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Author Question: A patient with a borderline personality disorder tells the nurse, My doctor tells me there's ... (Read 131 times)

Anajune7

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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.


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tashiedavis420

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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.


Anajune7

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Reply 2 on: Jul 19, 2018
Great answer, keep it coming :)

mochi09

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  • Posts: 335
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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