A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?
Splitting
Regression
Denial
Reaction formation
The Correct Answer is A
A. Splitting is a defense mechanism in which the client perceives people or situations as all good or all bad, with no middle ground. This can create conflict and division among healthcare team members, as the client may idealize one staff member while devaluing another, potentially disrupting team cohesion and continuity of care.
B. Regression involves reverting to earlier developmental behaviors (e.g., childish or dependent actions) under stress, but it does not typically cause division among staff.
C. Denial is the refusal to acknowledge reality or facts of a situation. While it can affect treatment adherence, it does not usually create interpersonal conflict among caregivers.
D. Reaction formation is the expression of behavior that is opposite to true feelings (e.g., acting overly friendly toward someone the client dislikes). While it may be confusing, it generally does not have the same divisive effect on the healthcare team as splitting.
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Related Questions
Correct Answer is D
Explanation
A. Socioeconomic status does not prevent or protect against the development of personality disorders; these disorders occur across all social and economic groups.
B. While parenting style can influence behavior, strict parental guidelines alone are not a primary cause of personality disorders.
C. Personality disorders are not diagnosed in children under 10, as personality traits are still developing; diagnosis typically occurs in late adolescence or adulthood.
D. Childhood emotional trauma, neglect, or abuse is commonly associated with the development of personality disorders, as early adverse experiences can influence emotional regulation, interpersonal relationships, and coping mechanisms later in life.
Correct Answer is ["15"]
Explanation
Step 1: Convert ounces to milliliters
1 oz = 30 mL
0.5 oz × 30 = 15 mL
Step 2: Determine volume to administer
The nurse will administer the furosemide in the entire 0.5 oz (15 mL) of apple juice.
Final Answer: 15 mL
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