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Author Question: A patient diagnosed with borderline personality disorder has demonstrated self-mutilation and ... (Read 138 times)

BrownTown3

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on: Jul 11, 2018
A patient diagnosed with borderline personality disorder has demonstrated self-mutilation and inappropriate expressions of anger. Which statement by the patient would the nurse evaluate as an improvement?
 
  a. I think you are the nicest nurse on the unit.
  b. I got drunk last night, but I won't ever do it again.
  c. I felt like cutting myself, so I came to talk to you.
  d. I hate my friends. They never help me when I need it.

Question 2

Which factor presents the most imminent risk for a child to develop a psychiatric disorder?
 
  a. Having an uncle with schizophrenia
  b. Living in a middle-income family
  c. Being the oldest child in a family
  d. Living with an alcoholic parent


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dudman123

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Reply #1 on: Jul 11, 2018
Answer to Question 1

C
Ordinarily, the patient would impulsively engage in self-mutilation. When he or she is able to delay the action and seek the more adaptive coping strategy of talking with the nurse, the nurse can correctly evaluate the patient as showing improvement. The other responses suggest use of idealization, manipulation, impulsive behavior, and devaluation, all symptomatic of the disorder.

Answer to Question 2

D
Having a parent with a substance abuse problem has been designated an adverse psychosocial condition that increases the risk of a child developing a psychiatric condition. Being in a middle-income family and being the oldest child are not considered psychosocial adversity. Having a family history of schizophrenia presents a risk, but an alcoholic parent in the family is more imminent.


BrownTown3

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Reply #2 on: Jul 11, 2018
Correct answers!


dudman123

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Reply #3 on: Jul 11, 2018
Great! Please up vote :D


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