Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5013

Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5013

QUESTION: An unemployed woman, age 24, seeks help because she feels depressed and abandoned and doesn't know what to do with her life. She says she has quit her last five jobs because her coworkers didn't like her and didn't train her adequately. Last week, her boyfriend broke up with her after she drove his car into a tree after an argument. The client's initial diagnosis is borderline personality disorder. Which nursing observations support this diagnosis?

✘O a.) Flat affect, social withdrawal, and unusual dress
✘O b.) Suspiciousness, hypervigilance, and emotional coldness
✓O c.) Lack of self-esteem, strong dependency needs, and impulsive behavior
✘O d.) Insensitivity to others, sexual acting out, and violence

RATIONALE

RATIONALE: Borderline personality disorder is characterized by lack of self-esteem, strong dependency needs, and impulsive behavior. Instability in interpersonal relationships and mood and poor self-image also are common. Typically, the client can't tolerate being alone and expresses feelings of emptiness or boredom. Flat affect, social withdrawal, and unusual dress are characteristic of schizoid personality disorder. Suspiciousness, hypervigilance, and emotional coldness are seen in paranoid personality disorders. In antisocial personality disorder, clients are usually insensitive to others and act out sexually; they may also be violent.
NURSING PROCESS STEP: Assessment
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Knowledge