Specialized Care and Population-Specific Training Flashcards
7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Specialized Care and Population-Specific Training flashcards as text
A caregiver working with a client who has borderline personality disorder should expect which of the following as a common interpersonal pattern?
Answer: Intense idealization followed by sudden devaluation of staff (splitting)
Splitting — alternating between idealizing and devaluing others — is a hallmark defense mechanism in borderline personality disorder.
Which approach is MOST appropriate when supporting a transgender patient during a physical examination?
Answer: Use the patient's affirmed name and pronouns and offer a gown that provides appropriate coverage
Using affirmed name and pronouns and offering respectful privacy practices reduces distress and builds trust with transgender patients.
A direct support professional notices a client with a traumatic brain injury has become increasingly impulsive and verbally aggressive. The most appropriate first step is to:
Answer: Consult the interdisciplinary team to review whether the behavior represents a neurological change
Behavioral changes in TBI clients may reflect neurological deterioration and require interdisciplinary review before implementing consequences.
When caring for a premature neonate in the NICU, developmentally supportive care includes which practice?
Answer: Clustering care activities to allow longer periods of undisturbed rest
Clustering care reduces handling stress and supports neurodevelopment by protecting the premature infant's sleep and energy reserves.
A social worker in a substance use treatment program is meeting with a client who relapsed after six months of sobriety. The most therapeutic response is to:
Answer: Explore the triggers leading to the relapse and reinforce the client's motivation to continue recovery
A non-judgmental, motivational approach explores relapse as a learning opportunity and sustains therapeutic alliance.
Which sign indicates a patient with heart failure is experiencing pulmonary edema and requires immediate intervention?
Answer: Pink, frothy sputum with severe dyspnea and crackles bilaterally
Pink frothy sputum, severe dyspnea, and bilateral crackles are hallmark signs of acute pulmonary edema requiring emergency intervention.
In working with veterans who have PTSD, which environmental modification most reduces hypervigilance during an outpatient appointment?
Answer: Offering a seat with a wall behind them and a clear view of the room's exit
Positioning veterans with a wall at their back and visible exits reduces the sense of threat and supports regulation of hypervigilance responses.