A nurse set limits for a patient with a borderline personality ...

[KWilfred]

A nurse set limits for a patient with a borderline personality disorder. The patient tells the nurse, You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're terrible. This outburst can be assessed as:
 
  a. denial.
  b. splitting.
  c. reaction formation.
  d. separation-individuation strategies.

Question 2

What is the priority intervention for a nurse beginning to work with a patient with a schizotypal personality disorder?
 
  a. Respect the patient's need for periods of social isolation.
  b. Prevent the patient from violating the nurse's rights.
  c. Engage the patient in many community activities.
  d. Teach the patient how to match clothing.

[nicoleclaire22]

Answer to Question 1

ANS: B
Splitting involves loving a person and then hating the person; the patient is unable to recognize that an individual can have both positive and negative qualities. Denial is an unconscious motivated refusal to believe something. Reaction formation involves unconsciously doing the opposite of a forbidden impulse. Separation-individuation strategies refer to childhood behaviors related to developing independence from the caregiver.

Answer to Question 2

ANS: A
Patients with schizotypal personality disorder are eccentric and often display perceptual and cognitive distortions. They are suspicious of others and have considerable difficulty trusting. They become highly anxious and frightened in social situations, thus the need to respect their desire for social isolation. Teaching the patient to match clothing is not the priority intervention. Patients with schizotypal personality disorder rarely engage in behaviors that violate the nurse's rights or exploit the nurse.