A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self-mutilation may have been due to:

a. an inherited disorder that manifests itself as an incapacity to tolerate stress.
b. use of projective identification and splitting to bring anxiety to manageable levels.
c. a constitutional inability to regulate affect, predisposing to psychic disorganization.
d. fear of abandonment associated with progress toward autonomy and independence.


ANS: D
Fear of abandonment is a central theme for most patients with borderline personality disorder. This fear is often exacerbated when patients with borderline personality disorder experience success or growth.

Nursing

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Nursing