Stuff
Which characteristic is consistent with antisocial personality disorder?
Lack of guilt
What are 3 characteristics ALL personality disorders have in common?
Difficulty getting along with other group members, display of defense mechanisms when routines are changed, and difficulty understanding while it is inappropriate to have a personal relationship with staff
A client in detox program for ETOH withdrawal c/o nausea and "shakiness". What is your priority?
Give PRN benzos for withdrawals symptoms
What would you find in a client diagnosed with bulimia nervosa?
tooth decay, laxative use daily, weight within expected range
Signs and symptoms of anorexia include?
Fear of weight fain, restrictions of energy intake, common among athletes, higher in LGBTQ+ community, underweight with lanugo, bradycardia, and low BP
What is "splitting"?
Seeing someone as all good or all bad
What precautions do you need to put in place for a client going through benzodiazepine withdrawal?
Seizure precautions
What do you tell a patient diagnosed with binge eating disorder about what can be done to help her?
Some medications and psychological treatments are effective in reducing behaviors
A client diagnosed with anorexia nervosa tells you she will never be as thin as she wants to be. What is your response as the nurse?
Discuss developing a realistic body image
What symptoms would be consistent with anxiety disorder?
Persistent fear of having a life-threatening disease
What behavioral pattern is consistent with schizoid personality disorder?
Lifelong social withdrawal
What signs/symptoms would you expect with a client experiencing ETOH withdrawal?
Fine tremors, vomiting, and restlessness
bradycardia, hypotension, hypothermia
Signs and symptoms of bulimia nervosa include?
binge eating and purging, inappropriate compensatory behavior, electrolyte imbalance, tooth decay, Russell sign
How should the nurse establish trust with a client diagnosed with disassociative identity disorder?
Listen nonjudgmentally while responding empathetically when a client transitions between personalities
What is your priority when a client diagnosed with antisocial personality disorder is disobeying the rules in the unit?
Reinforce the rules that all clients are expected to follow.
What is a PO medication a provider will prescribe for ETOH withdrawal?
Chlordiazepoxide (Librium)
What is something you should expect to hear from a client with binge-eating disorder ?
"I feel defeated and want to hide after binging."
What should the nurse focus on when helping a client with somatic symptoms?
adaptive coping strategies
What factors would you include when discussing somatic symptoms disorder?
Anxiety disorder and childhood trauma
Death of a child 2 months ago
Factitious disorder imposed on another is?
Inducing illness on another person (think Gypsy Rose)
What are follow up questions after a client makes statements of suicide?
What would you include in a plan of care for a client with suicide precautions?
Make sure they swallow their medications
What interventions are most appropriate when implementing suicide precautions?
15 minute check or 1:1 obs AND asking specific direct questions about thoughts, plans, and intentions related to suicide