Author Question: A patient with borderline personality disorder is having difficulty with memories of sex-ual abuse ... (Read 37 times)

piesebel · **on:** Jul 19, 2018

A patient with borderline personality disorder is having difficulty with memories of sex-ual abuse and reports vague, generalized pains, menstrual problems, and headaches that severely impact her ability to function independently.

Which collaborative consult will have the greatest impact on the patient's health and wellness?
a. Occupational therapist exploring ways to reduce stress
b. Neurologist to evaluate the patient's reports of headaches
c. Acupuncturist exploring ways to reduce the generalized pain
d. Gynecologist to assess the patient's dysmenorrheal symptoms

Question 2

Which outcome has priority for a patient with borderline personality disorder being dis-charged from an outpatient treatment environment?

a. Patient demonstrates control over self-destructive impulses.
b. Patient can identify symptoms that indicate a need for psychotherapy.
c. Patient demonstrates an understanding of the importance of medication compli-ance.
d. Patient actively participates in a community 12-step group related to relevant care.

pangili4 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
An occupational therapist can determine ways to increase adaptive functioning and inde-pendent living skills. Groups on stress reduction, self-awareness, and feelings are often co-led by occupational therapists. Although appropriate, the remaining options are all a result of unmanaged stress.

Answer to Question 2

ANS: A
The patient's ability to control self-destructive impulses has priority over the other options because doing so will affect patient safety.