The nurse is assessing a patient who has come to the mental health clinic complaining that inability to focus at work is making it difficult to keep a job. The nurse observes that the patient has cuts along the arms that are in various stages of healing
Which statements by the patient indicate that the patient may need to be evaluated for borderline personality disorder? Select all that apply.
1. "My grades and work performance have always been erratic."
2. "I often drink alcohol to relieve stress."
3. "It's hard to maintain friendships. People seem to get tired of me."
4. "I get bored really easily."
5. "I get so anxious sometimes, I feel like I can't breathe."
Answer: 1, 2, 3
Explanation: Borderline personality disorder can have significant impact on functioning. Difficulty maintaining a job, erratic behaviors or performance at work or school, self-injurious behavior, using alcohol or drugs as coping mechanisms, and difficulty maintaining relationships because friends and family tire of the individual's behavior are indicative of personality disorder. A low tolerance for boredom is associated with antisocial personality disorder. An individual with any mental illness may experience severe or panic levels of anxiety.
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A medical surgical nurse has been trained to work in the ICU unit. The nurse has been working in ICU for the past 2 years
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When the nurse reads an article and uses the findings of a study to improve the quality of the patients for whom she cares, she is implementing the role of:
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