A nurse is reviewing the medical record of a female client ...

[kaid0807]

A nurse is reviewing the medical record of a female client diagnosed with borderline personality disorder (BPD). Which of the following would the nurse identify as one of the strongest risk factors for this disorder?
 
  A) Abuse as a child
  B) Parental alcohol abuse
  C) Poverty
  D) History of depression

Question 2

Which client statement most accurately reflects the cognitive dysfunction associated with borderline personality disorder (BPD)?
 
  A) I was a total failure at my new job.
  B) Sometimes things are not always clear cut.
  C) At least some good came out of my trying.
  D) You need to look at things in perspective.

[mk6555]

Answer to Question 1

Ans: A
Childhood sexual abuse, which more commonly affects girls, is one of the strongest risk factors for BPD. Various studies show that physical and sexual abuse seem to be significant risk factors for BPD (Zanarini, Laudate, Frankenburg, Reich, & Fitzmaurice, 2011). Other studies cite parental loss and separation (Steele & Siever, 2010). Parental alcohol abuse, poverty, and a history of depression have not been linked to BPD.

Answer to Question 2

Ans: A
People with BPD have dichotomous thinking. Cognitively, they evaluate experiences, people, and objects in terms of mutually exclusive categories (e.g., good or bad, success or failure, trustworthy or deceitful), which results in extreme interpretations of events that would normally be viewed as including both positive and negative aspects. The statement about being a total failure is an example.

[kaid0807]

TYSM

[raenoj]

Excellent