Author Question: The nurse is caring for a patient diagnosed with borderline personality disorder who cut both ... (Read 56 times)

sjones · **on:** Jul 19, 2018

The nurse is caring for a patient diagnosed with borderline personality disorder who cut both forearms after learning that the psychiatrist was going on vacation. While changing the dressing daily, it would be advisable for the nurse to:

a. express sympathy and concern.
b. maintain a matter-of-fact attitude.
c. encourage discussion of the self-mutilation.
d. reassure the patient by stating, I will not abandon you..

Question 2

Which statement can a nurse use to best describe the Stuart Stress Adaptation Model to someone who is unfamiliar with it?

a. The model recognizes the limitations of the nursing process and organizes treatment along critical pathways..
b. The model bases psychiatric nursing practice on principles derived from nursing science and establishes generic goals for each discrete stage of psychiatric treatment..
c. The model integrates biopsychosociocultu ral, environmental, and legal-ethical aspects of psychiatric nursing care into a unified framework for practice throughout the care continuum..
d. The model is based primarily on the medical model and organizes psychiatric nursing practice according to discrete treatment stages, selected treatment settings, and legal mandates..

Ahernandez18 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
A matter-of-fact approach does not reinforce self-mutilating behavior. Sympathy and unrealistic promises are not therapeutic for this patient. Any discussion concerning self-mutilation would be better introduced at a time when changing the dressing was not the focus of the nurse's attention.

Answer to Question 2

C
The Stuart Stress Adaptation Model is holistic, views nature as ordered on a social hierarchy, regards adaptation/maladaptation as distinct from health/illness, relates nursing activities to levels of prevention and the four stages of treatment, is based on standards of psychiatric nursing care and professional performance, and can be used across psychiatric settings throughout the care continuum.