In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

Controlled anger

Stable and satisfactory relationships

Little tolerance for being alone

Predictability

Answer and Explanation

The Correct Answer is C

C. Individuals with BPD often experience intense fears of abandonment and may go to great lengths to avoid being alone. They may also have difficulties being alone due to chronic feelings of emptiness and the need for others to help manage emotions. This characteristic is consistent with the known symptoms of BPD, which include efforts to avoid real or perceived abandonment and a pattern of intense and unstable relationships.
A. Individuals with borderline personality disorder (BPD) often struggle with regulating their emotions, including anger. While they may experience intense emotions such as anger, they typically have difficulty controlling or expressing it in a healthy and adaptive manner.
B. Stable and satisfactory relationships: Stability in relationships is often a challenge for individuals with BPD. They may experience intense and unstable interpersonal relationships characterized by idealization and devaluation of others.
D. Predictability is generally lacking in individuals with BPD due to their emotional instability, impulsivity, and difficulty regulating their behaviors and responses to situations.

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Correct Answer is D

Explanation

D. Histrionic personality disorder (HPD) is characterized by a pattern of excessive emotionality and attention-seeking behavior. Individuals with HPD often display dramatic, flamboyant, or exaggerated emotions and may use seductive or provocative behavior to capture the attention of others.
A. Histrionic personality disorder (HPD) is characterized by attention-seeking behavior, emotional instability, and a strong desire for excitement and novelty. They are less likely to be preoccupied with minute details or exhibit perfectionistic traits, which are more commonly associated with obsessive- compulsive personality disorder (OCPD).
B. Grandiosity, self-importance, and a sense of entitlement are characteristic features of narcissistic personality disorder (NPD), not histrionic personality disorder (HPD).
C. Difficulty being alone, indecisiveness, and submissiveness are more commonly associated with dependent personality disorder (DPD), not histrionic personality disorder (HPD).

A. Promoting activities that encourage self-reflection B. Identifying community resources C. Providing positive feedback D. Conveying an accepting attitude

Correct Answer is D

Explanation

D. Conveying an accepting attitude involves demonstrating empathy, respect, and non-judgmental acceptance of the client as they are. Clients with BPD often have a fear of rejection and abandonment, so feeling accepted and understood by the nurse is critical for building trust.
A. In the early stages of group intervention, clients may not yet feel comfortable engaging in deep self-reflection without first establishing trust in the nurse and the group.
B. Identifying community resources is important for comprehensive care, but it may not be the most essential aspect initially for establishing trust.
C. Providing positive feedback can help reinforce positive behaviors and build rapport with clients, but it may not be the most essential aspect initially for establishing trust.

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In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

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Naxlex Comprehensive Predictor Exams

The nurse is scheduled to interview a client with histrionic personality disorder. The nurse can anticipate that the assessment findings will include the following. The client:

Correct Answer is D

Explanation

The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?

Correct Answer is D

Explanation

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