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Awpatientwwithwborderlinewpersonalitywdisorderwexperienceswintensewanxietywwhenwanwad
ultwpsychiatricwandwmentalwhealthwnursewpractitionerwgoeswonwvacation.wThewbestwexplan
ationwforwthiswreactionwiswthatwthewpatient:
A.whaswfailedwtowdevelopwclearwegowboundaries.
B.whaswfailedwtowmasterwobjectwconstancy.
C.wiswemployingwprimitivewidealization.
D.wiswemployingwprojectivewidentification.w-
wcorrectwanswer.wwwwB.whaswfailedwtowmasterwobjectwconstancy
2.wAwpatientwhaswbeenwtakingwescitalopramw(Lexapro)w10wmgwdailywforwfourwweeks.wInitial
ly,wthewpatientwreportedwdepressionwandwsuicidalwthoughts.wThewpatient'swsleep,wappetite
,wenergy,wandwappearancewhavewnowwbegunwtowimprove.wWhichwstatementwapplieswtowthi
swpatient?
A.wThewmedicationwshouldwbewdiscontinued.
B.wThewmedicationwshouldwbewincreased.w
C.wThewpatient'swriskwforwsuicidewiswnotwawconcern.
D.wThewpatient'swsuicidewpotentialwiswincreased.w-
wcorrectwanswer.wwwwD.wThewpatient'swsuicidewpotentialwiswincreased.
3.wWhichwbehaviorwreflectswexistentiallyworientedwtherapy?
A.wAttemptingwtowunderstandwawpatient'swsubjectivewworld
B.wChallengingwawpatient'swirrationalwbeliefs
C.wDevelopingwspecificwplanswforwchange
, D.wEstablishingwgeneralwgroupwgoalsw-
wcorrectwanswer.wwwwA.wAttemptingwtowunderstandwawpatient'swsubjective wworld
4.wServingwaswawmemberwonwawcrisiswteam,wanwadultwpsychiatricwandwmentalwhealthwnurs
ewpractitionerwprovideswcrisiswinterventionwtowthewsurvivorswofwawplanewcrash.wForty-
eightwhourswafterwthewaccident,wthewsurvivorswdescribewvividwflashbacks,wstartlewreactions
,wandwdisruptedwsleepwpatterns.wThewnursewpractitionerwrespondswby:
A.wadvisingwthewsurvivorswtowconsiderwusingwawhypnoticwmedicationwforwawbriefwperiod.
B.weducatingwthewsurvivorswaboutwprodromalwsymptomswofwposttraumaticwstresswdisorder
.
C.wencouragingwthewsurvivorswtowrestwduringwthewday.
D.wsuggestingwthatwthewsurvivorswjoinwawposttraumawsupportwgroup.w-
wcorrectwanswer.wwwwB.weducatingwthewsurvivorswaboutwprodromalwsymptomswofwposttrau
maticwstresswdisorder.
5.wAnwadultwpsychiatricwandwmentalwhealthwnursewpractitionerwuseswthewinterpersonalwthe
rapywmodelwwithwawpatientwtowestablishwawtherapeuticwalliancewbasedwuponwempathywand
wtrust.wThewnursewpractitionerwrecognizeswthewpatient'swreadinesswtowterminatewtherapyw
whenwthewpatientwdemonstrates:
A.wanwunderstandingwthatwleavingwawsignificantwotherwmaywbewpainful,wbutwalsowpresentsw
anwopportunitywforwgrowth.
B.wbreathingwandwmusclewrelaxationwexerciseswthatwdecreasewmusclewtensionwandwanxiet
y.
C.wfreewassociation,wandwconsiderswthewnursewpractitioner'swinterpretationwofwthewpatient'
swdreams.
D.wnewwadaptivewskillswandwresponseswafterwcompletingw"homeworkwassignments."w-
wcorrectwanswer.wwwwA.wanwunderstandingwthatwleavingwawsignificantwotherwmaywbewpainful
,wbutwalsowpresentswanwopportunitywforwgrowth.
6.wAnwHispanicwpatientwinformswanwadultwpsychiatricwandwmentalwhealthwnursewpractition
erwduringwawwellnesswvisitwthatwheworwshewoccasionallywuseswhotwchiliwjuicewtowrelievewaw"
nervouswcondition."wThewpatientwdenieswanywcomplaintswrelatedwtowthiswpractice.wThewnur
sewpractitioner'swresponsewiswto:
A.wactivelywdiscouragewthewpatientwfromwcontinuingwthiswtreatment.
B.wofferwawmedicationwtowtreatwthewnervouswcondition.
C.wsuggestwanwalternativewfoodwtowrelievewthewnervouswcondition.
D.wviewwthiswaswawself-carewritualwthatwneedswtowbewpreserved.w-
wcorrectwanswer.wwwwD.wviewwthiswaswawself-carewritualwthatwneedswtowbewpreserved.
7.wBeforewanwolderwadultwpatientwinitiateswpharmacotherapywwithwawmedicationwthatwiswcle
aredwbywthewkidneys,wanwadultwpsychiatricwandwmentalwhealthwnursewpractitionerwassesse
swthewpatient's:
A.wbloodwureawnitrogenwlevel.
B.wcreatininewclearance.
C.wspecificwgravity.
D.wurinarywsediment.w-wcorrectwanswer.wwwwB.wcreatininewclearance.