Which treatment has been identified as a best practice for persons with borderline personality disorder?
- A. Dialectical behavioral therapy (DBT)
- B. Cognitive Behavioral Therapy (CBT)
- C. Mindfulness-Based Cognitive Therapy (MBCT)
- D. Exposure and Response Prevention (ERP)
Correct Answer: A
Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.
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Direct observed treatment (DOT) is the appropriate treatment for patients with multi-drug-resistant tuberculosis. What is the best approach for physicians to initially take when a patient requires DOT?
- A. Immediately initiate DOT when the patient's diagnosis is confirmed
- B. Ensure the patient understands the diagnosis, the importance of the treatment, and how this will impact his/her life
- C. Alert the patient's family, friends, and coworkers of the elevated risk of tuberculosis infection
- D. Give the patient time to consider whether the DOT is within his/her budget
Correct Answer: B
Rationale: Understanding enhances patient buy-in and adherence to the rigorous DOT regimen.
Name three common tricyclic antidepressants.
- A. Amitriptyline (Elavil)
- B. Imipramine (Tofranil)
- C. Nortriptyline (Pamelor)
- D. Palpitations
Correct Answer: A
Rationale: Step 1: Identify tricyclic antidepressants as a class of medications.
Step 2: Recognize Amitriptyline, Imipramine, and Nortriptyline as commonly prescribed tricyclic antidepressants.
Step 3: Eliminate "Palpitations" as it is not a tricyclic antidepressant.
Step 4: Choose Amitriptyline (Elavil) as the correct answer due to its classification as a tricyclic antidepressant and common use in clinical practice.
What does the textbook consider the client's ultimate resource of positive, personal power?
- A. A strong therapeutic alliance
- B. Positive self-regard
- C. Free will
- D. A functional relationship with community
Correct Answer: C
Rationale: Free will empowers clients to enact change, per the text.
nnitus describe a decrease in
- A. Mental Retardation
- B. Epilepsy
- C. Hearing
- D. Vision
Correct Answer: C
Rationale: Tinnitus is a perception of noise (e.g., ringing) in the ears, linked to hearing issues.
According to the World Health Organization study, which nursing activity addresses the number one psychiatric cause of disability in the world today?
- A. Arranging for a client's transportation to Alcoholics Anonymous meetings
- B. Helping the family understand their mother's obsessive-compulsive disorder
- C. Offering a depression screening at a local school for students in grades 8 through 12
- D. Providing nursing care at a free clinic that serves the schizophrenic population in a large city
Correct Answer: C
Rationale: The correct answer is C because offering a depression screening at a local school for students in grades 8 through 12 addresses the number one psychiatric cause of disability in the world today, according to the World Health Organization study. Depression screening in schools can help identify mental health issues early, leading to timely intervention and support for students. This proactive approach aligns with the WHO's focus on addressing mental health challenges globally.
Choices A, B, and D are incorrect because they do not directly address the number one psychiatric cause of disability as identified by the WHO study. Arranging transportation to Alcoholics Anonymous meetings, helping a family understand OCD, and providing nursing care for the schizophrenic population are important activities but do not specifically target the primary psychiatric cause of disability worldwide.
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