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Terms in this set (56)A family member of a client with schizoid personality disorder asks the nurse, "Why doesn't my brother want any contact with his family?" Which responses are accurate? Select all that apply a. A person often struggles with their emotions and can become emotionally detached
The nurse is assessing a new client who was just admitted to the psychiatric unit. Which assessment questions, by the nurse, would determine if the client has schizotypal personality disorder? Select all that apply a. "Do you often feel that people want to reject you, or think that you're odd?" While planning the care of a client with a schizotypal personality disorder, the nurse recognizes that this client has serious difficulty interacting socially. Which is a priority nursing intervention for this client? c. Discuss the client's thoughts and feelings about engagement in peer conversations A nurse is caring for a client with schizotypal personality disorder. How should the nurse approach care for this client? b. allow the client to work on assigned work sheets in her room Which client behaviors should the nurse anticipate from a client with a personality disorder? Select all that apply b. Tendency to provoke interpersonal conflict Which
response would best facilitate communication with a client who has a personality disorder? b. "After you attend the morning community meeting, you may work on your homework." This response is a firm yet supportive approach. Answers A and D leave the nurse open for manipulation from the client. A client with paranoid personality disorder is discussing his current problems with a nurse. Which intervention is most important for the nurse to implement? d. Have the client clarify his thought and beliefs about an event Clients with a paranoid personality disorder often mistrust people, and don't view interacting with others as a way to handle a problem. These clients tend to be aggressive and argumentative rather than frustrated. A paranoid client will focus on defending self rather than acknowledging the use of defense mechanisms A client with paranoid personality disorder makes an inappropriate and unreasonable report to the nurse. What is the most appropriate intervention by the nurse? d. matter-of-factly tell the client that you don't share his interpretation Helps the client differentiate between realistic and emotional thoughts and conclusions. When the nurse uses logic to respond, the nurse risks creating a power struggle. Non-verbal communication can be misinterpreted. It is unwise to confront a paranoid client because they will immediately become defensive What is the most appropriate short-term goal for a client with paranoid personality disorder and impaired social skills? d. identify personal feelings that hinder the client's social interaction A nurse is caring for a client with schizotypal personality disorder. Which behavior would the nurse anticipate from this client? c. bodily illusions Schizotypal = bodily illusions A nurse is assessing a client to determine if he has an avoidant personality disorder. What are the most appropriate questions for the nurse to ask the client? select all that apply. a. "Are you worried that people won't like you?" People with avoidant personality disorder are timid, sensitive to criticism, and fear not being accepted. They are often hesitant to enter into relationships. A client with paranoid personality disorder responds aggressively to another client during a psycho-educational group therapy session. How should the nurse interpret this client behavior? Select all that apply. a. This client prefers individual therapy rather than group therapy Clients with paranoid personality disorder tend to be hypersensitive and take the comments of others as a personal attack. The client is driven by the suspicion that others will inflict harm. The aim of treatment is to help the person to get rid of feelings of mistrust, resentment, jealousy, and anxiety. Paranoid clients tend to be rigid and guarded. Group sessions along with individual therapy are the best treatment options for paranoid personality symptoms. A client with avoidant personality disorder tells the nurse, "There is not a person in this world who likes me, and I
don't know what to do." What is the nurse's most appropriate intervention? b. Explore the client's personal feelings about relationship distress Clients with avoidant personality disorder fear criticism, disapproval, and rejection A client with avoidant personality disorder is in treatment. What is an appropriate outcome for this client? a. Demonstrates an ability to use constructive criticism Clients with avoidant personality disorder fear criticism, disapproval, and rejection. They are reluctant to participate in social situations because of these fears. The nurse is caring for a client with an avoidant personality disorder. Which characteristics define the client's behavior? Select all that apply d. View themselves as inferior to others A nurse is caring for a client with an avoidant personality disorder. The nurse would like this client to demonstrate her newly acquired social skills in social situations. Which
intervention would best facilitate this outcome? c. Go to the hospital cafeteria, purchase lunch, and dine in a group setting The nurse is
teaching a client with paranoid personality disorder about ways to address behaviors that negatively affect relationships. Which statement, made by the client, best demonstrates that teaching has been effective? b. "Sometimes, I can see what causes my relationship problems." Clients with paranoid personality disorder tend to have impaired social relationships and are very uncomfortable in social settings. Clients struggle to understand and express their feelings about social rules. The nurse is developing long-term goals, for a client with paranoid personality disorder, who is trying to improve peer relationships. What is the most appropriate
goal? d. The client will become involved in activities that foster social relationship A client with a history if social inhibition,
agoraphobia, the fear of criticism, feelings of inferiority, and feelings of being extremely unattractive to others has been admitted to the hospital. With which disorder would the nurse associate these behaviors? d. Avoidant personality disorder A client with
antisocial personality disorder is trying to convince the nurse that he deserves special privileges, and that an exception to the rules should be made for him. What is the nurse's best response to the client's requests? c. "Your requests are unacceptable." Clients with antisocial personality disorder often try to manipulate the nurse to gain special privileges. By directly informing the client these actions are unacceptable, the nurse helps the client learn to control these behaviors by setting limits. Do not offer to discuss- suggests that rules are negotiable. Which assessment questions would determine if the client has a histrionic personality disorder? Select all
