A nurse is assessing a client with borderline personality disorder. Which question would be most appropriate to assess the client's level of impulsivity?
A) "What things bother you and what things make you feel happy?"
B) "Have you ever felt sorry after acting as you did on the spur of the moment?"
C) "How do you view other people around you?"
D) "Have you ever felt like you were separated from your body?"
Ans: B
To assess impulsivity, the nurse would ask the client whether he or she ever felt sorry for acting on the spur of the moment. Asking about things bothering the client provides information about the client's mood. Asking about how the client views other people provides information about the client's cognition and possible dichotomous thinking. Asking about feeling separated from the body provides information about dissociation.
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