 37 times)

jazziefee · **on:** Jul 19, 2018

A nursing strategy that makes limit setting better accepted by clients with personality disorders is to
first

a. confront the client with the inappropriateness of the behavior.
b. explore with the client the underlying dynamics of the behavior.
c. reflect back to the client an understanding of the client's distress.
d. state a value judgment regarding the behavior and its consequences.

Question 2

A client who is 5 feet 7 inches tall and weighs 160 pounds believes that her size-9 feet are enormous
compared with the rest of her body. She has visited orthopedic surgeons to see if surgery to reduce
the length of her feet is possible.

She spends hours trying to buy shoes that make her feet look
smaller, and she prefers social interactions where she can sit with her feet concealed under a table.
The nurse can assess that the client's symptoms are consistent with
a. hypochondriasis.
b. somatoform pain disorder.
c. body dysmorphic disorder.
d. depersonalization disorder.

xMRAZ · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Setting limits is better accepted by clients if staff first use empathetic mirroring without making a
value judgment, which are suggested in options A and D. Option B has little to do with client
acceptance of limits.

Answer to Question 2

ANS: C
Body dysmorphic disorder refers to preoccupation with some imagined defect in appearance in a
normal-appearing person. The client's feet are proportional to the rest of her body. Option A:
Hypochondriasis involves misinterpreting physical symptoms as signs of a serious medical disorder.
Option B: Somatoform pain disorder involves the presence of pain not associated with a medical
disorder. Option D: Depersonalization disorder involves alteration in perception of self, such as
feeling mechanical or unreal.