A nurse is assessing a patient who has been diagnosed with Borderline Personality Disorder (BPD). Which of the following symptoms are most characteristic of BPD?
A pattern of being excessively preoccupied with orderliness, perfectionism, and control
A history of manipulating others for personal gain and lack of empathy
A persistent fear of criticism and rejection, leading to social withdrawal
A pattern of unstable interpersonal relationships, self-image, and along with marked impulsivity
The Correct Answer is D
A. A pattern of being excessively preoccupied with orderliness, perfectionism, and control: This describes obsessive-compulsive personality disorder, not borderline personality disorder. While both involve maladaptive behaviors, BPD is characterized by instability rather than rigidity and control.
B. A history of manipulating others for personal gain and lack of empathy: These traits are consistent with antisocial personality disorder. Clients with BPD may display manipulation, but it is usually driven by fear of abandonment rather than exploitation for gain.
C. A persistent fear of criticism and rejection, leading to social withdrawal: This describes avoidant personality disorder, which is marked by social inhibition and sensitivity to rejection. In contrast, clients with BPD struggle with unstable relationships and emotional regulation.
D. A pattern of unstable interpersonal relationships, self-image, and along with marked impulsivity: Clients often demonstrate intense but unstable relationships, shifting self-image, impulsivity, and emotional dysregulation that can lead to risky behaviors and self-harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pleural effusion: This involves fluid accumulation in the pleural space, leading to diminished breath sounds and dyspnea. However, it typically develops gradually, not with sudden onset following trauma.
B. Asthma exacerbation: Asthma usually presents with wheezing, prolonged expiration, and airway inflammation. The absence of wheezing and the presence of unequal chest excursion make this less likely.
C. Pneumothorax: Sudden chest pain, dyspnea, decreased breath sounds, and unequal chest excursion strongly suggest pneumothorax. The history of trauma increases the likelihood, as air enters the pleural space causing lung collapse.
D. Pulmonary embolism: This causes sudden dyspnea and chest pain, but breath sounds are usually normal or clear. The presence of trauma, decreased breath sounds, and unequal chest expansion makes pulmonary embolism less consistent with this case.
Correct Answer is ["22.8"]
Explanation
Calculation:
- Calculate the total dose in milligrams (mg) for the client's weight.
Total dose (mg) = Patient weight (kg) x Ordered dose (mg/kg)
= 95 kg x 6 mg/kg
= 570 mg.
Available concentration = 250 mg / 10 mL
= 25 mg/mL.
- Calculate the volume to administer in milliliters (mL).
Volume to administer (mL) = Total dose (mg) / Available concentration (mg/mL)
= 570 mg / 25 mg/mL
= 22.8 mL.
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