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Personality and Impulse DisordersPsychiatric Nursing: Contemporary Practice

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What is Lineham's theory regarding borderline personality disorder?
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The combination of a person's innate emotional vulnerability, emotional dysregulation (lack of control), and an environment that invalidates their emotions leads to borderline personality disorder.
What is the most severe form of emotional invalidation (thought to be a component of the development of borderline personality disorder)?
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Child sexual abuse situations where a child is told their feelings of fear, pain and sadness aren't correct emotions
__________ is a behavioral pattern of borderline personality disorder characterized by pervasive difficulties regulating negative emotions, including a high sensitivity to negative emotional stimuli, high emotional intensity and slow return to emotional baseline.
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Emotional vulnerability
__________ is a behavioral pattern of borderline personality disorder characterized by a failure to recognize one's own emotional responses, thoughts, beliefs, and behaviors and sets unrealistically high expectations for themselves. Demonstrates no personal awareness and tends to blame social environment for unrealistic expectations and demands.
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Self-invalidation
__________ is a behavioral pattern of borderline personality disorder characterized by experiencing patterns of frequent, stressful, negative environmental events, disruptions, and roadblocks.
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Unrelenting crisis
__________ is a behavioral pattern of borderline personality disorder characterized by inhibiting or over controlling negative emotional responses, especially those associated with grief and loss, including sadness, anger, guilt, shame, anxiety and panic.
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Inhibited grieving
___________ is a behavioral pattern of borderline personality disorder characterized by failing to actively engage in solving own life problems but will actively seek problem solving from others, learned helplessness and hopelessness.
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Active passivity
______________ is a behavioral pattern of borderline personality disorder characterized by a tendency for the individual to appear deceptively more competent than they are.
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Apparent competence
What is dialectical behavior therapy?
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A combination of cognitive and behavioral therapy strategies to improve problem solving skills, emotional regulation, distress tolerance, and emotion identification. It is commonly used to treat patients with borderline personality disorder .
Dialectical behavior therapy involves utilizing skill groups as an integral part of therapy. What is a skill group?
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A group where patients (usually with borderline personality disorder) practice emotional regulation, interpersonal effectiveness, distress tolerance, core mindfulness and self-management skills.
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________ skills involve helping a patient label and analyze the context of emotions and develop strategies to reduce emotional vulnerability. Patients are taught to identify and describe emotions without judging them as good or bad. These skills are typically taught in a skill group.
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Emotion regulation skills
________ skills include the development of assertiveness and problem-solving skills within the context of relationships. These skills are typically taught in a skill group.
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Interpersonal effectiveness skills
_______ are the psychological and behavioral versions of meditation skills to help a person improve observations, description, and participation skills by learning to focus the body and mind on a current activity. These skills are typically taught in a skill group.
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Mindfulness skills
________ skills help an individual tolerate and accept distress as a normal part of life. These skills are typically taught in a skill group.
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Distress tolerance
___________ skills focus on helping patients control, manage, or change behaviors, thoughts, or emotional responses to events. These skills are typically taught in a skill group.
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Self-management skills
What are the usual family dynamics of a person with borderline personality disorder?
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The families are typically chaotic, the family members feel captive to the patient and often feel burned out, leading to withdrawal from the patient.
What two conditions have a high comorbidity with borderline personality disorder?
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Substance abuse and eating disorders
What are the recommendations for enhancing sleep for patients with borderline personality disorder?
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Exhaust all conservative approaches before prescribing medications, including establishing a regular bedtime routine, monitoring snacks and drinks, and eliminating foods/drinks that impact sleeping.
What is an important intervention for prevention of self-injury in patients with borderline personality disorder?
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Observe for the antecedents of self-injurious behavior, assess mood, level of distress and agitation and intervene before an episode occurs.
How does self-injury sooth patients with borderline personality disorder?
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Self-injury releases endogenous endorphins
What is the Five Senses Exercise and what is it used to prevent?
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It is used to teach patients with borderline personality disorder other ways to sooth themselves other than self-injury. It includes things like looking at stars, leaves (vision), listening to music (hearing), lighting fragrant candles (smell), drinking a warm, soothing beverage (taste) or taking a bubble bath, petting an animal, getting a massage (touch).
  
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