A client with borderline personality disorder lacerated her wrists while out on a pass. For future
planning, staff should consider that the reason for the self-mutilation is probably related to
a. an inherited disorder that manifests itself as an incapacity to tolerate stress.
b. fear of abandonment associated with movement toward autonomy and
independence.
c. use of projective identification and splitting to bring anxiety to manageable levels.
d. a constitutional inability to regulate affect, predisposing to psychic
disorganization.
B
Fear of abandonment is a central theme for most clients with borderline personality disorder. This
fear is often exacerbated when borderline clients experience success or growth. Options A and D are
not evidence based. Option C is unrelated to fear of abandonment.
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An example of a functional heart murmur is one that is caused by:
a. anemia. b. a ventricular septal defect. c. an atrial septal defect. d. mitral valve prolapse.
Ordered: 2 g of lidocaine in 250 mL D5W infuse at 50 mL/h. The hourly amount of lidocaine infusing is
_____________. Fill in the blank(s) with correct word
Which statement about rheumatoid arthritis is correct?
a. It generally develops between the ages of 40 and 50. b. Joints on both sides of the body are af-fected. c. Wrist and finger joints are not commonly affected. d. The disease is active all the time.
The nurse is observing a UAP performing a bed bath for a client. Which action by the UAP requires the nurse to intervene?
A. Washing the client's arms from wrists to shoulders. B. Washing the client's eyes and face first before the rest of the body. C. Washing, rinsing, and drying the client's leg from thigh to ankle. D. Washing the client's back and then the perineum.