ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 28 : Personality and Borderline Personality Disorder: Management of Emotional Dysregulation and Self-Harm Questions
Question 1 of 5
The nurse has explained some of the biologic theories of causation to a client diagnosed with borderline personality disorder and his family. The nurse determines that the client and family have understood the instructions when they state which of the following?
Correct Answer: C
Rationale: Frontal lobe dysfunction (
C), particularly in areas like the prefrontal cortex, is implicated in BPD due to its role in emotional regulation and impulsivity. Increased serotonin activity (
A) is not typically associated, decreased dopamine (
B) is more relevant to other disorders, and hormonal decreases (
D) lack specific evidence in BPD causation.
Question 2 of 5
The nurse is assessing a client who has borderline personality disorder. Which of the following would be a priority?
Correct Answer: C
Rationale: Physical functioning (
C) is a priority in BPD assessment due to the risk of self-harm or impulsivity affecting safety and health. Nutrition (
A), hygiene (
B), and somatic complaints (
D) are important but secondary, as they are less immediately tied to life-threatening risks like self-injury.
Question 3 of 5
A client diagnosed with borderline personality disorder tells the nurse that she frequently spaces out. Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: The client?s description of ?spacing out? suggests dissociation, common in BPD. Asking if she feels out of her body (
D) directly assesses the nature of this dissociative experience. Asking about stress (
A), fear (
B), or external events (
C) is less specific to confirming dissociation.
Question 4 of 5
The nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad. The nurse determines that the client has understood this technique when he states which of the following?
Correct Answer: A
Rationale: The communication triad in BPD therapy involves using ?I? statements to express feelings, describing the situation, and stating desired changes. Starting with an ?I? statement (
A) initiates effective communication. Describing the situation (
B), desired changes (
C), or triggers (
D) follows but does not begin the triad.
Question 5 of 5
A client with borderline personality disorder tells the nurse, I?m afraid to get on a train because we?ll probably get into a wreck. Which response by the nurse would be most appropriate?
Correct Answer: B
Rationale: Challenging the irrational fear by asking about the likelihood of a train wreck (
B) gently encourages reality-testing without dismissing the client?s anxiety, a therapeutic approach in BPD. Asking about past experiences (
A) may reinforce fear, dismissing the fear (
C) is invalidating, and suggesting alternatives (
D) avoids addressing the fear.