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A patient with borderline B. has failed to master object constancy
personality disorder
experiences intense
anxiety when an adult
psychiatric and mental
health nurse practitioner
goes on 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.
,2. A patient has been D. The patient's suicide potential is increased.
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.
3. Which behavior reflects A. Attempting to understand a patient's subjective
existentially oriented world
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
, 4. Serving as a member on B. educating the survivors about prodromal symptoms
a crisis team, an adult of posttraumatic stress disorder.
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.