In assessing a client with a diagnosis of borderline personality ...

[lilldybug07]

In assessing a client with a diagnosis of borderline personality disorder, who is admitted for feeling down and suicidal, the nurse finds a history of bipolar symptoms.
 
  The nurse knows it is important to report these findings to the health care provider, because if this client has undiagnosed bipolar II disorder and the provider prescribes an antidepressant medication, the client may experience which of the following? a. prolonged depression
  b. a manic episode
  c. increased suicidal ideation
  d. increase in borderline symptoms

Question 2

A 27-year-old client has major depression, borderline personality disorder, and antisocial personality disorder. Recently, the client also received a diagnosis of dissociative identity disorder.
 
  The client has been hospitalized because one of her personalities attempted suicide. What should be a nurse's primary consideration when planning care for this client?
  A) Promoting safety
  B) Establishing trust
  C) Facilitating an awareness of all personalities
  D) Recognizing events that trigger transition between personalities

[jaymee143]

Answer to Question 1

B
Recognizing subtle bipolar features is important in assessment of borderline personality. If bipolar II is present and not diagnosed, a manic attack may occasionally result from administering antidepressant medication to one who is bipolar but thought to be borderline, though the risk in bipolar II disorder is likely lower than in bipolar I.

Answer to Question 2

A

[lilldybug07]

Thank you

[jaymee143]

Happy to help you