WEEK 3 BOYD QUESTIONS (CHAPTERS
27 & 28) WITH CORRECT ANSWERS
2026
A eclient ewith eborderline epersonality edisorder ehas ebeen eadmitted eto ethe einpatient eunit eafter
ebeing efound e in e the e client's e parents' e bedroom, e burning e the eclient's earm ewith e an eiron.
e This e injury erequired ea e brief estay ein ethe ehospital's eburn eunit eprior eto e transfer eto eyour
epsychiatric eunit. eWhich eis ethe enursing ecare e priority efo e r ethis eclient eduring ethe efirst e24
ehours eof eadmission?
Suicidal eassessment
eImpulse econtrol
Working eon eself-esteem
Protection efrom eself-mutilation e- ecorrect eanswer-Protection efrom eself-mutilation
*Clients ewith eborderline epersonality edisorder ebecome eintensely eand einappropriately eangry eif
ethey ebeliev e e eothers eare eignoring ethem eand econsequently emay eimpulsively etry eto eharm eor
emutilate ethemselves.
A eclient ehas ea ediagnosis eof eborderline epersonality edisorder eand elives eat ehome ewith ethe
,eclient's eparents. eT ehe eclient ehas ebeen ein ethe epsychiatric eunit efor e2 eweeks eand eis escheduled
eto ebe edischarged etomorrow. eWhi ech ewould ebe emost etherapeutic ewhen ethe eclient's eparents
ecome ein eto ediscuss edischarge eplans?
Ask ethe eparents eto ekeep ea ewritten eschedule eof eactivities efor eeach eday efor
ethe eclient eAsk ethe eparents ehow ethey ehave ecoped ewith ethe eclient's
ebehaviors eover ethe eyears eAttempt eto ediscuss eplacing ethe eclient einto ean
eassisted eliving eenvironment
Encourage ethe eparents eto ediscuss ethe epossibility eof ethe eclient egoing
einto ea eday- ecare eprogram ewhen ethe eclient egoes ehome e- ecorrect
eanswer-
Ask ethe eparents eto ekeep ea ewritten eschedule eof eactivities efor eeach eday efor ethe eclient
*When eproviding efamily eand eclient eeducation eupon edischarge, eit eis eimportant efor ethe enurse
eto eask ethe ep earents eto ekeep ea ewritten eschedule eof edaily eactivities efor ethe eclient ein eorder
eto ekeep ea efixed eroutine ewith et ehe eaim eof epreventing echronic eboredom eand eemptiness ethat
eis eoften eassociated ewith eborderline epersonal eity edisorder.
,Brain edysfunction eassociated ewith eborderline epersonality edisorder e(BPD) eoccurs ein ethe elimbic
esystem eand ewhich elobe eof ethe ebrain?
Parietal eFrontal eOccipital eTemporal e- ecorrect eanswer-Frontal
*Biologic eabnormalities eare eassociated ewith ethree eBPD echaracteristics: eaffective einstability;
etransient epsy echotic eepisodes; eand eimpulsive, eaggressive, eand esuicidal ebehavior. eAssociated
ebrain edysfunction eoccurs ei e n ethe elimbic esystem eand efrontal elobe eand eincreases ethe
ebehaviors eof eimpulsiveness, eparasuicide, eand emo eod edisturbance. eBrain edysfunction eof ethe
etemporal, eparietal, eand eoccipital elobes eis enot eassociated ewith eB ePD.
When eclients ediagnosed ewith eborderline epersonality edisorder e(BPD) esee enurses eas eeither eall
egood eor eall ebad, ethe eclient eis eusing ewhich eprimitive edefense?
Defending eInvalidating eSplitting eProjective eidentification e- ecorrect eanswer-Splitting
*Because eclients ewith eBPD eview ethe eworld ein eabsolutes, enurses eand eother etreatment eteam
emembers eare ealternately ecategorized eas eall egood eor eall ebad. eThis eprimitive edefense eis ecalled
esplitting, eand eit epresents ec elinicians ewith ea echallenge eto ework eopenly ewith eeach eother, eas
ewell eas ethe eclient, euntil ethe eissue ecan ebe ere esolved ethrough eteam emeetings eand eclinical
esupervision. eThis eis enot ean eexample eof edefending, einvalidatin e g, eor eprojective eidentification.
A enurse eis econducting ea emental estatus eexam eof ea eclient ewith eborderline epersonality edisorder
e(BPD). eThe eclient everbalizes estatements ethat edemonstrate ea eview eof ethings eas eabsolute, ewith
eno eperception eof ecomp eromise. eThe enurse einterprets ethis etype eof ethinking, edocumenting eit
eas ewhich eof ethe efollowing?
, Abstract eDisorganized eDichotomous eIrrational e- ecorrect eanswer-Dichotomous
*Those ewith eBPD eusually eexhibit edichotomous ethinking, eor ea etendency eto eview ethings eas
eabsolute: eeither eblack eor ewhite, egood eor ebad, e with e no e perception eof e compromise. e This
etype e of e thought e pattern e would e n eot ebe edocumented eas eabstract, eirrational, eor
edisorganized.
Clients ewith eborderline epersonality edisorder e(BPD) eare eusually eadmitted eto ethe einpatient
esetting ebecause ethey eexhibit ewhat?
