An 80-year-old client visits the mental health clinic with her ...

[awywial]

An 80-year-old client visits the mental health clinic with her daughter. During the assessment process, the client tells the nurse that she is taking an antidepressant, an antibiotic, and an occasional aspirin. The nurse should ask the client:
 
  A) How much grapefruit juice do you drink on a daily basis?
  B) How much orange juice do you drink on a daily basis?
  C) How much tomato juice do you drink on a daily basis?
  D) How much grape juice do you drink on a daily basis?

Question 2

Which client situation should a nurse identify as reflective of the impulsive behavior that is commonly associated with borderline personality disorder?
 
  A. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and whispers, The night nurse is evil. You have to stay.
  B. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and states, I will be up all night if you don't stay with me.
  C. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm, yelling, Please don't go I can't sleep without you being here.
  D. As the day shift nurse leaves the unit, the client suddenly shows the nurse a bloody arm and states, I cut myself because you are leaving me.

[Carissamariew]

Answer to Question 1

A

Answer to Question 2

D
The client's statement I cut myself because you are leaving me reflects impulsive behavior that is commonly associated with the diagnosis of borderline personality disorder. Repetitive, self-mutilative behaviors are common and are generated by feelings of abandonment following separation from significant others.