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Chapter 28 Psych
Exam 2
| Question | Answer |
|---|---|
| Prominent aspects of personality exhibited in a wide range of social and personal contexts No sharp division between normal and abnormal personality | Personality traits |
| self-identity and self-direction | Self functioning |
| Disruptive pattern of instability related to self-identity, interpersonal relationships, and affects combined with marked impulsivity and destructive behavior | Borderline Personality Disorder |
| Regulating moods Developing a self-identity Maintaining interpersonal relationships Maintaining reality-based thinking Avoiding impulsive or destructive behavior | Problem areas (Borderline Person. Disord,) |
| Is the following statement true or false? A person with a borderline personality disorder often experiences difficulties in his or her ability to relate to others. | True. With borderline personality disorder, the person typically experiences a disturbance in interpersonal functioning such that he or she has difficulty maintaining interpersonal relationships. |
| In clinical populations, BPD is the most frequently diagnosed personality disorder; more women are diagnosed | Epidemiology |
| Physical and sexual abuse Parental loss and separation | Risk factors BPD |
| Mood stabilizers Antidepressants Anxiolytics | Medications |
| Dysfunctional moods Impulsive behavior Self-injurious behavior | Psychotherapy |
| Affective dysregulation Mood lability Problems with anger Interpersonal dysregulation Chaotic relationships Fears of abandonment Self-dysregulation | Human Response to BPD |
| Identity disturbance Sense of emptiness Behavioral dysregulation Parasuicidal behavior Impulsive behavior Cognitive dysregulation Dissociative responses Paranoid ideation | Human Response to BPD |
| Sleep enhancement education Nutritional balance education Prevention and treatment of self-harm, observation, prevention strategies, and five senses exercise | Interventions |
| Short term for target symptoms only Medication teaching | Pharmacology |
| Risk for Self-Mutilation Disturbed Personal Identity Anxiety | Nursing diagnoses |
| Is the following statement true or false? Long-term use of psychopharmacologic agents is a primary mode of treatment for BPD | False. Less medication is better for patients with BPD. Patients should take medications only for target symptoms for a short time. |
| Problem solving Exposure techniques Skills training (emotional regulation, interpersonal effectiveness, core mindfulness, distress tolerance, and self-management skills) Contingency management Cognitive modification | Dialectical behavior therapy (DBT) |
| Nurse self-awareness | Therapeutic relationship |
| Management of dissociative states Emotional regulation: communication triad, thought stopping | Patient education |
| A patient with BPD is receiving dialectical behavior therapy. Which type of skills training would least likely be involved? Mindfulness Distress tolerance Self-management Self-awareness | D. Self-awareness The nurse needs to develop self-awareness skills when working with patients diagnosed with BPD. Mindfulness, distress tolerance, and self-management skills are part of dialectical behavior therapy. |
| Social support systems Interpersonal skills Self-esteem and coping skills Family assessment | Assessment |
| Defensive Coping Chronic Low Self-Esteem Impaired Social Interaction | Nursing diagnoses |
| Environmental management Socials skills and self-esteem building Family member interventions Teaching of effective communication | Interventions |
Created by:
bolenrocks
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