d.schizotypal personality disorder (STPD). Show Rationale: The main traits that describe STPD are psychoticism such as eccentricity, odd or unusual beliefs and thought processes, and social detachment by preferring to be socially isolated, as well as being overly suspicious or anxious. In obsessive-compulsive personality disorder the main pathological personality traits are rigidity and inflexible standards of self and others, along with persistence of goals long after they are necessary, even if they are self-defeating or negatively affect relationships. People with narcissistic personality disorder come across as arrogant, with an inflated view of their self-importance. They have a need for constant admiration, along with a lack of empathy for others, a factor that strains most relationships over time. Traits of avoidant personality disorder include low self-esteem, feelings of inferiority compared with peers, and a reluctance to engage in unfamiliar activities involving new people. 14. Which client situation should a nurse identify as reflective of the impulsive behavior that is commonly associated with borderline personality disorder? A. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and whispers, "The night nurse is evil. You have to stay." B. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm and states, "I will be up all night if you don't stay with me." C. As the day shift nurse leaves the unit, the client suddenly hugs the nurse's arm, yelling, "Please don't go! I can't sleep without you being here." D. As the day shift nurse leaves the unit, the client suddenly shows the nurse a bloody arm and states, "I cut myself because you are leaving me." Recommended textbook solutionsSocial Psychology10th EditionElliot Aronson, Robin M. Akert, Timothy D. Wilson 525 solutions Social Psychology10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson 525 solutions Myers' Psychology for AP2nd EditionDavid G Myers 900 solutions HDEV56th EditionSpencer A. Rathus 380 solutions
Terms in this set (22)Splitting is a process in which the client demonstrates what behavior? Unconsciously represses undesirable aspects of self Sees things as divided into "all good" or "all bad" Splitting demonstrates the failure to integrate the positive and negative into a cohesive whole. An individual is not seen as a person with good and bad traits, but rather as all good or all bad. This behavior does not relate to any of the other options.REF: 463-464 Playing one staff member against another is an example of what defense mechanism? Devaluation Splitting Splitting involves setting up individuals or groups to disagree. While the two parties are busy disagreeing, they are too busy to maintain consistent limits for the manipulative client. The client can enjoy the spectacle and do as he or she pleases. The example provided does not effectively describe any of the other options.REF: 463-464 Which characteristics will the nurse assess in the client diagnosed with antisocial personality? Deceitfulness, impulsiveness, and lack of empathy Deceitfulness, impulsiveness, and lack of empathy Antisocial clients have no conscience. Their sense of right and wrong is impaired, and they tend to do whatever serves them best without consideration for the rights or feelings of others. Characteristics presented in the other options are not associated with this disorder.REF: 459 Research has indicated that the antisocial personality may be characterized by what behavior? Social isolation Lack of remorse Individuals with an antisocial personality exhibit a lack of remorse when confronted with the results of their thoughtless, irresponsible behavior toward others. This disorder is not associated with any other behaviors suggested by the remaining options.REF: 459 The client, diagnosed with which personality disorder, will most likely require admission to a psychiatric unit? Paranoid personality disorder Borderline personality disorder Clients with borderline disorder can decompensate into psychotic states under stress. Hospitalization is needed at these times. Psychosis is not generally associated with the other options.REF: 464 Which statement is descriptive of clients with a personality disorder? They are resistant to
