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After being treated in the ED for self-inflicted lacerations to wrists and arms, a client with a diagnosis of borderline personality disorder is admitted to the psychiatric unit. Which nursing intervention takes priority?

A client admitted for trauma sustained while intoxicated has been hospitalized for 48 hours. He is shaky, irritable, and anxious and tells of having vivid nightmares. At the next assessment time,  the nurse finds the client restless and perspiring, pulse is 130 beats/min, BP 178/92, Temperature 37.9 C. He shouts “There are bugs crawling on my bed.” What conclusion does the nurse develop based on the assessments?

A client diagnosed with paranoid personality disorder needs information regarding medications. Which nursing intervention would assist this client in understanding prescribed medications?

A nurse has been scheduled to interview a client with narcissistic personality disorder. Which assessment findings can the nurse anticipate?

In which situation would the nurse suspect a medical diagnosis of social phobia?

A client has a history of angry verbal outbursts.  The nurse is planning education to assist the client in managing his behaviors.  Arrange the items in the order the nurse should take in teaching the client  (ie 1,2,3,4) 1.  Assist the client to recognize the early cues that he is angry 2.  Help the client identify triggers for his anger. 3.  Practice with the client appropriate ways to express his anger. 4.  Identify alternate ways to express his anger.  

The nurse is caring for a female client who was admitted to the mental health unit recently for anorexia nervosa. The nurse enters the client’s room and notes that the client is engaged in rigorous exercise. Which nursing action is most appropriate?

Identify one drug used in the treatment of alcohol withdrawal or detoxification to decrease central nervous system symptoms.

Which fact obtained during nursing assessment would cause the nurse to consider a child to be at risk for the development of a psychiatric disorder?

A client arrived in the emergency department by ambulance.  She is very dramatic over a cut to her finger while at work. No stitches were required and she is angry that her request for a month’s disability was denied. Which personality disorder is most consistent with this client’s behavior?