A woman with borderline personality disorder has been admitted to the inpatient unit because she has been engaging in wrist cutting. The client's sister is visiting, and she asks the nurse to explain why the client sometimes does this to herself
Which response by the nurse would be most appropriate?
A) "Sometimes the self-injurious behavior is undertaken to relieve stress."
B) "Self-injurious behavior often calms and sedates people with this diagnosis."
C) "Sometimes they do it to avoid the onslaught of delusional thinking."
D) "The self-mutilation often slows the mood swings your sister experiences."
Ans: A
Clients with borderline personality disorder are impulsive and may respond to stress by harming themselves. Self-harm is an effort to self-soothe by activating endogenous endorphins to provide comfort. The behavior is not sedating or calming, and it is not used to prevent delusional thinking or mood swings.
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