behavioral change. They are resistant to behavioral change. Personality disorders are deeply ingrained and pervasive. Clients with personality disorders find it very difficult, if not nearly impossible, to change. Change proceeds very slowly. None of the other options are generally associated with this disorder.REF: 458 What characteristic behaviors will the nurse assess in the narcissistic client? Dramatic expression of emotion, being easily led Grandiose, exploitive, and rage-filled behavior Narcissistic clients give the impression of being invulnerable and superior to others to protect their fragile self-esteem. None of the other options provide a description associated with narcissism.REF: 456 A client arrested for an assault in which he savagely beat a classmate states, "The guy deserved everything he got." The behaviors described are most consistent with the clinical picture of which disorder? Antisocial personality disorder Antisocial personality disorder Clients with antisocial personality act out feelings without consideration for the rights of others. They feel no remorse for their antisocial acts. The description provided is not associated with any of the other suggested options.REF: 459 A nurse caring for a client who has been diagnosed with a personality disorder should expect that the client will exhibit which behaviors? Frequent episodes of psychosis Inflexible and maladaptive responses to stress Personality patterns persist unmodified over long periods of time. Inflexible and maladaptive responses to stress are characteristic of individuals with a personality disorder. The other options present behaviors not necessarily associated with this disorder.REF: 458 When providing care for a client diagnosed with borderline personality disorder, the nurse will need to consider strategies for dealing with which of the client's classic characteristics? Mood shifts, impulsivity, and splitting Mood shifts, impulsivity, and splitting Borderline personality disorder has the central characteristic of instability in affect, identity, and relationships. Borderline individuals desperately seek relationships to avoid feeling abandoned, but they often drive others away with excessive demands, impulsive behavior, or uncontrolled anger. Their frequent use of the defense of splitting strains personal relationships and creates turmoil in health care settings. The remaining options suggest characteristics not associated with this disorder.REF: 463 What is the priority nursing intervention for a client diagnosed with borderline personality disorder? Protect other clients from manipulation. Assess for suicidal and self-mutilating behaviors. One of the primary nursing guidelines/interventions for clients with a personality disorder is to assess for suicidal and self-mutilating behaviors, especially during times of stress. While the other options may be appropriate, none have the priority of safety.REF: 463-464 Clients demonstrating characteristics of personality disorders have various self-defeating behaviors and interpersonal problems despite having near-normal ego functioning and intact reality testing. Which nursing diagnosis best addresses this sort of interpersonal dysfunction? Spiritual distress Defensive coping For a client who has difficulty in relationships and is very manipulative, the nursing diagnosis of impaired social interaction would be used. None of the other options appropriately deals with this type of dysfunctional behavior.REF: 467 A client diagnosed with obsessive-compulsive personality disorder takes the nurse aside and mentions, "I've observed you interacting with that new patient. You are not approaching him properly. You should be more forceful with him." What response should the nurse provide to address the client's comment? "I will be
continuing to follow the care plan for the patient." "I will be continuing to follow the care plan for the patient." Obsessive-compulsive personality disorder has the key factor of perfectionism with a focus on orderliness and control. These individuals get so preoccupied with details and rules that they may not be able to accomplish the tasks. Guard against engaging in power struggles with a client with obsessive-compulsive disorder.REF: 458 A newly admitted client has a diagnosis of schizoid personality disorder. The nursing intervention of highest priority will be directed toward which classic client need? Set firm limits on behavior. Respect need for social isolation. Schizoid personality disorder has the primary feature of emotional detachment. Individuals do not seek out or enjoy close relationships. They are reclusive, avoidant, and uncooperative. They do not do well with resocialization.REF: 455 FROM SLIDES Which behavior indicates that a patient diagnosed with borderline personality disorder is improving? The patient cries when her roommate refuses to go to the dining room with her The patient informs a staff member that she is having thought so harming herself FROM SLIDES Use of splitting is most associated with which personality disorder? Antisocial Borderline FROM SLIDES Perfectionism is a trait likely