Personality and Mood Disorders Q 29

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In planning care for a client with borderline personality disorder, a nurse must be aware that this client is prone to develop which of the following conditions?

  

     A. Binge eating

     B. Memory loss

     C. Cult membership

     D. Delusional thinking

    

    

Correct Answer: A. Binge eating

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Clients with borderline personality disorder are likely to develop dysfunctional coping and act out in self-destructive ways such as binge eating. Help clients to cope and to control emotions. The nurse can help the clients to identify their feelings and learn to tolerate them without exaggerated responses such as destruction of property or self-harm; keeping a journal often helps clients gain awareness of feelings.

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Option B: Cognitive restructuring is a technique useful in changing patterns of thinking by helping clients to recognize negative thoughts and feelings and to replace them with positive patterns of thinking; thought stopping is a technique to alter the process of negative or self-critical thought patterns.

Option C: Minimizing unstructured time by planning activities can help clients to manage time alone; clients can make a written schedule that includes appointments, shopping, reading the paper, and going for a walk.

Option D: Regardless of the clinical setting, the nurse must provide structure and limit setting in the therapeutic relationship; in a clinic setting, this may mean seeing the client for scheduled appointments of a predetermined length rather than whenever the client appears and demands the nurse’s immediate attention.

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