ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 28 : Personality and Borderline Personality Disorder: Management of Emotional Dysregulation and Self-Harm Questions
Question 1 of 5
A group of nursing students is reviewing possible risk factors for development of borderline personality disorder. The students demonstrate understanding of the information when they identify which of the following as a risk factor? Select all that apply.
Correct Answer: A,B,D,E
Rationale: Risk factors for BPD include childhood sexual abuse (
A), parental loss (
B), family history (
D), and genetics (E), reflecting environmental and hereditary influences. Substance abuse (
C) is a common comorbidity but not a primary risk factor for developing BPD.
Question 2 of 5
A nurse is observing a client diagnosed with borderline personality disorder on the inpatient unit. Which of the following would the nurse most likely note?
Correct Answer: C
Rationale: Clients with BPD often seek control in relationships (
C) due to fears of abandonment and emotional instability. Active group participation (
A), open verbalization (
B), and boundary adherence (
D) are less likely due to impulsivity and interpersonal difficulties.
Question 3 of 5
A nurse is assessing a client with borderline personality disorder. Which question would be most appropriate to assess the client?s level of impulsivity?
Correct Answer: B
Rationale: Asking about regret after spontaneous actions (
B) directly assesses impulsivity, a core BPD trait. Questions about emotions (
A), perceptions of others (
C), or dissociation (
D) are less specific to impulsivity.
Question 4 of 5
As part of a client?s treatment plan for borderline personality disorder, the client is engaged in dialectical behavior therapy. As part of the therapy, the client is learning how to control and change behavior in response to events. The nurse identifies the client as learning which type of skills?
Correct Answer: A
Rationale: Dialectical behavior therapy (DBT) for BPD emphasizes emotion regulation skills (
A) to help clients manage intense emotions and modify behaviors in response to triggers. Mindfulness (
B) focuses on awareness, distress tolerance (
C) on enduring crises, and self-management (
D) is not a DBT-specific term.
Question 5 of 5
A client with borderline personality disorder has difficulty maintaining boundaries of the professional relationship. Which of the following would be most effective for the nurse to do? Select all that apply.
Correct Answer: B,C,D,E
Rationale: Effective strategies for managing boundary issues in BPD include responding neutrally to arrogance (
B), discussing the purpose of limits (
C), clearly stating boundaries (
D), and maintaining consistency (E). Punishment via seclusion (
A) is inappropriate and non-therapeutic.