Author Question: A patient who is diagnosed with schizoid personality disorder is isolative, does not speak to her ... (Read 73 times)

Zulu123 · **on:** Jul 19, 2018

A patient who is diagnosed with schizoid personality disorder is isolative, does not speak to her peers, and sits through the community meeting without speaking. Her mother de-scribes her as shy and having few friends.

Which would be an appropriate nursing diagnosis for this patient?
a. Anxiety related to a new environment as evidenced by isolation and not talking with peers
b. Ineffective coping related to new environment as evidenced by isolation and minimal interaction with others
c. Impaired social interaction related to unfamiliar environment as evidenced by iso-lation and not talking with peers
d. Disturbed thought processes related to a new environment as evidenced by isola-tion and minimal interactions with others

Question 2

A 27-year-old woman diagnosed with borderline personality disorder displays a labile affect, impulsivity, frequent angry outbursts, and difficulty tolerating her angry feelings without self-injury. A priority nursing diagnosis for this patient is:

a. Anxiety
b. Risk for self-mutilation
c. Risk for other-directed violence
d. Ineffective coping

Kimmy · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
This nursing diagnosis relates directly to her symptoms and their underlying pathology. Data are not present to support the other options.

Answer to Question 2

ANS: B
Patients with borderline personality disorder frequently engage in self-mutilation in an at-tempt to manage chaotic feelings. The important clue to this diagnosis is that the patient is having difficulty tolerating feelings without self-injuring. There is no data to support anxiety or ineffective coping. The risk is greater for violence toward self.