Author Question: A patient with a borderline personality disorder tells the nurse, My doctor tells me there's ... (Read 82 times)

Anajune7 · **on:** Jul 19, 2018

A patient with a borderline personality disorder tells the nurse, My doctor tells me there's something wrong with the hard wiring of my brain, and that's why I'm so impul-sive and get so many mood swings.

He said he's going to prescribe some medication. Being aware of current practice guide-lines, the nurse will prepare a teaching plan for:
a. Lithium (Lithobid)
b. Fluoxetine (Prozac)
c. Lorazepam (Ativan)
d. Haloperidol (Haldol)

Question 2

The nurse conducts milieu therapy based on the understanding that:

a. Therapy is grounded in the milieu routine.
b. The milieu is a substitute for the patient's family.
c. Staff represents the authority within the milieu.
d. The milieu provides realistic community interactions.

tashiedavis420 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
Fluoxetine is an SSRI. SSRIs are the medications of choice for patients with personality dis-order who have affect dysregulation and impulsivity. SSRIs have a low incidence of side ef-fects. Lithium may be used in instances of severe mood disorder. Lorazepam is used to help manage high anxiety, while haloperidol is prescribed in cases of violent behavior.

Answer to Question 2

ANS: D
The purpose of milieu therapy is to recreate a community setting on these units so that the patient is able to interact with other patient peers to identify and problem-solve issues that occur when relating to others. The milieu does not replace the patient's family. The remaining options are not true.