A 27-year-old woman diagnosed with borderline personality disorder displays a labile affect, impulsivity, frequent angry outbursts, and difficulty tolerating her angry feelings without self-injury. A priority nursing diagnosis for this patient is:
a. Anxiety
b. Risk for self-mutilation
c. Risk for other-directed violence
d. Ineffective coping
ANS: B
Patients with borderline personality disorder frequently engage in self-mutilation in an at-tempt to manage chaotic feelings. The important clue to this diagnosis is that the patient is having difficulty tolerating feelings without self-injuring. There is no data to support anxiety or ineffective coping. The risk is greater for violence toward self.
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