This topic contains a solution. Click here to go to the answer

Author Question: A client with borderline personality disorder (BPD) tells the nurse, You are good but the nurse on ... (Read 137 times)

swpotter12

  • Hero Member
  • *****
  • Posts: 527
A client with borderline personality disorder (BPD) tells the nurse, You are good but the nurse on the afternoon shift is bad. The doctor is bad, too, but the therapist is good. The nurse interprets this statement as reflecting which of the fo
 
  A) Splitting
  B) Identity diffusion
  C) Dissociation
  D) Cognitive schema

Question 2

A client with borderline personality disorder has difficulty maintaining boundaries of the therapeutic relationship. Which of the following would be most effective for the nurse to do? Select all that apply.
 
  A) Punish the client with seclusion for violating established boundaries.
  B) Respond to the client's arrogance in a neutral, non-confrontational manner.
  C) Discuss the purpose of the limits in the therapeutic relationship.
  D) State the parameters of the limits and boundaries clearly.
  E) Ensure that any established limits are maintained consistently.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

gasdhashg

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

Ans: A
Persons with BPD view the world in absolutes; nurses and other treatment team members are alternately categorized as all good or all bad. This defense is called splitting, and presents clinicians with a challenge to work openly with each other, as well as the client, until the issue can be resolved through team meetings and clinical supervision. Identity diffusion occurs when a person lacks aspects of personal identity or when personal identity is poorly developed. Dissociation is a cognitive dysfunction reflected as thinking, feeling or behaving outside a person's awareness. Cognitive schema refers to patterns of thoughts that determine how a person interprets events.

Answer to Question 2

Ans: B, C, D, E
When setting limits to maintain boundaries, the nurse must clearly state the limits and consequences for violating them, and ensure that they are consistently maintained. In addition, the nurse must respond to a client's arrogance in a neutral manner that avoids confrontation and a power struggle. The nurse also should discuss the purpose of the limits in the therapeutic relationship and confront violations in a nonpunitive way.





 

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

In 1844, Charles Goodyear obtained the first patent for a rubber condom.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

For a complete list of videos, visit our video library