Campus Collusion
Review Questions for Test Preparation

       
    

  



Personality and Impulse DisordersPsychiatric Nursing: Contemporary Practice

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 5
Skip Navigation Links
Question Answer
What is the Five Senses Exercise and what is it used to prevent?
Show Answer
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).
What are the medication recommendations to treat patients with borderline personality disorder?
Show Answer
Less medication is better, and only for target symptoms for a short time period.
What medications are recommended to reduce impulsivity in patients with borderline personality disorder?
Show Answer
Drugs that potentiate GABA, like lamotrigine/Lamictal, gabapentin/Neurontin, and topiramate/Topamax.
What is the medication recommendation for a patient with borderline personality disorder who demonstrates impulsivity and aggression?
Show Answer
Divalproex (potentiates GABA)
What medication is typically prescribed to reduce anxiety in patients with borderline personality disorder?
Show Answer
BuSpar/buspirone
Patients who have been on ____________ medications for anxiety typically don't experience much improvement if switched to buspirone/BuSpar and they may experience significant withdrawal symptoms.
Show Answer
Benzodiazepine
Why should unusual side effects in patients with borderline personality disorder be documented and reported?
Show Answer
Patients with borderline personality disorder appear to be more sensitive to many medications and more likely to experience side effects.
A pattern of repetitive, significant trauma and loss, together with an inability to fully experience and personally integrate or resolve the events is referred to as?
Show Answer
Inhibited grieving, a common characteristic of borderline personality disorder
What is the underlying cause of impulsivity in patients with borderline personality disorder?
Show Answer
Rapid nerve firing in the mesolimbic area of the brain
What interventions can help a patient with borderline personality disorder control impulsivity?
Show Answer
Teaching them to deep breathe or count to 10 to slow down automatic responses and allow time for thinking before acting.
Download these questions to your phone here
How can the presence of dichotomous thinking be assessed for?
Show Answer
Ask a patient how they view other people. If they have very black/white perceptions (i.e. bad/terrible, good/wonderful) dichotomous thinking is present.
How can a history of dissociation or transient psychotic episodes be assessed for in patients with borderline personality disorder?
Show Answer
Ask if there was ever a time the patient doesn't remember an event or if they have had feelings of being separate from his/her body. If yes, determine what was happening that triggered the event.
What are interventions to help a patient with borderline personality disorder who uses dissociation to cope?
Show Answer
Teach stress management strategies and how to ground themselves when dissociating (planting feet on ground and breathing in and out in counts of 4, then touching an item or concentrating on something within the environment).
When addressing negative behaviors in patients with borderline personality disorder, how should a nurse handle a patient who is being purposefully irritating?
Show Answer
If a behavior is irritating but not harmful or demeaning, it should be ignored. Focusing on it can be a form of negative reinforcement.
What is the basic goal related to emotional regulation in patients with borderline personality disorder?
Show Answer
Help the patient identify feelings and gain control over expressions of anger, disappointment or frustration and build tolerance for the emotions without acting out on them.
What is the communication triad?
Show Answer
A three part sentence used for managing feelings which identifies the feeling, express it and seek relief. It includes an I statement which identifies the feeling, a nonjudgmental statement of the emotional trigger and what the patient would like differently to restore comfort. Ex: I feel angry when you leave dishes in the sink, I would like you to put them in the dishwasher.
What is thought stopping?
Show Answer
Telling oneself to stop that and engage in a distraction technique to avoid ruminating on negative emotions and thoughts.
What are the three activities that are associated with the process of thought stopping?
Show Answer
Take a deep breath when the unwanted behavior/thought is detected, visualizing a stop sign or stating stop, and deliberately replacing the negative behavior with a neutral or positive one.
What interventions are useful for challenging dysfunctional thinking in patients with borderline personality disorder?
Show Answer
Challenge catastrophic thinking by asking what the worst thing that could happen would be, how likely it is that it would occur, and alternatives to the extremes. Ask the patient to keep journals of interactions to test the reality of their thinking. Encourage problem solving by having a patient debate both sides of a problem.
You have a patient with borderline personality disorder that has a history of transient psychotic episodes. What interventions can help this patient?
Show Answer
Teach and practice distress tolerance skills including identifying early internal cues of distress, deep breathing exercises, and the ACCEPTS mnemonic.
What does ACCEPTS stand for when used as a mnemonic for managing transient psychotic episodes in patients with borderline personality disorder?
Show Answer
A-activities to distract from stress, C-contributing to others (volunteering), C-comparing self to less fortunate, E-emotions that are opposite to what is currently experienced, P-pushing away from situation for awhile, T-thoughts that are different from current ones, S-sensations that are intense like holding ice. Used to tolerate painful feelings or events.
  
Page 5 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links