A female client with borderline personality disorder is admitted to the psychiatric unit.
Initial nursing assessment reveals that the client’s wrists are scratched from a recent suicide attempt.
Based on this finding, the nurse Lenny should formulate a nursing diagnosis of:
a- Ineffective individual coping related to feelings of guilt.
b- Situational low self-esteem related to feelings of loss of control
c- Risk for violence: Self-directed related to impulsive mutilating acts
d- Risk for violence: Directed toward others related to verbal threats
Answer C.
The predominant behavioral characteristic of the client with borderline personality disorder is impulsiveness, especially of a physically self-destructive sort.
The observation that the client has scratched wrists doesn’t substantiate the other options.
Based on this finding, the nurse Lenny should formulate a nursing diagnosis of:
a- Ineffective individual coping related to feelings of guilt.
b- Situational low self-esteem related to feelings of loss of control
c- Risk for violence: Self-directed related to impulsive mutilating acts
d- Risk for violence: Directed toward others related to verbal threats
Answer C.
The predominant behavioral characteristic of the client with borderline personality disorder is impulsiveness, especially of a physically self-destructive sort.
The observation that the client has scratched wrists doesn’t substantiate the other options.
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Psychiatric Mental Health