that apply d. "Do you think that you would make a
good actor?" Histrionic personality disorder is characterized by a long-standing pattern of attention seeking behavior and extreme emotionality. A client with antisocial personality disorder and previous suicide attempt states, "I don't want to be here and I am not following your treatment plan or any of your rules. I am going to tell everyone not to follow the
rules." Which statement about the clients condition is most accurate? c. The client is not motivated to change his behavior or lifestyle Clients with antisocial disorder feels nothing is wrong with their behavior and has no desire to change. They attempt to manipulate those around them. Which behavior would the nurse observe in a client who has a histrionic personality disorder? c. Demonstrates highly provocative behaviors Which behavioral pattern is a characteristic of individuals with histrionic personality disorder? b. Overreacting to frustrations and annoyances A nurse notices that
other clients on the unit are avoiding a client diagnosed with antisocial personality disorder. During group therapy, the topic of appropriate behavior is discussed. Which behavior does the group associated with the client who is being avoided? a. Lacks honesty Clients with antisocial disorder engage in dishonesty. The nurse is caring for a client with histrionic personality disorder. The client's family member asks, "How do I handle the drama that occurs when she does not get her way?" What information should the nurse provide the family? Select all a. Do not argue or try to rationalize things with the person Communication with clients with histrionic disorder needs to be firm and calm, without bargaining or rationalizing with the person. The family member should refrain from engaging in emotional responses A client with antisocial personality disorder has a high risk for violence directed at others. What is an appropriate goal for the client? a. The client will discuss the desire to hurt others rather and act Helps the nurse get in touch with the pain associated with the angry feelings. Which nursing intervention is priority while caring for a client with antisocial personality disorder who shows defensive behavior? a. Help the client accept responsibility for his own decisions and behaviors Those with antisocial disorder tend to blame others for their behaviors The nurse is developing outcomes for a client with histrionic personality disorder. What is the most appropriate outcome for this client? d. The client participates in group therapy without being the center of attention A client with antisocial personality disorder says, "I always want to blow things off." Which response by the nurse is most appropriate? b. "Let's work on considering some options and strategies." A client with antisocial personality disorder is trying to manipulate the health care team. What is the staff's best strategy? c. remain calm and don't respond in an emotional manner to the client's manipulative actions Antisocial = manipulative A client with dependent personality disorder is working to increase self-esteem. Which statement by the client,
shows that teaching was successful? a. "I'm not going to look at the negative things about myself." Dependent disorder- clients feel inadequate, fragile, and focus on self- not others The nurse is reviewing the behaviors of a client with histrionic personality disorder. The nurse determines that a change in behavior may be occurring when the client" c. shows concern about hurting someone else's feelings A client with antisocial personality disorder talks about personal life changes that need to occur. Which client statement shows that group therapy is having a positive therapeutic effect? d. "I am finally learning to live my life without living on the edge." The patient is aware of their risky behaviors and how problematic they are The sibling of a client with schizoid personality disorder does not understand why his brother does not care about him or want to be his friend. Which statement explains this behavior? b. Your brother does not enjoy having relationships with others Which questions should the nurse ask to help determine if a client has obsessive
compulsive personality disorder? Select all that apply a. Do you tend to drive yourself pretty hard, then frequently feel that you need to do more? A client with obsessive-compulsive personality disorder is in the community room. Which behavior pattern would a nurse expect to observe? a. Discussing people who are viewed as superior vs those who are inferior Clients with obsessive-compulsive disorder are very conscious of a person's rank, and will focus on people who are authority figures The nurse is developing outcomes for a client with obsessive compulsive personality disorder. What is the most appropriate outcome for this client? d. participating in recreational therapy on the unit A nurse is providing care for a client with obsessive compulsive personality disorder. What is the priority nursing intervention? b. avoid engaging in a power struggle because their need for control is very high What behaviors would a nurse expect to see in a client who has an obsessive compulsive personality disorder? Select all a. meticulous in their
work area Which assessment questions should the nurse ask to determine if the client has a schizoid personality disorder? Select all d. During the course of your life, have you had only one or two friends? Which behavior patterns would a nurse expect to observe in a patient with schizoid personality disorder? a. emotional coldness and flattened affect What information should be shared with a new nurse regarding care for a client with borderline personality disorder? a. when problems emerge, calmly review the treatment goals Which nursing intervention is priority for the client with borderline personality disorder? a. Maintain consistent, realistic limits Clients with BPD are needy, dependent, and manipulative; they don't tend to have difficulty with self-care and wakefulness; they enjoy group therapy because they see the opportunity to be the center of attention The nurse is working with a client who has BPD. Prioritize the
nurse's interventions: 4. Listen to the client's fears and feelings of anger. What intervention would be most effective for a client with schizoid personality disorder? d. participates in social skills training Schizoid = detached from others The
nurse is assessing a client for narcissistic personality disorder. What questions should the nurse ask the client? Select all that apply b. Do you find that most other people aren't up to your standards? Narcissists feel they are very special people A nurse is assessing a client with a narcissistic personality disorder. Which characteristics would define the client's personality? a. pleasant and encouraging Although clients with narcissistic personality disorder are grandiose and display a sense of entitlement, they are usually optimistic, cheerful, and pleasant to others A client with dependent personality disorder is working on goals for self-care.
