The nurse should recognize which factors that distinguish personality disorders from psychosis?

14. Which client situation should a nurse identify as reflective of the impulsive behavior that is commonly associated with borderline personality disorder?

A. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and whispers, "The night nurse is evil. You have to stay."

B. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and states, "I will be up all night if you don't stay with me."

C. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm, yelling, "Please don't go! I can't sleep without you being here."

D. As the day shift nurse leaves the unit, the client suddenly shows the nurse a bloody arm and states, "I cut myself because you are leaving me."

Which personality traits are exhibited in a client who has a diagnosis of borderline personality disorder?

A pattern of intense and unstable relationships with family, friends, and loved ones. A distorted and unstable self-image or sense of self. Impulsive and often dangerous behaviors, such as spending sprees, unsafe sex, substance abuse, reckless driving, and binge eating.

Which approach should the nurse use to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder?

Dialectical behavior therapy (DBT). DBT uses a skills-based approach to teach you how to manage your emotions, tolerate distress and improve relationships.

Which behavior would the nurse associate with a patient diagnosed with borderline personality disorder?

The symptoms associated with BPD are oftentimes dramatic and emotionally disconcerting (e.g., splitting, stalking behavior, rage reactions, self-mutilation, suicide attempts).

Which is a primary behavior of a client diagnosed with antisocial personality disorder?

People with antisocial personality disorder tend to antagonize, manipulate or treat others harshly or with callous indifference. They show no guilt or remorse for their behavior.