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A patient with borderline personality disorder is admitted to the psychiatric unit. Which behavior is most characteristic of this disorder?
- A. Avoiding social interactions due to fear of rejection.
- B. Engaging in impulsive and self-destructive behaviors.
- C. Having a grandiose sense of self-importance.
- D. Exhibiting a pattern of unstable relationships.
Correct Answer: B
Rationale: Borderline personality disorder is characterized by impulsivity and self-destructive behaviors, such as substance abuse, reckless driving, and self-harm. These behaviors are often used to cope with intense emotional distress and are a key feature of this disorder. While individuals with borderline personality disorder may also struggle with unstable relationships, the hallmark feature that sets it apart is the impulsivity and self-destructive behaviors. Avoiding social interactions due to fear of rejection is more characteristic of avoidant personality disorder. Having a grandiose sense of self-importance is a feature of narcissistic personality disorder.
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Which statement by a patient indicates an understanding of cognitive-behavioral therapy (CBT)?
- A. CBT will help me understand and change my thought patterns.
- B. CBT focuses on resolving past trauma.
- C. CBT will help me avoid my problems.
- D. CBT involves taking medication to manage symptoms.
Correct Answer: A
Rationale: The correct answer is A. Cognitive-behavioral therapy (CBT) is a type of psychotherapy that focuses on helping patients understand and change their thought patterns to improve their mental health. This therapy aims to identify and modify negative or harmful thoughts and behaviors. Option A correctly reflects this fundamental concept of CBT, emphasizing the role of thought patterns in mental health improvement. Choices B and C are incorrect because CBT does not primarily focus on resolving past trauma or avoiding problems; instead, it concentrates on changing cognitive patterns. Choice D is also inaccurate as CBT does not involve medication management but rather focuses on cognitive and behavioral interventions.
Which therapeutic communication technique involves restating the patient's message to ensure understanding?
- A. Clarification
- B. Reflection
- C. Summarization
- D. Paraphrasing
Correct Answer: D
Rationale: Paraphrasing is the correct therapeutic communication technique where the nurse restates the patient's message in their own words to confirm understanding. This technique helps in validating the patient's feelings and ensuring that both parties are in agreement, leading to effective communication and rapport building. Choice A, 'Clarification,' involves seeking further information to enhance understanding rather than restating the message. Choice B, 'Reflection,' involves echoing the patient's feelings to show empathy rather than restating the message. Choice C, 'Summarization,' involves condensing the main points of a conversation rather than restating a specific message.
Which of the following interventions is most effective in managing a patient with obsessive-compulsive disorder (OCD)?
- A. Encouraging the patient to engage in repetitive behaviors.
- B. Helping the patient to understand that their thoughts are irrational.
- C. Providing the patient with a structured daily routine.
- D. Allowing the patient to avoid situations that trigger their obsessions.
Correct Answer: B
Rationale: The most effective intervention in managing a patient with obsessive-compulsive disorder (OCD) is helping the patient to understand that their thoughts are irrational. This cognitive-behavioral approach can assist in reducing the frequency and intensity of obsessive thoughts and compulsive behaviors by challenging and reframing maladaptive beliefs and thought patterns associated with OCD. Encouraging the patient to engage in repetitive behaviors (choice A) reinforces the compulsive behavior rather than addressing the underlying issue. Providing a structured daily routine (choice C) may help in some cases but does not directly target the irrational thoughts and beliefs. Allowing the patient to avoid trigger situations (choice D) can provide temporary relief but does not address the core problem of irrational thoughts and behaviors.
Which of the following medications is commonly used to treat attention deficit hyperactivity disorder (ADHD)?
- A. Sertraline
- B. Diazepam
- C. Methylphenidate
- D. Clozapine
Correct Answer: C
Rationale: Methylphenidate is the correct answer. It is a stimulant medication commonly used to treat ADHD. Methylphenidate works by increasing the activity of certain chemicals in the brain that are involved in attention and impulse control. Sertraline is an antidepressant used for depression, anxiety, and other conditions, not ADHD. Diazepam is a benzodiazepine mainly prescribed for anxiety, muscle spasms, and seizures, not ADHD. Clozapine is an antipsychotic medication used for schizophrenia when other medications are ineffective, not for ADHD.
What must be considered when preparing the teaching plan for a patient diagnosed with bipolar disorder who is being prescribed lithium therapy?
- A. Caffeine and alcohol can affect lithium levels.
- B. Lithium should be taken with meals to avoid gastrointestinal distress.
- C. Regular blood tests are required to monitor lithium levels.
- D. Lithium can cause weight gain.
Correct Answer: C
Rationale: When preparing a teaching plan for a patient prescribed lithium therapy for bipolar disorder, it is crucial to emphasize the need for regular blood tests to monitor lithium levels. Monitoring levels is essential to ensure the drug's effectiveness and to manage potential side effects. While factors like caffeine and alcohol intake, taking lithium with meals, and the risk of weight gain may be relevant considerations, the primary focus should be on the necessity of regular blood tests for effective management of lithium therapy. Therefore, option C is the correct choice as it addresses a critical aspect of lithium therapy management.