The focus of dialectical behavioral therapy (DBT) for patients with a borderline personality disorder includes each of the following, except:
Correct Answer D:
Uncovering unconscious conflicts is a component of psychoanalytic or psychodynamic psychotherapy. DBT is a more practical type of therapy developed by Marsha Linehan and her colleagues aimed at reducing inappropriate behaviors and teaching skills to handle surges of emotion. Strategies include teaching the patient to do a chain analysis of what led up to an identified problematic event and identifying what alternatives could have been taken to avoid the event. Both individual and classroom group scenarios are utilized in DBT.
Each of the following personality disorders is followed by correct descriptions of expected associated behaviours, except:
Correct Answer B:
Schizoid personality disorder is associated with behaviors of withdrawal and seeking isolation and privacy. A dependent personality disorder is unusually submissive, clinging, and indecisive with a childlike need to be taken care of by others.
Each of the following statements about alcohol withdrawal is true, except:
Correct Answer A:
The withdrawal syndrome may occur any time after the blood alcohol level begins to fall.
A 56-year-old male presents to the emergency department. After proper assessment and initiation of thiamine, folate, and multivitamins, the patient is admitted to the inpatient unit. Laboratory studies are normal except for several abnormal liver function tests.
Which of the following class of medications is indicated for this alcohol-withdrawing patient to prevent further withdrawal symptoms?
Correct Answer E:
Benzodiazepines are the mainstay of the treatment for alcohol withdrawal.
This patient’s impaired liver functioning requires a shorter-acting agent such as lorazepam or oxazepam.
All of the following will be seen in alcohol withdrawal, except:
Alcohol withdrawal refers to a group of symptoms that may occur from suddenly stopping the use of alcohol after chronic or prolonged ingestion.
Mild to moderate physical symptoms include: headache, sweating, especially the palms of the hands or the face, nausea, vomiting, loss of appetite, insomnia, sleeping difficulty, paleness, rapid heart rate (palpitations), pupils different size (enlarged, dilated pupils), clammy skin, abnormal movements, tremor of the hands, involuntary and abnormal movements of the eyelids.
Severe symptoms include: A state of confusion and hallucinations (visual) known as delirium tremens, agitation, fever, convulsions and black outs.
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