A 26-year-old woman with a history of suicide attempts and unstable romantic relationships has tried many forms of medications without success. Which form of therapy will be most effective for her?
Cognitive behavioral therapy
Solution-focused therapy
Humanistic therapy
Dialectical behavioral therapy
The Correct Answer is D
Choice A reason: Cognitive behavioral therapy (CBT) is effective for many mood and anxiety disorders, but it may not adequately address the emotional dysregulation, impulsivity, and interpersonal instability seen in borderline personality disorder, which this case suggests.
Choice B reason: Solution-focused therapy is brief and goal-oriented, emphasizing future solutions rather than past problems. While helpful for some clients, it lacks the depth and structure needed to manage chronic suicidality and emotional instability.
Choice C reason: Humanistic therapy focuses on personal growth and self-actualization. It emphasizes empathy and unconditional positive regard but may not provide the behavioral tools necessary for managing high-risk behaviors and emotional dysregulation.
Choice D reason: Dialectical behavioral therapy (DBT) was specifically developed for individuals with borderline personality disorder and chronic suicidality. It combines cognitive-behavioral techniques with mindfulness and emotion regulation strategies. DBT has strong evidence for reducing self-harm, improving emotional regulation, and enhancing interpersonal effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Emotional cutoffs refer to the act of distancing oneself emotionally from others, often to manage unresolved issues. This does not reflect a healthy or stable sense of self-worth, but rather a defensive strategy.
Choice B reason: Transactional patterns describe repetitive interpersonal exchanges, often rooted in learned behaviors. These patterns do not inherently reflect self-worth or independence from external validation.
Choice C reason: Differentiation is the ability to maintain one's sense of self while remaining emotionally connected to others. It reflects a mature psychological state where self-worth is internally regulated and not dependent on external factors.
Choice D reason: Enmeshment involves blurred boundaries in relationships, where individuals lose their sense of self in others. This is the opposite of differentiation and indicates dependence on external validation for self-worth.
Correct Answer is B
Explanation
Choice A reason: Serotonin syndrome results from excessive serotonergic activity, often due to drug interactions or overdose. It presents with hyperreflexia, agitation, and autonomic instability, not flu-like symptoms or brain zaps.
Choice B reason: Serotonin discontinuation syndrome occurs when SSRIs like escitalopram are abruptly stopped. Symptoms include dizziness, nausea, fatigue, flu-like symptoms, and brain zaps. This syndrome is common with short half-life SSRIs and matches the patient’s presentation.
Choice C reason: Extrapyramidal symptoms are motor-related side effects of antipsychotics, including tremors, rigidity, and dystonia. They are unrelated to SSRI discontinuation.
Choice D reason: Neuroleptic malignant syndrome is a life-threatening reaction to antipsychotics, characterized by muscle rigidity, fever, and autonomic instability. It does not occur with SSRI withdrawal.
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