NCLEX-PN Practice Q 18

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An adolescent with borderline personality is hospitalized with suicidal ideation and self-mutilation. Which goal is both therapeutic and realistic for this client?

  

     A. The client will remain in her room when feeling overwhelmed by sadness.

     B. The client will seek out a staff member to verbalize feelings of anger and sadness.

     C. The client will leave group activities to pace when feeling anxious.

     D. The client will request medication when feeling loss of emotional control.

    

    

Correct Answer: B. The client will seek out a staff member to verbalize feelings of anger and sadness.

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Option B: Verbalizing feelings of anger and sadness to a staff member is an appropriate therapeutic goal for the client with a risk of self-directed violence.

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Options A and C: Placing the client in an isolated situation to deal with her feelings alone will promote more suicidal tendencies.

Option D: Giving off medication will not allow the client to ventilate her feelings.

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