A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?

Choice A Reason:
Narcissistic personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy. Clients with this disorder do not typically experience sensory impairments as a direct result of their condition. The primary concerns with narcissistic personality disorder involve interpersonal relationships and self-esteem issues rather than sensory deficits.

Choice B Reason:
Conversion disorder, also known as functional neurological symptom disorder, involves neurological symptoms that cannot be explained by medical or neurological conditions. These symptoms can include sensory impairments such as blindness, deafness, or loss of sensation. Assessing clients with conversion disorder for sensory impairments is crucial because these symptoms are a key feature of the disorder. The nurse should evaluate the client's sensory function to provide appropriate care and support.

Choice C Reason:
Mild anxiety disorder typically involves symptoms such as excessive worry, restlessness, and physical symptoms like increased heart rate or muscle tension. Sensory impairments are not a common feature of mild anxiety disorder. While anxiety can affect perception and concentration, it does not usually lead to sensory deficits. The nurse should focus on managing anxiety symptoms rather than assessing for sensory impairments.

Choice D Reason:
Severe obsessive-compulsive disorder (OCD) involves intrusive thoughts (obsessions) and repetitive behaviors (compulsions). While OCD can significantly impact a client's daily functioning and quality of life, it does not typically cause sensory impairments. The primary focus for clients with severe OCD should be on managing obsessions and compulsions through therapy and medication.

Choice A reason:
The statement "Repeat the dose in 15 minutes if the client is still anxious" is not appropriate. Lorazepam is a benzodiazepine that can cause significant sedation and central nervous system depression. Repeating the dose too soon can increase the risk of severe sedation, respiratory depression, and other adverse effects.

Choice B reason:
The statement "Initiate fall precautions for the client" is the correct response. Lorazepam can cause dizziness, drowsiness, and impaired coordination, increasing the risk of falls, especially in older adults. Implementing fall precautions is essential to ensure the client's safety.

Choice C reason:
The statement "Instruct the client to expect ringing in the ears" is incorrect. Tinnitus (ringing in the ears) is not a common side effect of lorazepam. Common side effects include drowsiness, dizziness, and muscle weakness.

Choice D reason:
The statement "Place the client in restraints for 1 hour" is inappropriate. Restraints should only be used as a last resort when the client poses a danger to themselves or others and when less restrictive measures have failed. Lorazepam administration does not typically warrant the use of restraints.