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1. A patient with borderline personality disorder experi- B. has failed to master ob-
ences intense anxiety when an adult psychiatric and ject constancy
mental health nurse practitioner goes on vacation. The
best explanation for this reaction is that the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification.
2. 2. A patient has been taking escitalopram (Lexapro) 10 D. The patient's suicide
mg daily for four weeks. Initially, the patient reported potential is increased.
depression and suicidal thoughts. The patient's sleep,
appetite, energy, and appearance have now begun to
improve. Which statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased.
3. 3. Which behavior reflects existentially oriented thera- A. Attempting to under-
py? stand a patient's subjective
A. Attempting to understand a patient's subjective world
world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals
4. 4. Serving as a member on a crisis team, an adult psy- B. educating the sur-
chiatric and mental health nurse practitioner provides vivors about prodromal
crisis intervention to the survivors of a plane crash. symptoms of posttraumat-
Forty-eight hours after the accident, the survivors de- ic stress disorder.
scribe vivid flashbacks, startle reactions, and disrupted
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sleep patterns. The nurse practitioner responds by:
A. advising the survivors to consider using a hypnotic
medication for a brief period.
B. educating the survivors about prodromal symptoms
of posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a posttrauma sup-
port group.
5. 5. An adult psychiatric and mental health nurse prac- A. an understanding that
titioner uses the interpersonal therapy model with a leaving a significant oth-
patient to establish a therapeutic alliance based upon er may be painful, but
empathy and trust. The nurse practitioner recognizes also presents an opportu-
the patient's readiness to terminate therapy when the nity for growth.
patient demonstrates:
A. an understanding that leaving a significant other
may be painful, but also presents an opportunity for
growth.
B. breathing and muscle relaxation exercises that de-
crease muscle tension and anxiety.
C. free association, and considers the nurse practition-
er's interpretation of the patient's dreams.
D. new adaptive skills and responses after completing
"homework assignments."
6. 6. An Hispanic patient informs an adult psychiatric D. view this as a self-care
and mental health nurse practitioner during a wellness ritual that needs to be pre-
visit that he or she occasionally uses hot chili juice to served.
relieve a "nervous condition." The patient denies any
complaints related to this practice. The nurse practi-
tioner's response is to:
A. actively discourage the patient from continuing this