Chapter 27- Borderline Personality Disorder- Management of - Nurse Guide Hub

Chapter 27- Borderline Personality Disorder- Management of

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Psychiatric Nursing Contemporary Practice 5th Edition By Boyd

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Chapter 27- Borderline Personality Disorder- Management of

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1.	The nurse is assessing a client who is diagnosed with borderline personality disorder. Which client statement indicates the client is at risk for self-injurious behavior?
	A)	“I have felt so down lately. I don’t enjoy doing anything anymore.”
	B)	“I do what I do because others tell me to do so.”
	C)	“When I feel extremely anxious, it is like my mind goes somewhere else.”
	D)	“It is almost as if as soon as I think of doing something, I immediately do it.”

2.	A woman with borderline personality disorder has been admitted to the inpatient unit because she has been engaging in wrist cutting. The client’s sister is visiting, and the sister asks the nurse to explain why her sister sometimes does this to herself. Which response by the nurse would be most appropriate?
	A)	“Sometimes the self-injurious behavior is undertaken to relieve stress.”
	B)	“Self-injurious behavior often calms and sedates people with this diagnosis.”
	C)	“Sometimes they do it to avoid the onslaught of delusional thinking.”
	D)	“The self-mutilation often slows the mood swings your sister experiences.”

3.	The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?
	A)	“The disorder may be caused by increased serotonin activity.”
	B)	“The disorder is caused by decreased dopamine activity in my brain.”
	C)	“A frontal lobe dysfunction may be causing this condition.”
	D)	“A decrease in hormonal substances increases the risk for this illness.”

4.	The nurse is assessing a client who has borderline personality disorder. Which of the following would be a priority?
	A)	Nutrition patterns
	B)	Personal hygiene practices
	C)	Physical functioning
	D)	Somatic complaints

5.	A client diagnosed with borderline personality disorder tells the nurse that she “frequently spaces out.” Which response by the nurse would be most appropriate?
	A)	“Do you feel stressed most of the time?”
	B)	“Does this frighten you when it happens?”
	C)	“What’s happening around you when this occurs?”
	D)	“Do you feel as if you are out of your body?”

Answer Key

1.	A
2.	A
3.	C
4.	A
5.	C

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