to be evident in a person with which personality disorder? OCD OCD FROM SLIDES Antisocial, obsessive-compulsive, and schizotypal personality disorders occur most frequently in: Adolescents Men BLUE STAR Personality Disorder basics: Medication? Medications - will not gear or control medications; treat comorbidities Frequent Hospitalization - do not see patients for personality disorders; will come in for depression, anxiety Understand the consequences of behavior - no Self perception of their behavior - do not feel uncomfortable or disorganized; they feel fine BLUE STAR The nurse is caring for a patient with antisocial personal disorder. That patient uses abusive language and spits at the nurse and refuses to answer questions. Create a therapeutic statement to address this situation. Don't confront, don't threaten BLUE STAR The nurse is caring for a patient who has borderline personality disorder. List the nursing
interventions Safety!! BLUE STAR The nurse is planning care for patients with personality disorders. What is the expected outcome of treatment? Reduce interfering personality traits; measurable outcomes Sets with similar termsMental Health: Mostly Personality Disorders NCLEX…25 terms nelvehjem Mental Health (Ch. 24 Questions)22 terms monk524 Halter Ch. 24: Personality Disorders61 terms tamara_june Psych: Personality Disorders116 terms lauren_wright5PLUS Sets found in the same folder
Chapter 16 - Trauma, Stressor-Related, and Dissoci…13 terms monyprak23 Chapter 27 - Anger, Aggression, and Violence23 terms monyprak23 Chapter 12 - Schizophrenia Spectrum Disorders15 terms monyprak23 Chapter 15 - Anxiety and Obsessive-Compulsive Diso…26 terms monyprak23 Other sets by this creatorNCLEX Assessments34 terms monyprak23 Chapter 06 - Legal and Ethical Considerations17 terms monyprak23 Chapter 05 - Cultural Implications13 terms monyprak23 Chapter 04 - Treatment Settings18 terms monyprak23 Verified questionsPSYCHOLOGY A lack of agreement or consistency-a conflict-can also be referred to as _____. Verified answer
QUESTION As light reflected off an object reaches your eye, it passes through several structures before it reaches the retina. Describe three of these structures, including the function of each. Verified answer QUESTION According to Sigmund Freud, which of the following defense mechanisms buries threatening or upsetting events in the unconscious? a. Regression. b. Displacement. c. Repression. d. Reaction formation. e. Projection. Verified answer QUESTION Muhammad has been in his school cafeteria hundreds of times. It is a large room, and there are nine free-standing pillars that support the roof. One day, to illustrate the nature of forgetting, Muhammad' s teacher asks him how many pillars there are in the cafeteria. Muhammad has difficulty answering the question, but finally replies that he thinks there are six pillars. What memory concept does this example illustrate? a. Storage decay. b. Retrograde amnesia. c. Proactive interference. d. Retroactive interference. e. Encoding failure. Verified answer Recommended textbook solutionsHDEV56th EditionSpencer A. Rathus 380 solutions Social Psychology10th EditionElliot Aronson, Robin M. Akert, Samuel R. Sommers, Timothy D. Wilson 525 solutions Myers' Psychology for the AP Course3rd EditionC. Nathan DeWall, David G Myers 955 solutions Myers' Psychology for AP2nd EditionDavid G Myers 900 solutions Other Quizlet sets기베말문제 4회16 terms Cpppppaaaa Research Terms Vocab Set13 terms BengalTeach Pharm test 2 practice64 terms bustillo07 HA Final Module 120 terms jenrad1978 Which intervention is best for a client who has borderline personality disorder?Psychotherapy. Psychotherapy — also called talk therapy — is a fundamental treatment approach for borderline personality disorder.
What is the best strategy in the management of BPD?Dialectical Behavioral Therapy (DBT)
DBT proposes that individuals with BPD can become more effective in managing their sensitivities and interactions with others through acquisition of skills that enhance mindfulness and enable them to better tolerate distress, regulate their emotions, and manage relationships.
What are possible treatments or prevention for borderline personality disorder?Treatment for BPD usually involves some type of psychological therapy, also known as psychotherapy. There are lots of different types of psychotherapy, but they all involve taking time to help you get a better understanding of how you think and feel.
Which type of treatment is most effective for individuals with personality disorders?Psychotherapy, also called talk therapy, is the main way to treat personality disorders.
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