The nurse has recently set limits for a client with borderline ...

[mwit1967]

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 I was mistaken.
  You're hateful..
 
  This outburst can be assessed as
  a. splitting.
  b. denial.
  c. reaction formation.
  d. separation-individuation strategies.

Question 2

A client with bipolar disorder who had a relapse after discontinuing lithium has orders for
  chlorpromazine (Thorazine) four times daily and twice-daily lithium.
 
  The nurse's planning will be
  aided if he understands that use of the phenothiazine will
  a. bring hyperactivity under rapid control.
  b. enhance the antimanic action of lithium.
  c. minimize the side effects of lithium.
  d. be used for long-term control of hyperactivity.

[jennafosdick]

Answer to Question 1

A
Splitting involves loving a person, then hating the person because the client is unable to recognize
that an individual can have both positive and negative qualities. Option B: Denial is unconsciously
motivated refusal to belief something. Option C: Reaction formation involves unconsciously doing
the opposite of a forbidden impulse. Option D: Separation-individuation strategies refer to childhood
behaviors related to developing independence from the caregiver.

Answer to Question 2

A
Manic symptoms are controlled by lithium only after a therapeutic serum level is attained. Because
this takes several days to accomplish, a drug with rapid onset is necessary to reduce the
hyperactivity initially. Options B and C: Phenothiazines neither enhance lithium's antimanic activity
nor minimize the side effects. Option D: Lithium will be used for long-term control.