ATI RN
ATI N200 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
The nurse has recently set limits for a client with borderline personality disorder. The client yells at the nurse "You used to care about me. I thought you were wonderful. Now I can see that I was mistaken. You are hateful." This outburst can be assessed as:
Correct Answer: D
Rationale: The correct answer is D: Splitting. This client's behavior of idealizing the nurse as caring and wonderful, then suddenly demonizing her as hateful is characteristic of splitting, a defense mechanism commonly seen in borderline personality disorder. Splitting involves viewing people or situations as all good or all bad, with no middle ground. The client's extreme shift in perception of the nurse reflects this black-and-white thinking.
A: Denial is the refusal to accept reality, which is not demonstrated in this scenario.
B: Separation-individuation refers to the process of developing a distinct identity separate from others, not applicable here.
C: Reaction formation involves expressing the opposite of one's true feelings, which is not evident in the client's outburst.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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