A 30-year-old female patient is admitted to the psychiatric…

A 30-year-old female patient is admitted to the psychiatric unit. During the morning shift, she tells the primary nurse, “You are the only one who understands me; the night nurse was incompetent and cruel.” By the afternoon, she is shouting at the same primary nurse, accusing her of being “uncaring” because the nurse denied a request for an extra snack. This defense mechanism, common in Borderline Personality Disorder, is known as:

A 28-year-old female with a history of Opioid Use Disorder p…

A 28-year-old female with a history of Opioid Use Disorder presents to the clinic. She recently discovered she is 8 weeks pregnant and is motivated to treat her addiction, but she is terrified that “detoxing” will harm the baby. What is the current standard of care recommendation for this patient?

A 45-year-old man lives in a cluttered apartment filled with…

A 45-year-old man lives in a cluttered apartment filled with old newspapers, broken appliances, and worn-out clothes. He refuses to throw anything away, insisting, “I might need this someday,” even though the items are useless. He is miserly with his money, living well below his means to save for a future catastrophe. This behavior describes a criterion for:

A patient tells you that he has not spoken to his brother in…

A patient tells you that he has not spoken to his brother in 15 years. When asked why, he explains that his brother once made a joke about his haircut at a family gathering. The patient states, “I never forgive and I never forget.” He is generally cold, holds grudges persistently, and questions the loyalty of his wife without justification. This behavior is most indicative of:

When working with a patient who has a Cluster B personality…

When working with a patient who has a Cluster B personality disorder (specifically Antisocial or Borderline), the patient attempts to manipulate the staff by pitting them against one another to gain special privileges. What is the most effective nursing intervention to manage this behavior?

A 35-year-old woman presents to the clinic with complaints o…

A 35-year-old woman presents to the clinic with complaints of anxiety. She reveals that she has stayed in a verbally abusive relationship for 10 years because she is terrified of being alone. She admits that she often volunteers to do unpleasant tasks at work just to get her coworkers to like her and support her. She feels completely helpless when she has to make a decision on her own. This fits the profile of: