X3 - Study Qs X3 Flashcards
45 In clinical supervision, the nurse caring for the patient with a paranoid personality disorder tells the psychiatric advanced practice nurse, “I tried being caring and empathetic, but the patient just kept telling me to stay away.” Which response by the psychiatric advanced practice nurse would be best?
a. “Acting somewhat cynical and aloof, like they do, will make it easier for paranoid persons to bond with you over time. That, plus humor.”
b. “You may be trying too hard too soon. Back off, give him some time to get used to you, then try your caring and empathetic approach again.”
c. “Mistrustful people do not bond as others do, so first it’s important to be realistic. Second, a neutral yet courteous approach will work better.”
d. “You are on the right track, but give it more time. Actively conveying empath and care will work, but paranoid persons respond more slowly.”
c. “Mistrustful people do not bond as others do, so first it’s important to be realistic. Second, a neutral yet courteous approach will work better.”
https://quizlet.com/795262422/chapter-24-part-2-chapter-24-part-1-chapter-22-flash-cards/
49 The assumption that will be most useful to the psychiatric advanced practice nurse planning crisis intervention for any patient who is experiencing a crisis is that the patient:
a. is experiencing a type of mental illness.
b. is experiencing a state of disequilibrium.
c. has a high potential for self-injury.
d. poses a threat of violence to others.
b. is experiencing a state of disequilibrium.
Disequilibrium is the only answer universally true for all patients in crisis. A crisis represents a struggle for equilibrium when problems seem unsolvable. Crisis does not reflect mental illness. Potential for self-violence or other-directed violence may or may not be a factor in crisis.
https://quizlet.com/302472104/ch-26-varcarolis-crisis-and-disaster-flash-cards/
24 To plan effective interventions, the psychiatric advance practice nurse should understand that the underlying reason a patient with paranoid personality disorder is so critical of others probably lies in the patient’s:
a. need to control all aspects of the world around him.
b. use of intellectualization to protect against anxiety.
c. inflexible view of the environment and the people in it.
d. projection of blame for his own shortcomings onto others.
d. projection of blame for his own shortcomings onto others.
ANS: D
Projection allows the patient to disown negative feelings about himself and see these feelings as being directed at him from an outside source (the nurse) instead. The patient then can justifiably retaliate by being hostile to the nurse. To realize that the patient is accusing the nurse of his or her own faults makes the criticism easier to manage without retaliation. The other options are not related to the dynamics of critical behaviors on the part of the patient.
https://quizlet.com/ca/576550321/mh-lec-7-personality-disorders-flash-cards/
42 The primary long term goal of treatment for patients with post-traumatic stress disorder is to help them to:
a. eradicate memories of the traumatic event
b. prevent response to triggers of the traumatic event
c. extinguish intrusive images
d. accept the trauma as part of the larger perspective of their lives
d. accept the trauma as part of the larger perspective of their lives
https://quizlet.com/504795851/acute-stress-disorder-and-ptsd-flash-cards/
21 A 73-year-old male presents with depression and low energy for the past month. He has no significant medical issues. Memory and cognition are intact. You prescribing paroxetine 20 mg in the morning for depression. Two weeks later he is brought into the emergency room by his family with disorientation, nausea, and weakness. Which laboratory test is most likely to establish his diagnosis?
a. lipase
b. sodium
c. TSH
d. serum paroxetine level
d. serum paroxetine level
On Google search it shows paroxetine includes all three symptoms.
https://www.google.com/search?q=paroxetine+cause+disorientation&oq=paroxetine+cause+disorientation&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBCTEyNDU5ajBqN6gCALACAA&sourceid=chrome&ie=UTF-8
https://www.google.com/search?q=paxil+toxicity+disorientation+nausea+weakness&oq=paxil+toxicity+disorientation+nausea+weakness&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBCTEyMDI4ajBqN6gCALACAA&sourceid=chrome&ie=UTF-8
23 Which one of the following personality disorders is least associated with violent behavior?
a. borderline personality disorder
b. histrionic personality disorder
c. antisocial personality disorder
d. dependent personality disorder
b. histrionic personality disorder
Can’t find exact question, but Google search indicates B is the answer.
https://www.google.com/search?q=histrionic+personality+disorder+violent+behavior&sca_esv=8be23465e86ed254&sxsrf=ADLYWII2GL5FSuwAzuCSmvZIfLeiJ24LMg%3A1722761522818&ei=MkGvZu7dMYzJptQP3pqJoAc&ved=0ahUKEwjuvubk-tqHAxWMpIkEHV5NAnQQ4dUDCBE&uact=5&oq=histrionic+personality+disorder+violent+behavior&gs_lp=Egxnd3Mtd2l6LXNlcnAiMGhpc3RyaW9uaWMgcGVyc29uYWxpdHkgZGlzb3JkZXIgdmlvbGVudCBiZWhhdmlvcjIEEAAYRzIEEAAYRzIEEAAYRzIEEAAYRzIEEAAYRzIEEAAYRzIEEAAYRzIEEAAYR0jSNlCnBFjlMHAAeAKQAQGYAQCgAQCqAQC4AQPIAQD4AQGYAgGgAgaYAwCIBgGQBgiSBwExoAcA&sclient=gws-wiz-serp
8 Acute stress disorder is often the diagnosis given to a patient who has undergone a major crisis. The key feature of acute disorder is the presence of:
a. sleep disturbances
b. symptoms of dissociation
c. increased arousal
d. recurrent intrusive thoughts
b. symptoms of dissociation
https://quizlet.com/504795851/acute-stress-disorder-and-ptsd-flash-cards/
20 Which one of the following child abuse injuries is the most likely to result in death or long-term sequela?
a. embolic stroke from multiple bone fractures
b. subdural hematoma from head trauma
c. skull fracture from head trauma
d. seizures from head and brain trauma
b. subdural hematoma from head trauma
B. Shaken-baby syndrome from child abuse can lead to death from
intracranial, subarachnoid, and subdural hemorrhages. These result from vascular
shearing and tearing due to the violent back-and-forth movement that results in
cerebral trauma. Retinal hemorrhages are often noted as well in these cases.
Hemorrhages can lead to seizures and ischemic cerebral infarction due to vasospasm
of intracranial vessels. Ninety-five per cent of severe intracranial injuries in children 1
year of age or younger are due to child abuse. The other answer choices are of less
pathological importance in cases of child abuse.
https://quizlet.com/143828702/spiegel-test-3-flash-cards/
02 A client diagnosed with borderline personality disorder is admitted to a psychiatric unit with recent self-inflicted cuts to both arms. Which of the following would explain this behavior? (Select all that apply.)
a. self-mutilation is a manipulative gesture designed to elicit a rescue response.
b. self-mutilation is often attempted once a “safety” plan has been established.
c. Self-mutilation proposes that feeling pain is better than feeling nothing.
d. Self-mutilation results from feelings of abandonment following separation from significant others.
e. Self-mutilation is attempted when voices tell the client to do self-harm.
A, B, C, D
- Self-mutilation is a manipulative gesture designed to elicit a rescue response.
- Self-mutilation is often attempted when a “safety” plan has been established.
- Self-mutilation proposes that feeling pain is better than feeling nothing.
- Self-mutilation results from feelings of abandonment following separation from
significant others.
https://quizlet.com/580168356/chapter-24-part-1-personality-disorders-flash-cards/
04 According to the psychoanalytic view of borderline personality disorder (BPD), a person with BPD has not achieved the normal and healthy development stage of:
a. separation-individuation
b. projective-identification
c. semiotic function
d. aversive control
a. separation-individuation
-persons with BPD have not achieved the normal and healthy developmental stage of separation-individuation, during which a child develops a sense of self, a permanent sense of significant others (object constancy), and integration of seeing both bad and good components of oneself
https://quizlet.com/580067284/chapter-28-personality-and-borderline-personality-disorder-management-of-emotional-dysregulation-and-self-harm-flash-cards/
