Personality Disorder Practice
Questions
A patient diagnosed with borderline personality disorder often exhibits alternating
clinging and distancing behaviors with staff. A therapeutic nursing intervention with this
type of behavior would be to:
a. Encourage patient to establish trust in one person, with whom all therapeutic
interactions take place.
b. Secure a verbal contract indicating that the patient will not demonstrate these
behaviors.
c. Withdraw attention from the patient if these behaviors continue.
d. Rotate staff that that the patient will learn to relate to more than one person. -
answer*d.* Rotate staff that that the patient will learn to relate to more than one person.
Which of the following are examples of manipulative behaviors in the patient diagnosed
with borderline personality disorder? *Select all that apply.*
a. Refusal to stay in room alone, stating, "It is so lonely."
b. Asking the nurse for Ativan, knowing the assigned nurse has explained the need to
wait 1 hour for additional medication.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one around
here."
d. Cutting arms with a plastic knife after discussing discharge plans with the psychiatrist.
- answer*b.* Asking the nurse for Ativan, knowing the assigned nurse has explained the
need to wait 1 hour for additional medication
*c.* Stating to the nurse, "I really like having you for my nurse. You're the best one
around here."
*d.* Cutting arms with a plastic knife after discussing discharge plans with the
psychiatrist.
Splitting by the patient with borderline personality disorder indicates:
a. Evidence of precocious behavior.
b. A primitive defense in which the patient sees objects as all good or all bad.
c. A brief psychotic episode in which the patient loses contact with reality.
d. Two distinct personalities within the patient with borderline personality disorder. -
answer*b.* A primitive defense in which the patient sees objects as all good or all bad.
Questions
A patient diagnosed with borderline personality disorder often exhibits alternating
clinging and distancing behaviors with staff. A therapeutic nursing intervention with this
type of behavior would be to:
a. Encourage patient to establish trust in one person, with whom all therapeutic
interactions take place.
b. Secure a verbal contract indicating that the patient will not demonstrate these
behaviors.
c. Withdraw attention from the patient if these behaviors continue.
d. Rotate staff that that the patient will learn to relate to more than one person. -
answer*d.* Rotate staff that that the patient will learn to relate to more than one person.
Which of the following are examples of manipulative behaviors in the patient diagnosed
with borderline personality disorder? *Select all that apply.*
a. Refusal to stay in room alone, stating, "It is so lonely."
b. Asking the nurse for Ativan, knowing the assigned nurse has explained the need to
wait 1 hour for additional medication.
c. Stating to the nurse, "I really like having you for my nurse. You're the best one around
here."
d. Cutting arms with a plastic knife after discussing discharge plans with the psychiatrist.
- answer*b.* Asking the nurse for Ativan, knowing the assigned nurse has explained the
need to wait 1 hour for additional medication
*c.* Stating to the nurse, "I really like having you for my nurse. You're the best one
around here."
*d.* Cutting arms with a plastic knife after discussing discharge plans with the
psychiatrist.
Splitting by the patient with borderline personality disorder indicates:
a. Evidence of precocious behavior.
b. A primitive defense in which the patient sees objects as all good or all bad.
c. A brief psychotic episode in which the patient loses contact with reality.
d. Two distinct personalities within the patient with borderline personality disorder. -
answer*b.* A primitive defense in which the patient sees objects as all good or all bad.
