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WILKES NSG 526 EXAM 3 NEWEST 2025 ACTUAL
EXAM COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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WILKES NSG 526 EXAM 3
The psychoanalytic views of borderline-BPD focus on two
important psychoanalytic concepts:
s------------ individuation and p----------- identification - CORRECT ANSWER -separation projective
A person with BPD has not achieved the normal and healthy developmental stage of separation-individuation, during which a child develops a sense of s--------, a permanent sense of s--------- -others (object constancy), and integration of seeing both bad and good components of self (Jorgensen, 2006).
Those with BPD lack the ability to separate from the primary caregiver and develop a separate and distinct personality or self-
------------
Psychoanalytic theory suggests that these separation difficulties occur because the primary caregivers' behaviors have been in---- 1 / 4
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----- or insensitive to the needs of the child - CORRECT ANSWER-self significant others identity inconsistent
Projective identification is believed to play an important role in the development of BORDERLINE-BPD and is a defense mechanism by which people with BPD protect their fragile self- image. For example, when overwhelmed by anxiety or anger at being disregarded by another, they defend against the intensity of these feelings by unconsciously b----------- others for what happens to them. They project their feelings onto a significant other with the unconscious hope that the other knows how to d-- ------ with it. Projective identification becomes a defensive way of interacting with the world, which leads to more r---------------
- CORRECT ANSWER -projective identification- BLAMING
deal rejection.
Individuals with BPD develop dysfunctional beliefs and maladaptive schemas leading them to misinterpret environmental stimuli continuously, which in turn leads to ------- --- and inflexible behavior patterns in response to new situations and people 2 / 4
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Because those with BPD have been conditioned to anticipate rejection and disappointment in the past, they become entrenched in a pattern of fear and anxiety regarding encountering new people or situations.
They have fears that ------- is going to strike any minute. Early in life, clients with BPD develop maladaptive schemas or dysfunctional ways of interpreting people and events. The work of cognitive therapists is to ----------- these distortions in thinking patterns and replace them with realistic ones. - CORRECT ANSWER -rigid
disaster challenge (remember CBT)
The biosocial viewpoint proposed by Marsha --------- and colleagues sees BORDERLINE-BPD as a multifaceted problem, a combination of a person's innate emotional vulnerability and his or her inability to control that emotion in social interactions (emotional dysregulation) and the environment (Linehan, 1993).
The emotional dysregulation and aggressive impulsivity entail both social learning and ---------- regulation. Much of the neurobiological research is directed at neurotransmitter 3 / 4
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functions involving s----------, n--------- d--------, a--------, gamma-aminobutyric acid (GABA), and v---------- (Joyce et al., 2006; Gollan, Lee, & Coccaro, 2005).
In fact, restoring balance in these systems permits more consistent neural firing between the ---------- system and the ----- -----and prefrontal cortex. When these pathways are functional, the person has greater capacity to think about his or her emotions and modulate beh - CORRECT ANSWER -Linehan biologic regulation
serotonin, norepinephrine, dopamine, acetylcholine, gamma- aminobutyric acid (GABA), and vasopressin
limbic/frontal
Borderline
They appear more competent than they actually are and often set --------- expectations for themselves. - CORRECT ANSWER - unrealistically high
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