27 & 28) WITH CORRECT ANSWERS
2026
A eclient ewith eborderline epersonality edisorder ehas ebeen eadmitted eto ethe einpatient eunit eafter
ebeing efound e in e the e client's e parents' e bedroom, e burning e the eclient's earm ewith e an eiron.
e This e injury erequired ea e brief estay ein ethe ehospital's eburn eunit eprior eto e transfer eto eyour
epsychiatric eunit. eWhich eis ethe enursing ecare e priority efo e r ethis eclient eduring ethe efirst e24
ehours eof eadmission?
Suicidal eassessment
eImpulse econtrol
Working eon eself-esteem
Protection efrom eself-mutilation e- ecorrect eanswer-Protection efrom eself-mutilation
*Clients ewith eborderline epersonality edisorder ebecome eintensely eand einappropriately eangry eif
ethey ebeliev e e eothers eare eignoring ethem eand econsequently emay eimpulsively etry eto eharm eor
emutilate ethemselves.
A eclient ehas ea ediagnosis eof eborderline epersonality edisorder eand elives eat ehome ewith ethe
,eclient's eparents. eT ehe eclient ehas ebeen ein ethe epsychiatric eunit efor e2 eweeks eand eis escheduled
eto ebe edischarged etomorrow. eWhi ech ewould ebe emost etherapeutic ewhen ethe eclient's eparents
ecome ein eto ediscuss edischarge eplans?
Ask ethe eparents eto ekeep ea ewritten eschedule eof eactivities efor eeach eday efor
ethe eclient eAsk ethe eparents ehow ethey ehave ecoped ewith ethe eclient's
ebehaviors eover ethe eyears eAttempt eto ediscuss eplacing ethe eclient einto ean
eassisted eliving eenvironment
Encourage ethe eparents eto ediscuss ethe epossibility eof ethe eclient egoing
einto ea eday- ecare eprogram ewhen ethe eclient egoes ehome e- ecorrect
eanswer-
Ask ethe eparents eto ekeep ea ewritten eschedule eof eactivities efor eeach eday efor ethe eclient
*When eproviding efamily eand eclient eeducation eupon edischarge, eit eis eimportant efor ethe enurse
eto eask ethe ep earents eto ekeep ea ewritten eschedule eof edaily eactivities efor ethe eclient ein eorder
eto ekeep ea efixed eroutine ewith et ehe eaim eof epreventing echronic eboredom eand eemptiness ethat
eis eoften eassociated ewith eborderline epersonal eity edisorder.
,Brain edysfunction eassociated ewith eborderline epersonality edisorder e(BPD) eoccurs ein ethe elimbic
esystem eand ewhich elobe eof ethe ebrain?
Parietal eFrontal eOccipital eTemporal e- ecorrect eanswer-Frontal
*Biologic eabnormalities eare eassociated ewith ethree eBPD echaracteristics: eaffective einstability;
etransient epsy echotic eepisodes; eand eimpulsive, eaggressive, eand esuicidal ebehavior. eAssociated
ebrain edysfunction eoccurs ei e n ethe elimbic esystem eand efrontal elobe eand eincreases ethe
ebehaviors eof eimpulsiveness, eparasuicide, eand emo eod edisturbance. eBrain edysfunction eof ethe
etemporal, eparietal, eand eoccipital elobes eis enot eassociated ewith eB ePD.
When eclients ediagnosed ewith eborderline epersonality edisorder e(BPD) esee enurses eas eeither eall
egood eor eall ebad, ethe eclient eis eusing ewhich eprimitive edefense?
Defending eInvalidating eSplitting eProjective eidentification e- ecorrect eanswer-Splitting
*Because eclients ewith eBPD eview ethe eworld ein eabsolutes, enurses eand eother etreatment eteam
emembers eare ealternately ecategorized eas eall egood eor eall ebad. eThis eprimitive edefense eis ecalled
esplitting, eand eit epresents ec elinicians ewith ea echallenge eto ework eopenly ewith eeach eother, eas
ewell eas ethe eclient, euntil ethe eissue ecan ebe ere esolved ethrough eteam emeetings eand eclinical
esupervision. eThis eis enot ean eexample eof edefending, einvalidatin e g, eor eprojective eidentification.
A enurse eis econducting ea emental estatus eexam eof ea eclient ewith eborderline epersonality edisorder
e(BPD). eThe eclient everbalizes estatements ethat edemonstrate ea eview eof ethings eas eabsolute, ewith
eno eperception eof ecomp eromise. eThe enurse einterprets ethis etype eof ethinking, edocumenting eit
eas ewhich eof ethe efollowing?
, Abstract eDisorganized eDichotomous eIrrational e- ecorrect eanswer-Dichotomous
*Those ewith eBPD eusually eexhibit edichotomous ethinking, eor ea etendency eto eview ethings eas
eabsolute: eeither eblack eor ewhite, egood eor ebad, e with e no e perception eof e compromise. e This
etype e of e thought e pattern e would e n eot ebe edocumented eas eabstract, eirrational, eor
edisorganized.
Clients ewith eborderline epersonality edisorder e(BPD) eare eusually eadmitted eto ethe einpatient
esetting ebecause ethey eexhibit ewhat?
