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 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 2 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.
Question 3 of 5
A nursing instructor is preparing a class discussion on personality disorders and characteristics. Which term would the instructor include to differentiate personality disorders from normal personality? Select all that apply.
Correct Answer: A,C,E
Rationale: Personality disorders are characterized by inflexible (
A), pervasive (
C), and distressing (E) patterns of behavior that deviate from normal personality traits. They are not short-term (
B) but enduring, and while unstable relationships or emotions may occur, ?unstable over time? (
D) is not a defining feature of the disorder itself.
Question 4 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 5 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.