nur 253 Mental health Exam 3 newest update
2026/2027
Different ways to diagnose/treat people ......ANSWER......• Admit to
hospital
• Partially hospitalized
• In day treatment settings
Milieu management is a significant part of treatment ......ANSWER......o
Goal is to manage pt affect in group context
Community meetings
Coping skills group
Socialization groups
• When behaviors emerge ......ANSWER......o Calmly review therapeutic
goals
o boundaries of treatment
o avoid rejection and rescuing
• Assess for suicide intentions
Dependent Personality Disorder ......ANSWER......thought to be a result
of chronic physical illness, punishment, indecent behavior or
independent behavior in childhood, inherited trait of submissiveness,
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dependent personality disorder-• What is important when planning
their care? ......ANSWER......o Empathy
o Independence
dependent personality disorder-characteristics ......ANSWER......o Clingy
o Submissive
o Fear of separation
o Difficulty making everyday decisions
o Dependent on other people to do things for them
o Need others to assume responsibility for the major areas in their life
o Do not express any kind of disagreement
o Difficulty in initiating projects or doing things on their own
o Helpless or uncomfortable being alone
Due to fears of being unable to care for themselves
Borderline Personality Disorder- ......ANSWER......Thought to be a result
of early abandonment which results in an unstable view of self and
others
Borderline personality disorder-important in planning care
......ANSWER......• Importance of maintaining a calm and matter of fact
response
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• Don't give in to the persuasion of these patients trying to manipulate
• Give rules, don't sugar coat, and be consistent
o Behavioral contracts
• Goal is to get these patients to verbalize when they want to hurt
either themselves or others.
Borderline personality disorder-characteristics ......ANSWER......o
Dramatic
o Instability in emotional regulation and interpersonal relationships
o Impulsiveness
Spending money
Binge eating
Sex
Substance abuse
Reckless driving
o Identity of self-image distortions
o Unstable mood and affect
Borderline personality disorder-Ineffective and harming self-soothing
habits ......ANSWER......Cutting
Promiscuous sexual behavior
Numbing with substance abuse (most common)
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