ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 28 Questions
Question 1 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.
Question 2 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 3 of 5
A nurse is engaged in role-playing with a client with borderline personality disorder to assist the client in learning how to communicate effectively. Which of the following would the nurse encourage the client to use? Select all that apply.
Correct Answer: B,C,E
Rationale: Effective communication in BPD includes validating others? perceptions (
B), paraphrasing before responding (
C), and compromising (E) to foster mutual understanding. ?Me? statements (
A) are less specific than ?I? statements, and passive listening (
D) is less effective than active engagement.
Question 4 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 5 of 5
A nurse is assisting a client with borderline personality disorder in how to manage transient psychotic episodes that involve auditory hallucinations. The teaching is planned for times when the client is free of these symptoms. Which of the following would the nurse instruct the client to do first?
Correct Answer: C
Rationale: Identifying early internal cues of distress (
C) is the first step in managing transient psychotic episodes in BPD, enabling proactive intervention before hallucinations escalate.
Tolerating feelings (
A), breathing (
B), or using cards (
D) are subsequent steps after recognizing cues.