The nurse has recently set limits for a client with borderline personality disorder. The client tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful." This outburst can be assessed as:

denial.

separation-individuation.

splitting.

reaction formation.

Answer and Explanation

The Correct Answer is C

C. Splitting is characterized by viewing people and situations in extremes, either all good or all bad, without recognizing the complexity that usually exists in most circumstances. This black-and-white thinking can lead to rapidly shifting perceptions of others, as seen in the client's sudden change from idealizing the nurse to devaluing them.
A. Denial is a defense mechanism where the individual refuses to accept reality or acknowledge an aspect of reality that is apparent to others. In this scenario, the client is not denying any aspect of reality.
B. Separation-individuation is a developmental process where individuals establish autonomy and a sense of self separate from others, particularly from primary caregivers. This process is more relevant in infancy and early childhood.
D. Reaction formation is a defense mechanism where an individual behaves in a manner opposite to their true feelings or impulses. In this scenario, the client's expression of hatred towards the nurse does not appear to be a case of reaction formation, as there is no indication that the client actually harbors feelings of care or admiration towards the nurse.

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Correct Answer is D

Explanation

D. Chiropractic therapy involves the manual manipulation of the spine to correct vertebral subluxations, which are misalignments or partial dislocations of the vertebrae. Chiropractors use specific techniques to adjust the spine, aiming to restore proper alignment, reduce nerve interference, and improve overall function.

A. Massage therapy can be beneficial for certain musculoskeletal issues and overall wellness but it typically does not involve the manipulation of vertebrae to correct subluxation.
B. Allopathic therapy refers to conventional Western medicine, which includes treatments such as pharmaceutical drugs, surgery, and other interventions aimed at treating diseases or symptoms. Allopathic medicine does not typically involve spinal manipulation for correcting subluxation.
C. Therapeutic Touch is a holistic therapy that involves the practitioner using their hands near the patient's body to detect and manipulate the body's energy field with the goal of promoting healing and relaxation. However, it does not involve direct manipulation of the vertebrae to correct subluxation.

A. the client should express feelings and not keep them inside. B. therapeutic activities provide an outlet for tension. C. acceptance and trust convey feelings of security to the client. D. focusing on the behaviors of an individual increases the person's self-esteem

Correct Answer is C

Explanation

C. Acceptance and trust create a sense of safety and security for the client within the therapeutic relationship. When the client feels accepted and valued by the nurse, they are more likely to feel comfortable opening up and engaging in the therapeutic process.
A. Establishing a therapeutic alliance provides a safe and supportive environment for the client to express their feelings without fear of judgment or rejection. However, therapeutic alliance goes beyond this.
B. Therapeutic activities can indeed provide an outlet for tension and stress but the establishment of a therapeutic alliance goes beyond engaging in specific activities.
D. Focusing on positive behaviors and strengths can contribute to building self-esteem. However, the establishment of a therapeutic alliance involves more than just focusing on behaviors.

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The nurse has recently set limits for a client with borderline personality disorder. The client tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful." This outburst can be assessed as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse understands that when a practitioner corrects subluxation by manipulating the vertebrae of the spinal column, the practitioner is employing which therapy?

Correct Answer is D

Explanation

The nurse working with a teen, who has a history of being moody and withdrawn, will make the establishment of a therapeutic alliance a priority because:

Correct Answer is C

Explanation

An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected?

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The nurse is caring for a client who just received naloxone. Which nursing intervention is highest priority?

A client with borderline personality disorder reported to the nurse in the clinic that they feel empty and anxious and wants to cut their arms. The nurse should:

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The nurse is planning a psycho-education group for clients diagnosed with borderline personality disorder. The nurse understands that which aspect of group intervention is most essential initially to establish a trusting nurse-patient relationship?

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