NCLEX-RN

Category - Psychosocial

A 32-year-old client is diagnosed with borderline personality disorder. Which behavior would the nurse most likely observe in this client?
  1. Lacks interest in others, aloof towards the nurses
  2. Impulsive and unpredictable behavior, extreme shifts in mood
  3. Wearing seductive clothes and always attracting the attention of other people
  4. Socially withdrawn, keeps to herself
Explanation
Answer: B - Clients with borderline personality exhibit impulsive and unpredictable behavior with extreme shifts in mood. The client may be highly manipulative and argumentative. Individuals with this disorder are easily angered; therefore, interventions should focus on maintaining the safety of the health team and other clients. Schizoid personalities exhibit lack of interest in others and are usually aloof and indifferent to nurses. Histrionic personalities like to attract attention to themselves by wearing overly dramatic clothes and showing intense emotions. Social withdrawal is common in avoidant personalities.
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