NSG 526 - Family Nursing
Exam 3
Question:
The best response by the PMHNP when speaking with a client with BPD who has been in counseling for management of self-harm behaviors who now wants to cut themselves is
Answer:
to assist the client to identify an appropriate coping strategy.
Question:
Understand that if a client with BPD who was making progress but recently had an anxiety producing situation arise and now cut herself is that even though this behavior is dysfunctional,
Answer:
it is mostly the patient's best effort to cope.
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Question:
Self-mutilation is mainly due to
Answer:
fear of abandonment or the increase of independence
Question:
BPD is often characterized by
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an inability to tolerate perceived rejection.
Question:
Patients will respond better to limit setting if
Answer:
the PMHNP can reflect back to the client an understanding and validation of their emotional distress.
Question:
Clients with BPD have not successfully achieved
Answer:
the developmental stage of separation-individuation.
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Question:
Paranoid Personality Disorder
Answer:
do not trust others easily, and it's best to use a respectful neutral approach.
Question:
Paranoid Personality Disorder are
Answer:
critical of others because they project blame for their own shortcomings onto others.
Question:
Self-mutilation occurs because
Answer:
a client may feel that pain is better than not feeling anything, it also results from feelings of abandonment, it can be a manipulative gesture, and it is also happens when a safety plan has been put in place.
Question:
DBT helps to
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replace irrational thoughts. 3 / 4
Question:
Respecting a client's boundaries
Answer:
important in establishing a therapeutic relationship with a patient with BPD
Question:
providing a safe environment
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is the priority for any client who is a victim of a serious crime/assault
Question:
MCI Expectant category
Answer:
Injuries are extensive and chances of survival are unlikely even with definitive care. Persons in this group should be separated from other casualties, but not abandoned. Comfort measures should be provided when possible
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