89 Item Psychiatric Nursing Exam II : Substance Abuse, Eating disorders and Impulse control disorders Correct Answers and RationaleTopic: Substance Abuse, Eating disorders, Impulse control disorders. http://www.pinoybsn.tk1. An unemployed woman, age 24, seeks help because she feels depressed and abandonedand doesn't know what to do with her life. She says she has quit her last five jobs becauseher coworkers didn't like her and didn't train her adequately. Last week, her boyfriend broke up with her after she drove his car into a tree after an argument. The client's initial diagnosis is borderline personality disorder. Which nursing observations support this diagnosis?A. Flat affect, social withdrawal, and unusual dressB. Suspiciousness, hypervigilance, and emotional coldnessC. Lack of self-esteem, strong dependency needs, and impulsive behaviorD. Insensitivity to others, sexual acting out, and violenceRationale: Borderline personality disorder is characterized by lack of self-esteem, strong dependency needs, and impulsive behavior. Instability in interpersonal relationships, mood, and poor self-image also is common. Typically, the client can't tolerate being aloneand expresses feelings of emptiness or boredom. Flat affect, social withdrawal, and unusual dress are characteristic of schizoid personality disorder. Suspiciousness, hypervigilance, and emotional coldness are seen in paranoid personality disorders. In antisocial personality disorder, clients are usually insensitive