Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had been physically and sexually abused as a child by both her mother and her father, both now deceased. She admitted to having chronic depression, and her husband related episodes of rage reactions. Lana has been hospitalized on the psychiatric unit for a week because of suicidal ideations. After making a no-suicide contract with the staff, she is allowed to leave the unit on pass to keep a dental appointment that she made a number of weeks ago. She has just returned to the unit and says to her nurse, “I just took 20 Desyrel while I was sitting in my car in the parking lot.”
Answer the following questions related to Lana:
Remember to include in-text citations and your references at the end
1. The nurse is well acquainted with Lana and believes this is a manipulative gesture. How should the nurse handle this situation?
2. What is the priority nursing diagnosis for Lana?
3. Lana likes to “split” the staff into “good guys” and “bad guys.” What is the most important intervention for splitting by a person with borderline personality disorder?
Answer: Nurse should make the patient understand and do counseling for her to cope up with the situation. Nurse should not believe on the Lana's sentences. The nurse should speak softly to the patient and refrain from having a judgemental attitude. Borderline personality is a kind of mental health disorder which includes unstable thinking, distorted self-image, extreme emotions and impulsiveness which effects the daily life of a person. The nurse should mainly focus on the behavior of the Lana and provide medicines as it's also necessary to get treated for other mental health disorders that often occur along with borderline personality disorder, such as depression or suicidal thoughts etc.
Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the...
Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had been physically and sexually...
Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had been physically and sexually...
Personality Disorder Case Study Lana, age 32, was diagnosed with Borderline Personality Disorder when she was 26 years old. Her husband took her to the emergency department when he walked into the bathroom and found her cutting her legs with a razor blade. At that time, assessment revealed that Lana had a long history of self-mutilation, which she had carefully hidden from her husband and others. Lana began long-term psychoanalytical psychotherapy on an outpatient basis. Therapy revealed that Lana had...