NSG 526 Exam 3 Latest Update 2023 2024 175 Questions and Verified Correct Answers Guaranteed Success a core characteristic of BPD - Correct Answer: Affective instability (rapid and extreme shift in mood) is evidenced by erratic emotional responses to situations and intense sensitivity to criticism or perceived slights.
A crisis can also represent - Correct Answer: a turning point in a person's life, with either positive or negative outcomes. It can be an opportunity for growth and change because new ways of coping are learned.
A crisis is generally regarded as - Correct Answer: time limited, lasting no more than 4 to 6 weeks. There is no such thing as a chronic crisis. People who live in constant turmoil are not in crisis but in chaos.
A crisis is not the same as - Correct Answer: a psychiatric emergency that requires immediate intervention. A person in crisis may not need an immediate intervention and should not be viewed as having a mental disorder. However, if the person is significantly distressed or social functioning impaired, an Axis I diagnosis of acute stress disorder should be considered. The person with an acute stress disorder has dissociative symptoms and persistently re-experiences the event (APA).
A situational crisis - Correct Answer: occurs whenever a specific stressful event threatens a person's biopsychosocial integrity and results in some degree of psychological disequilibrium. The event can be an internal one, such as a disease process or any number of external threats. A move to another city, a job promotion, or graduation from high school can initiate a crisis even though they are positive events.
ABCs of psychological first aid - Correct Answer: A (arousal), B (behavior), and C (cognition)
Abstraction - Correct Answer: Children ages 12 or younger not expected to have
abstractive thought abilities (young children have concrete thinking)
According to Caplan, during a crisis, a person - Correct Answer: is open to learning new ways of coping to survive
additional strategies for establishing the boundaries of the relationship include - Correct
Answer: Documenting in the client chart the agreed-on appointment expectations
Sharing the treatment plan with the client Confronting violations of the agreement in a non-punitive way Discussing the purpose of limits in the therapeutic relationship and applicability to other relationships.
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Adventitious Crisis - Correct Answer: is initiated by unexpected unusual events that can affect an individual or a multitude of people. In such situations, people face overwhelmingly hazardous events that may entail injury, trauma, destruction, or sacrifice. Such an event involves a physically aggressive and forced act by a person, a group, or an environment. National disasters (e.g., racial persecutions, kidnappings, riots, war); violent crimes (e.g., rape, murder, and assault and battery); and natural disasters (e.g., earthquakes, floods, forest fires, hurricanes) are examples of events that precipitate this type of crisis (Hazelwood & Burgess, 2001). 9/11 is an example of an adventitious crisis.
An individual component - Correct Answer: in which the therapist and client discuss issues that come up during the week, recorded on diary cards and follow a treatment target hierarchy. Self-injurious and suicidal behaviors take first priority, followed by therapy interfering behaviors. Then there are quality of life issues and finally working towards improving one's life generally. During the individual therapy, the therapist and client work towards improving skill use. Often, skills group is discussed and obstacles to acting skillfully are addressed.
Another cognitive dysfunction common in BPD is dissociation - Correct Answer: times when thinking, feeling, or behaviors occur outside a person's awareness.conceptualized on a continuum from minor dissociations of daily life, such as daydreaming, to a breakdown in the integrated functions of consciousness, memory, perception of self or the environment, and sensory-motor behavior.
Behavioral Interventions - Correct Answer: goal of behavioral interventions is to replace the dysfunctional behaviors with positive ones
Behavioral techniques, without the cognitive component, are also widely used to address therapeutic goals - Correct Answer: for 3- to 6-year-old children and those with mental retardation, learning and communication disorders, pervasive developmental disorders, tic disorders, and elimination disorders.
Bibliotherapy - Correct Answer: uses books and a librarian as resources.
Bibliotherapy def - Correct Answer: is an expressive therapy which involves using child and adolescent literature to help the child express feelings in a supportive environment, gain insight into feelings and behavior, and learn new ways to cope with difficult situations.as the process of using books to teach those receiving medical care about their conditions is believed to be one cost-effective and versatile option for the treatment of several mental health issues.
Biologic abnormalities are associated with three BPD episodes - Correct Answer:
impulsive, aggressive, and suicidal behavior episodes
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Biologic Domain/Assessment - Correct Answer: usually undergo initial changes. a crisis can be physically exhausting. Disturbances in sleep and eating patterns and the reappearance of physical or psychiatric symptoms are common. Changes in body function may include tachycardia, tachypnea, profuse perspiration, nausea, vomiting, dilated pupils, and extreme shakiness. Some victims may exhibit loss of control and have total disregard for their personal safety. The victims are at high risk for injury, which may include infection, trauma, and head injuries (France, 2002). If the victim's sleep patterns are disturbed or nutrition is inadequate, the victim will not have the physical resources to deal with the crisis.
biosocial viewpoint proposed by Marsha Linehan and colleagues sees BPD as a multifaceted problem - Correct Answer: a combination of a person's innate emotional vulnerability and his or her inability to control that emotion in social interactions (emotional dysregulation) and the environment
Black MCI CATEGORY - Correct Answer: Unresponsive patients with penetrating head wounds, high spinal cord injuries, wounds involving multiple anatomical sites and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting within 24 hr after radiation exposure, profound shock with multiple injuries, agonal respirations; no pulse, no BP, pupils fixed and dilated.
borderlines are known for - Correct Answer: crisis-strewn lives and extreme emotional lability (emotions that shift rapidly).
BPD is believed to develop when - Correct Answer: emotionally vulnerable individuals react with an invalidating environment, a social situation that negates private emotional responses and communication. When core emotional responses and communications are continually dismissed, trivialized, devalued, punished, and discredited (invalidated) by respected or valued persons, the vulnerable individual becomes unsure about their feelings.
BPD is often characterized by - Correct Answer: an inability to tolerate perceived rejection.
can initiate a crisis - Correct Answer: Either internal or external demands that are perceived as threats to a person's physical or emotional functioning. Many life events can evoke a crisis, such as pandemics, natural disasters (e.g., floods, tornadoes, earthquakes) and manmade disasters (e.g., wars, bombings, airplane crashes) as well as traumatic experiences (e.g., rape, sexual abuse, assault). In addition, interpersonal events (divorce, marriage, birth of a child) may create a crisis event in the life of any person.
category 3 conditions - Correct Answer: Upper extremity fractures, minor burns,
sprains, small lacerations without significant bleeding, behavioral disorders or psychological disturbances.
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