This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with borderline personality disorder has been hospitalized several times after ... (Read 66 times)

jayhills49

  • Hero Member
  • *****
  • Posts: 559
on: Jul 19, 2018
A patient with borderline personality disorder has been hospitalized several times after self-injurious behavior and suicide attempts. The patient 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 patient called the nurse and reported feeling empty and anxious and wants to cut herself. Which response would best help in this situation? a. Arrange for an emergency admission to a crisis unit.
  b. Arrange for an emergency admission to an inpatient unit.
  c. Assist the patient to identify and choose a coping strategy.
  d. Advise the patient to take an anxiolytic, then go to sleep.

Question 2

Restrained clients must be monitored and their condition documented at least every ____ minutes.
 
  1. 15
  2. 30
  3. 60
  4. 90


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Rilsmarie951

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 19, 2018
Answer to Question 1

C
The patient has responded appropriately to the urge to harm herself by calling a helping individual. The nurse can assist the patient to choose an alternative to self-injury. Except when the patient is judged to be at risk of suicide as well, hospital or crisis center admissions are generally discouraged in favor of guiding the patient to use internal controls to manage urges to self-injure. This is designed to minimize dependence on hospitalization for safety and promote independence and adaptive coping. Taking a sedative and going to sleep should not be the first-line intervention, because sedation may reduce the patient's ability to weigh alternatives to mutilating behavior, and using medications to deal with stress (especially in the absence of other adaptive coping alternatives such as relaxation exercises) could increase the risk of drug abuse or dependence.

Answer to Question 2

1
The use of restraints is governed by federal and state laws, institutional policies, and special procedures.


jayhills49

  • Member
  • Posts: 559
Reply 2 on: Jul 19, 2018
Great answer, keep it coming :)

shewald78

  • Member
  • Posts: 340
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Did you know?

Bisphosphonates were first developed in the nineteenth century. They were first investigated for use in disorders of bone metabolism in the 1960s. They are now used clinically for the treatment of osteoporosis, Paget's disease, bone metastasis, multiple myeloma, and other conditions that feature bone fragility.

When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
Skin signs are objective evidence of an illness or disorder. They can be seen, measured, or felt. Skin signs are objective evidence of an illness or disorder. They can be seen, measured, or felt.
Electrocardiography. (a) Electrodes are placed on the patient’s chest to record the electrical event Electrocardiography. (a) Electrodes are placed on the patient’s chest to record the electrical event
Digital recording devices can be helpful when providing patient education to visually impaired ... Digital recording devices can be helpful when providing patient education to visually impaired ...
By how many times will the population of bacteria have increased after 6 h? By how many times will the population of bacteria have increased after 6 h?
Classification of Antidepressants: Treatment of Major Depressive Disorder Classification of Antidepressants: Treatment of Major Depressive Disorder
Video: Hershey Chase Experiments

For a complete list of videos, visit our video library