Which nursing approach should be used to maintain a therapeutic ...

[Mr. Wonderful]

Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder?
 
  A. Being firm, consistent, and empathetic, while addressing specific client behaviors
  B. Promoting client self-expression by implementing laissez-faire leadership
  C. Using authoritative leadership to help clients learn to conform to societal norms
  D. Overlooking inappropriate behaviors to avoid promoting secondary gains

Question 2

Which nursing intervention is appropriate when caring for clients diagnosed with either anorexia nervosa or bulimia nervosa?
 
  A. Provide privacy during meals.
  B. Remain with the client for at least 1 hour after the meal.
  C. Encourage the client to keep a journal to document types of food consumed.
  D. Restrict client privileges when provided food is not completely consumed.

[234sdffa]

Answer to Question 1

ANS: A
The best nursing approach when working with a client diagnosed with borderline personality disorder is to be firm, consistent, and empathetic while addressing specific client behaviors. Individuals diagnosed with borderline personality disorder always seem to be in a state of crisis and can often have negative patterns of interaction, such as manipulation and splitting.

Answer to Question 2

ANS: B
A nurse should remain with clients diagnosed with either anorexia nervosa or bulimia nervosa for at least 1 hour after meals. This allows the nurse to monitor for food discarding (anorexia nervosa) and/or self-induced vomiting (bulimia nervosa).