A patient with borderline personality disorder has self-inflicted ...

[renzo156]

A patient with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should:
 
  a. encourage the patient to express anger.
  b. provide care in a matter-of-fact manner.
  c. be very kind, sympathetic, and concerned.
  d. offer to listen to the patient's feelings about cutting.

Question 2

Which statement made by a patient with borderline personality disorder indicates the treatment plan is effective?
 
  a. I think you are the best nurse on the unit.
  b. I'm never going to get high on drugs again.
  c. I hate my doctor for not giving me what I ask for.
  d. I felt empty and wanted to cut myself, so I called you.

[Tonny]

Answer to Question 1

ANS: B
A matter-of-fact approach does not provide the patient with positive reinforcement for self-mutilation. The goal of providing emotional consistency is supported by this approach. All other options provide positive reinforcement of the behavior.

Answer to Question 2

ANS: D
Seeking a staff member instead of impulsively self-mutilating shows an adaptive coping strategy. The incorrect responses demonstrate idealization, devaluation, and wishful thinking.

[renzo156]

Excellent

[yeungji]

Thanks for the timely response, appreciate it