A patient with borderline personality disorder experiences intense anxiety when an adult psychiatric
and mental health nurse practitioner goes on
... [Show More] vacation. The best explanation for this reaction is that
the patient:
A. has failed to develop clear ego boundaries.
B. has failed to master object constancy.
C. is employing primitive idealization.
D. is employing projective identification. Correct Answer: B. has failed to master object constancy
2. A patient has been taking escitalopram (Lexapro) 10 mg daily for four weeks. Initially, the patient
reported depression and suicidal thoughts. The patient's sleep, appetite, energy, and appearance
have now begun to improve. Which statement applies to this patient?
A. The medication should be discontinued.
B. The medication should be increased.
C. The patient's risk for suicide is not a concern.
D. The patient's suicide potential is increased. Correct Answer: D. The patient's suicide potential is
increased.
3. Which behavior reflects existentially oriented therapy?
A. Attempting to understand a patient's subjective world
B. Challenging a patient's irrational beliefs
C. Developing specific plans for change
D. Establishing general group goals Correct Answer: A. Attempting to understand a patient's
subjective world
4. Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner
provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the
survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse
practitioner responds by:
A. advising the survivors to consider using a hypnotic medication for a brief period.
B. educating the survivors about prodromal symptoms of posttraumatic stress disorder.
C. encouraging the survivors to rest during the day.
D. suggesting that the survivors join a posttrauma support group. Correct Answer: B. educating the
survivors about prodromal symptoms of posttraumatic stress disorder.
5. An adult psychiatric and mental health nurse practitioner uses the interpersonal therapy model with
a patient to establish a therapeutic alliance based upon empathy and trust. The nurse practitioner
recognizes the patient's readiness to terminate therapy when the patient demonstrates:
A. an understanding that leaving a significant other may be painful, but also presents an opportunity
for growth.
B. breathing and muscle relaxation exercises that decrease muscle tension and anxiety.
C. free association, and considers the nurse practitioner's interpretation of the patient's dreams.
D. new adaptive skills and responses after completing "homework assignments." Correct Answer: A.
an understanding that leaving a significant other may be painful, but also presents an opportunity for
growth [Show Less]