Author Question: A patient with borderline personality disorder has self-inflicted wrist lacerations. The health care ... (Read 24 times)

renzo156 · **on:** Jul 19, 2018

A patient with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should:

a. encourage the patient to express anger.
b. provide care in a matter-of-fact manner.
c. be very kind, sympathetic, and concerned.
d. offer to listen to the patient's feelings about cutting.

Question 2

Which statement made by a patient with borderline personality disorder indicates the treatment plan is effective?

a. I think you are the best nurse on the unit.
b. I'm never going to get high on drugs again.
c. I hate my doctor for not giving me what I ask for.
d. I felt empty and wanted to cut myself, so I called you.

Tonny · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
A matter-of-fact approach does not provide the patient with positive reinforcement for self-mutilation. The goal of providing emotional consistency is supported by this approach. All other options provide positive reinforcement of the behavior.

Answer to Question 2

ANS: D
Seeking a staff member instead of impulsively self-mutilating shows an adaptive coping strategy. The incorrect responses demonstrate idealization, devaluation, and wishful thinking.