Therotuc Relationships Flashcards
What characterizes unstable interpersonal relationships in BPD?
Intense and extreme shifts in emotions, often referred to as ‘splitting’.
What is essential for trauma-informed care in BPD?
Therapeutic relationships that prioritize safety and understanding.
When are inpatient admissions appropriate for BPD?
Brief admissions may be appropriate in crisis situations, such as serious self-harm or suicide risk.
What should inpatient care focus on for BPD patients?
Crisis containment, risk reduction, and exploring coping skills and stress management.
What is crucial in the team approach for BPD inpatient care?
A consistent team approach is crucial.
What type of treatment is primarily used for BPD?
Psychological therapy, particularly evidence-based treatment (EBT).
What is the gold standard treatment for BPD?
Dialectical Behavioural Therapy (DBT), focusing on mindfulness, distress tolerance, interpersonal skills, and emotion modulation.
How should care be prioritized for individuals with a history of trauma in BPD?
Care must prioritize safety and understanding the individual’s trauma.
What emotional reactions might nurses experience when caring for self-harming patients?
Nurses may experience anxiety, fear, or disgust, impacting care delivery.
What is a key takeaway regarding recovery from BPD?
Recovery is often viewed as a journey rather than a destination.
What is a challenge nurses face when caring for BPD patients?
Nurses may experience negative emotions that can lead to punitive actions.
What principles should guide interactions with BPD patients?
Be compassionate, empathetic, non-judgmental, and calm; validate their emotional state and take their experiences seriously.
How can nurses foster trust with BPD patients?
Through open communication and clarity.
What should nurses recognize about challenging behaviors in BPD patients?
Challenging behaviors should be recognized as survival mechanisms.
What should nurses convey to BPD patients regarding recovery?
Convey hope for change and encourage ownership of recovery.
