Jillian is a client on a psychiatric unit for medication management related to her diagnosis of BPD. The nurse evaluates Jillian's care plan and confirms Jillian has reached her outcome goals when she makes which statement? Select all that apply.

Question

Quizplus · Accepted Answer

1.This is correct. Clients with BPD tend to see people as all good or all bad and overvalue those they have a relationship with until the client feels threatened or slighted by the other person. These clients struggle with emotional regulation and easily shift allegiances. Jillian's statement shows that her view of the therapist is not all good or all bad and that she can still maintain this relationship even though it included conflict in the past.
2.This is correct. Some theorists believe that BPD is a result of childhood trauma, such as abuse. Most people with this disorder display behaviors of anger, aggression, and even violence at times, but they don't recognize or understand the connection between this past trauma and present anger. Jillian's statement demonstrates that she understands she experiences anger and why she does.
3.This is correct. Clients with BPD may engage in self-mutilation, which may include cutting, scratching, and burning. Some clients with BPD have reported that "to feel pain is better than to feel nothing." The pain validates their existence. Jillian's statement indicates that she recognizes the self-mutilation behavior as one that needs to be controlled, and to do this she may need to seek the help and support of another individual.
4.This is incorrect. Distancing behaviors as seen in BPD are characterized by hostility, anger, and devaluation of others, arising from a feeling of discomfort with closeness. Distancing behaviors also occur in response to separations, confrontations, or attempts to limit certain behaviors. Devaluation of others is manifested by discrediting or undermining the other person's strengths and personal significance. Jillian's statement indicates that she is engaging in distancing behaviors.

Jillian Is a Client on a Psychiatric Unit for Medication