Which short-term goal is most important for the client's ADLs? d. identify activities that can be performed independently Which statement is expected from a client with avoidant
personality disorder? a. I am scared you are going to leave me Avoidant personality disorder is often associated with the fear of abandonment What assessment information, gathered from the family, might
explain the client's narcissistic personality disorder? Select all that apply b. very demanding pattern Which client should the nurse see
first? b. a client with BPD disorder who continues to talk about wanting to cut her arms Which personality disorder cluster would be the most challenging for the nurse to manage? b. Cluster B these clients are very labile emotionally and are quite dramatic The healthcare provider is preparing to write a plan of care for a client with BPD. Which medication would the nurse
anticipate for the client? b. SSRI, along with an atypical antipsychotic, are used to treat, mood instability and impulsivity Best choice for BPD A client with BPD states that he does not how to deal with his impulsive behavior. Which intervention should the nurse implement? c. choose an example of an impulsive situation and explore it A nurse is monitoring a client who appears to be hallucinating. The nurse notes paranoid content in the client's speech, and increasing agitation. The client is gesturing at a figure on the TV. Which interventions are appropriate? Select all b. Reinforce that the client is not in any danger Sets with similar termsChapter 23 - Psych32 terms kenzie_lambert1 Chapter 32 - Personality Disorders34 terms lindsaymcguire Sets found in the same folder
4660 eating disorders31 terms llundeen17 Passpoint 3108 terms kendallkissir NCLEX 10000 Foundations in Psychiatric Nursing40 terms jennifer_thompkins Random Nursing Questions145 terms SDwtr Other sets by this creatorRhythms15 terms abbielynn99 ACLS topics28 terms abbielynn99 Pharmacology20 terms abbielynn99 Renal49 terms abbielynn99 Verified questionsPSYCHOLOGY Which of the following is more likely to be emphasized in individualist cultures than in collectivist cultures? a. Gender differences. b. Shared goals. c. Personal achievement. d. Cooperation with the group. e. Preservation of tradition. Verified answer QUESTION Which of the following refers to the narrowing of available problem solutions with the goal of determining the best solution? a. Allowing for incubation b. Divergent thinking c. Developing expertise d. Convergent thinking e. Experiencing other cultures Verified answer QUESTION Explain the three sides of evidence-based clinical decision making. Verified answer QUESTION Which of these is an example of a longitudinal study? a. The depth perception of infants is measured once a month for 6 months in a row, starting at six months. b. In the same month, researchers compare the reaction time of 20 sixth graders and 20 first graders. c. The memory of one group of 50-year-old adults is measured and then 20 years later compared to a different group of 70-year-olds. Verified answer Other Quizlet setsAPHG Chapter 4 Thinkers42 terms amma237 TEAS work247 terms Alex_1120 spanish22 terms Hazels321 Basic concepts in Biosafety and Biosecurity65 terms JustineLois Related questionsQUESTION what is the treatment for the positive symptoms of Schizophrenia? 13 answers QUESTION Period of abnormally elevated, expansive, or irritable mood lasting at least 1 week 2 answers QUESTION A procedure that confines a person in a mental or forensic hospital either for determination of competency to stand trail or after acquittal by reason of insanity 2 answers QUESTION According to Freud, this part of the personality represents internalized ideals and provides standards for judgment and for future aspirations. 14 answers What is a characteristic behavior for a histrionic personality?Histrionic personality disorder
Constantly seeking attention. Excessively emotional, dramatic or sexually provocative to gain attention. Speaks dramatically with strong opinions, but few facts or details to back them up. Easily influenced by others. Shallow, rapidly changing emotions.
Which of the following is a characteristic of a client with histrionic personality disorder?Patients with histrionic personality disorder use their physical appearance, acting in inappropriately seductive or provocative ways, to gain the attention of others. They lack a sense of self-direction and are highly suggestible, often acting submissively to retain the attention of others.
What is a primary characteristic of someone with histrionic personality disorder?The main feature of histrionic personality disorder is displaying excessive, superficial emotionality and sexuality to draw attention to themselves. A person with histrionic personality disorder may: Feel underappreciated or depressed when they're not the center of attention.
Which behavior is supportive of a histrionic personality disorder?Specifically, people with histrionic personality disorder are typically characterized as flirtatious, seductive, charming, manipulative, impulsive, and lively.
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Which behavior would the nurse observe in a client who has a histrionic personality disorder
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