Paula, age 23, a pharmacist, was brought to the emergency room by her parents for laceration in her wrists. She appeared mildly depressed and in a sullen mood. Assessment data revealed that she had two previous suicidal attempts.
86. A borderline patient manifests this typical characteristic:
A. Extreme suspiciousness
B. Withdrawn behavior
C. Very compulsive regarding hygiene and work habits
D. Impulsive behavior that is self damaging
87. The nurse is aware that borderline patients do not use this defense mechanism to reduce anxiety:
A. Splitting
B. Repression
C. Projection
D. Sublimation
88. Initial nursing diagnosis would be:
A. Self esteem disturbance
B. Altered thought process
C. Ineffective individual coping
D. Altered sensory-perceptual perception
89. An antidepressant drug was ordered for Paula. This is:
A. Diazepam (Valium)
B. Haloperidol (Haldol)
C. Chlopromazine (Thorazine)
D. Imipramine hydrochoride (Tofranil)
90. With the short term goal: The patient will participate in a therapeutic nurse-patient relationship, a relevant nursing intervention is:
A. Communicate acceptance of the patient as a person
B. Plan a schedule of activities that can be carried out daily
C. Give honest praise for accomplishments
D. Set limits on inappropriate behavior
