NSG 552 WITH CORRECT
ANSWER 2026
Borderline Personality Disorder (BPD) - CORRECT ANSWER-
•Txt: Gold standard=Dialectical behavior therapy(DBT)
•Pharmacotherapy as adjunct to psychotherapy.
•. Mood stabilizers and low dose antipsychotic meds have been found
to be effective for mood swings and lability
•Avoid the use of Benzodiazepines
antisocial personality disorder - CORRECT ANSWER- •Failure to
conform to social norms
•Deceitful, manipulative for personal gain
•Reckless, irritable
•Lack remorse
antisocial personality disorder - CORRECT ANSWER- •NOTE:
Begins as conduct disorder in childhood
•Txt:
•Psychotherapy is ineffective
•Treat symptoms of anxiety, depression or aggression but with caution
d/t high comorbidity with substance use disorders.
General guidelines for txt of personality disorder - CORRECT
ANSWER- •First-line treatment for personality disorders is
psychotherapy.
•Symptom-focused, medication treatment of personality disorders is
generally considered to be an adjunct to psychotherapy.
•Avoid prescribing medications that can be fatal in overdose, such as
tricyclic antidepressants.
•Avoid prescribing medications that can induce physiological
dependence and tolerance, including benzodiazepines.
, •Avoid changing medication each time there is a crisis or change in
mood symptoms, which may occur frequently and suddenly, and also
remit suddenly in some people with personality disorders.
•Symptom expression in patients with personality disorders often
waxes and wanes in relationship to life circumstances.
personality disorders - CORRECT ANSWER- •Cognitive and
perceptual disturbances
•Impulsivity or behavioral dyscontrol
•Affective dysregulation
Antidepressants and mood stabilizers are dosed as they would be for
major depressive disorder and bipolar disorder (e.g. Lithium, Lamictal)
Antipsychotics are in general used at a lower dosing range compared
with doses used in the treatment of schizophrenia (e.g. Abilify,
Risperdal, Seroquel)
Naloxone (Narcan) - CORRECT ANSWER- opioid antagonist
Narcan - CORRECT ANSWER- Treatment of choice for opiate
overdose
It is prescribed routinely for all patients with opiate use disorder
Very short half-life
Methadone - CORRECT ANSWER- Long acting full opioid receptor
agonist at mu receptor
Restricted use to abuse trx facilities
Monitor for QTC prolongation(cardiac abnormalities
Suboxone - CORRECT ANSWER- Opiod agonist/ antagonist
Decreased cravings
Can precipitate withdrawals if used too soon after full opioid agonist-it
will displace any residual opioids from the mu receptors
Sublingual preparation that is safer
Waiver needed to prescribe outpatient
Useful for patients with opiate use disorder with comorbid pain
Suboxone can be used in pain management
ANSWER 2026
Borderline Personality Disorder (BPD) - CORRECT ANSWER-
•Txt: Gold standard=Dialectical behavior therapy(DBT)
•Pharmacotherapy as adjunct to psychotherapy.
•. Mood stabilizers and low dose antipsychotic meds have been found
to be effective for mood swings and lability
•Avoid the use of Benzodiazepines
antisocial personality disorder - CORRECT ANSWER- •Failure to
conform to social norms
•Deceitful, manipulative for personal gain
•Reckless, irritable
•Lack remorse
antisocial personality disorder - CORRECT ANSWER- •NOTE:
Begins as conduct disorder in childhood
•Txt:
•Psychotherapy is ineffective
•Treat symptoms of anxiety, depression or aggression but with caution
d/t high comorbidity with substance use disorders.
General guidelines for txt of personality disorder - CORRECT
ANSWER- •First-line treatment for personality disorders is
psychotherapy.
•Symptom-focused, medication treatment of personality disorders is
generally considered to be an adjunct to psychotherapy.
•Avoid prescribing medications that can be fatal in overdose, such as
tricyclic antidepressants.
•Avoid prescribing medications that can induce physiological
dependence and tolerance, including benzodiazepines.
, •Avoid changing medication each time there is a crisis or change in
mood symptoms, which may occur frequently and suddenly, and also
remit suddenly in some people with personality disorders.
•Symptom expression in patients with personality disorders often
waxes and wanes in relationship to life circumstances.
personality disorders - CORRECT ANSWER- •Cognitive and
perceptual disturbances
•Impulsivity or behavioral dyscontrol
•Affective dysregulation
Antidepressants and mood stabilizers are dosed as they would be for
major depressive disorder and bipolar disorder (e.g. Lithium, Lamictal)
Antipsychotics are in general used at a lower dosing range compared
with doses used in the treatment of schizophrenia (e.g. Abilify,
Risperdal, Seroquel)
Naloxone (Narcan) - CORRECT ANSWER- opioid antagonist
Narcan - CORRECT ANSWER- Treatment of choice for opiate
overdose
It is prescribed routinely for all patients with opiate use disorder
Very short half-life
Methadone - CORRECT ANSWER- Long acting full opioid receptor
agonist at mu receptor
Restricted use to abuse trx facilities
Monitor for QTC prolongation(cardiac abnormalities
Suboxone - CORRECT ANSWER- Opiod agonist/ antagonist
Decreased cravings
Can precipitate withdrawals if used too soon after full opioid agonist-it
will displace any residual opioids from the mu receptors
Sublingual preparation that is safer
Waiver needed to prescribe outpatient
Useful for patients with opiate use disorder with comorbid pain
Suboxone can be used in pain management
