When assessing a client with borderline personality disorder (BPD), which of the following would a nurse expect to assess? Select all that apply
A) Freely shares feelings with others
B) Control necessary for a relationship
C) Fear of rejection
D) Exaggerated sense of self
E) Self-injurious behavior
Ans: B, C, E
People with BPD have an extreme fear of abandonment as well as a history of unstable, insecure attachments. These individuals, who already are intensely emotional and have a poor sense of self, feel estranged from others and inadequate in the face of perceived social standards. Intense shame and self-hate follow. These feelings often result in self-injurious behaviors, such as wrist cutting, self-burnings, or head banging. People with BPD use elaborate strategies to structure interactions. That is, they restrict their relationships to ones in which they feel in control. They distance themselves from groups when feeling anxious (which is most of the time) and rarely use their social support system. Even if they are married or have a supportive extended family, they are reluctant to share their feelings. They do not want to burden anyone; they fear rejection and assume that people are tired of hearing them repeat the same issues.
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After a pain assessment, the nurse promptly administers an ordered analgesic because:
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When developing a care plan for a patient with a sleep-wake disorder, the nurse must ask which questions? Select all that apply
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The nurse assesses that a client has a smooth, beefy red tongue. Which intervention does the nurse implement for this client?
a. Administer prescribed oral iron supple-ments. b. Monitor the daily white blood cell count. c. Provide a diet high in green leafy vegeta-bles. d. Perform more frequent mouth care.