The nurse is changing the dressing on self-inflicted cigarette ...

[hubes95]

The nurse is changing the dressing on self-inflicted cigarette burns on a patient with borderline personality disorder. When providing the care, which action is most therapeutic?
 
  a. Change the dressings while being nurtur-ing and caring to keep patient from feeling abandoned.
  b. Approach the dressing change with a matter-of-fact demeanor to decrease sec-ondary gains of sympathy.
  c. Present a stern attitude to underscore the seriousness of the act.
  d. Interact in a professional and distant manner to diminish the opportunity for manipulation.

Question 2

What effect does the nurse desire to achieve by using clear, direct communication with patients with borderline personality disorder?
 
  a. Avoid generating an intense reaction from the patient.
  b. Eliminate the possibility of manipulation.
  c. Decrease the probability of the patient reacting emotionally.
  d. Provide a role model for good communi-cation.

[nothere]

Answer to Question 1

B
The person with borderline personality disorder will seek additional secondary gains in terms of attention about the manipulative act of self-mutilation. Nurturing will reinforce the effectiveness of the mutilation to gain attention. Stern and distant demeanors may appear confrontational to the patient and reduce the therapeutic aspects of the intervention.

Answer to Question 2

D
Clear communication can model a communication style that allows a person to verbalize feelings and make thoughts and expectations known.

[hubes95]

Great answer, keep it coming

[aliotak]

TYSM