The nurse is assessing a client who is diagnosed with borderline personality disorder. Which client statement indicates the client is at risk for self-injurious behavior?
A) "I have felt so down lately. I don't enjoy doing anything anymore."
B) "I do what I do because others tell me to do so."
C) "When I feel extremely anxious, it is like my mind goes somewhere else."
D) "It is almost as if as soon as I think of doing something, I immediately do it."
Ans: A
Self-harm behavior is more likely to occur when the individual with borderline personality disorder is depressed, has highly unstable interpersonal relationships, and is paranoid, hypervigilant, and resentful. The statement about doing what others tell him to do reflects an unstable self-image. Going somewhere else reflects dissociation. Doing something upon immediately thinking about it reflects impulsivity.
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