The PMHNP is treating a 26-year-old woman who has borderline personality disorder (BPD). Today, the client says her most recent breakup has left her "completely devastated" and she is thinking about cutting herself. The PMHNP knows dialectical behavioral therapy (DBT) is the most effective form of therapy for patients with BPD. In this case, which of the following would be a goal of DBT?
To decrease accurate communication of emotions and competencies
To increase self-invalidation
To decrease emotional reactivity
To increase crisis-generating behaviors
The Correct Answer is C
Choice A reason: DBT aims to improve emotional regulation and interpersonal effectiveness, which includes enhancing accurate communication of emotions and competencies. Decreasing such communication is contrary to DBT goals.
Choice B reason: Self-invalidation is a maladaptive behavior often seen in BPD. DBT works to reduce self-invalidation and promote self-acceptance and validation.
Choice C reason: A core goal of DBT is to decrease emotional reactivity by teaching mindfulness, distress tolerance, and emotion regulation skills. This helps clients respond to emotional triggers more adaptively.
Choice D reason: DBT seeks to reduce crisis-generating behaviors such as self-harm and impulsivity. Increasing such behaviors would be counterproductive and is not a therapeutic goal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Divalproex is associated with a high risk of neural tube defects and other congenital malformations when used during pregnancy, especially in the first trimester. It is not considered a safe alternative.
Choice B reason: Lithium carries a risk of cardiac malformations, particularly Ebstein’s anomaly, when used during the first trimester. Its safety profile is complex and requires careful monitoring, especially during early pregnancy.
Choice C reason: Carbamazepine is also teratogenic and associated with neural tube defects. It is not considered a safe alternative during pregnancy.
Choice D reason: Clonazepam, a benzodiazepine, has not been strongly linked to major fetal malformations. While caution is still advised due to risks of neonatal withdrawal and
Correct Answer is B
Explanation
Choice A reason: Belladonna is considered psychoactive due to its anticholinergic properties. It can cause hallucinations, confusion, and delirium, especially in high doses. It affects the central nervous system and is not classified as nonpsychoactive.
Choice B reason: Black cohosh is primarily used for menopausal symptoms and hormonal regulation. It does not exert direct effects on the central nervous system and is not associated with mood or cognitive alterations, making it nonpsychoactive.
Choice C reason: Ginseng has stimulant-like effects and can influence mood, energy levels, and cognitive function. It interacts with neurotransmitter systems and is considered psychoactive.
Choice D reason: Melatonin is a hormone that regulates sleep-wake cycles. Although it is naturally occurring, its supplementation affects circadian rhythms and has sedative properties, classifying it as psychoactive.
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