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A client frequently impulsively acts out suicidal impulses, including grabbing the coffee jar to smash it and attempting to hang herself with her bra. The nurse would view the client's behaviors as most consistent with:

  • A. Narcissistic personality disorder
  • B. Histrionic personality disorder
  • C. Borderline personality disorder
  • D. Antisocial personality disorder
Correct Answer: C

Rationale: The correct answer is C: Borderline personality disorder. The client's impulsive and self-destructive behaviors, such as attempting suicide, are characteristic of individuals with borderline personality disorder. These individuals often struggle with intense emotions, unstable relationships, and have a fear of abandonment. They may engage in self-harming behaviors as a way to cope with emotional distress.

A: Narcissistic personality disorder is characterized by a grandiose sense of self-importance and a lack of empathy. This does not align with the impulsive and self-destructive behaviors described in the scenario.

B: Histrionic personality disorder is characterized by attention-seeking behaviors and excessive emotions. While there may be some overlap with impulsive behaviors, it does not fully capture the severity and self-destructiveness of the client's actions.

D: Antisocial personality disorder is characterized by a disregard for the rights of others and a lack of remorse. While individuals with this disorder may engage in impulsive behaviors, the specific behaviors described in