Author Question: A patient with borderline personality disorder is hospitalized several times after self-mutilating ... (Read 45 times)

daltonest1984 · **on:** Jul 19, 2018

A patient with borderline personality disorder is hospitalized several times after self-mutilating episodes. The patient remains impulsive. Dialectical behavior therapy starts on an outpatient basis. Which nursing diagnosis is the focus of this therapy?

a. Risk for self-directed violence
b. Impaired skin integrity
c. Risk for injury
d. Powerlessness

Question 2

The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:

a. adherence to a strict moral code.
b. manipulative, controlling strategies.
c. postponing gratification to an appropriate time.
d. little time elapsed between thought and action.

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

Answer to Question 1

ANS: A
Risk for self-mutilation is a nursing diagnosis relating to patient safety needs and is therefore a high priority. Impaired skin integrity and powerlessness may be appropriate foci for care but are not the priority or related to this therapy. Risk for injury implies accidental injury, which is not the case for the patient with borderline personality disorder.

Answer to Question 2

ANS: D
The impulsive individual acts in haste without taking time to consider the consequences of the action. None of the other options describes impulsivity.