Mental Illness
Borderline Personality Disorder
What is a personality disorder characterized by instability in relationships, self-image, emotions, and behavior?
The most important action taken by a nurse to build trust with a patient who has BPD.
Medications that are often used to stabilize mood in BPD.
What are mood stabilizers?
Reason why it is common for patients with BPD to be admitted to inpatient mental health units.
What is patients often exhibit SI during exacerbations of BPD?
Mental illness the main character, Susanna, is diagnosed with in “Girl, Interrupted”.
What is Borderline Personality Disorder?
Signs and symptoms of Borderline Personality Disorder.
What are intense emotions, unstable self-image, impulsivity, feelings of emptiness?
The #1 nursing priority when caring for a patient with BPD.
What is safety (due to high suicide and self harm risk)?
Medications that might be prescribed to help with impulsivity and anxiety in BPD.
What are SSRIs?
The kind of environment helps patients with BPD feel safe and stable.
What is a structured, supportive environment?
Susanna's priority nursing diagnosis.
What is risk for self harm R/T borderline personality disorder diagnosis AEB history of self harm, suicidal ideation, impulsivity, and poor coping?
Cause of Borderline Personality Disorder.
What is a combination of genetic and environmental factors (such as adverse childhood experiences affecting brain chemistry)?
A type of plan that should be created and regularly updated for a patient with BPD.
What is a suicide prevention plan?
True or false- Patients with BPD are often undermedicated.
What is false? They are actually often overmedicated.
Reason why having consistent routines important in a therapeutic environment for BPD.
What is predictability reduces anxiety and emotional dysregulation?
How Susanna’s relationship with Lisa reflects common BPD interpersonal patterns.
What is the intensity and instability of the relationship with idealization and devaluation?
Word that describes when patients with BPD see others in extremes, such as "all good" or "all bad".
What is splitting?
Type of therapy considered especially effective for treating BPD.
Reason why medications that aren't considered the primary treatment for BPD.
What is BPD primarily treated with therapy and medications mainly target symptoms?
How staff can prevent manipulative behaviors in patients with BPD.
What is maintaining staff consistency and enforcing unit rules?
Treatment Susanna underwent for BPD.
What is psychotherapy and drug therapy?
The neurotransmitter most commonly associated with impulsivity and emotional regulation issues in BPD.
What is serotonin?
Something the nurse should be sure to provide a patient with BPD upon their admission.
What is an in-depth orientation of the unit rules and expectations?
What are antipsychotics?
Member of the interdisciplinary healthcare team that must have the most consistent and secure relationship with a patient with BPD.
Who is the patient's psychotherapist?
One short-term and one long-term SMART goal for Susanna.
What is...
Over the next 5 days, Susanna will verbalize urges to self-harm to staff within 10 minutes of onset in at least 4 out of 5 instances, as documented in progress notes.
Within 3 months, Susanna will demonstrate improved interpersonal relationships by reducing instances of impulsive behavior and forming at least one consistent therapeutic alliance, as noted in weekly nursing reports.