Signs & Symptoms
Nursing Diagnosis
Therapeutic Interventions
Medications
Miscellaneous
100
Attention-seeking flamboyance is a characteristic behavior of this personality disorder.
What is histrionic personality disorder?
100
A client diagnosed with schizoid personality disorder chooses solitary activities, lacks close friends, and appears indifferent to criticism. This nursing diagnosis is appropriate for this client.
What is social isolation R/T discomfort with human interaction AEB avoiding others?
100
After being treated in the emergency department for self-inflicted lacerations to wrists and arms, a client with a diagnosis of borderline personality disorder. This intervention by the nurse would take priority.
What is observe client frequently?
100
A client diagnosed with dependent personality disorder has a nursing diagnosis of altered sleep pattern R/T impending divorce. The client is prescribed oxazepam (Serax) prn. This is an appropriate outcome for this client.
What is the client sleeps 4 to 6 hours a night by day 3?
100
The patient will refrain from intentional self-inflicted injury while hospitalized.
What is an outcome for the nursing diagnosis of self-mutilation?
200
A male client diagnosed with a personality disorder states "I have to fight women off of me" and "I am the highest paid employee of my company." These statements might reflect this personality disorder.
What is narcissistic personality disorder?
200
A client diagnosed with obsessive compulsive personality disorder has a nursing diagnosis of anxiety R/T interference with hand washing AEB "I'll go crazy if I can't do that." This is an appropriate short term outcome for this client.
What is "within 72 hours the client will recognize and report to staff signs of increasing anxiety"?
200
A client diagnosed with antisocial personality disorder is observed smoking in a nonsmoking area. This is the nurse's best initial intervention.
What is confront the client about the behavior?
200
A client is diagnosed with paranoid personality disorder is prescribed risperidone (Risperdal). The client is noted to have restlessness and weakness in the lower extremities and is drooling. This nursing intervention would be most important.
What is administer a prn dose of medication like Artane which was ordered for side effects?
200
The highest priority goal of crisis intervention.
What is patient safety?
300
The client sits alone at lunch and states, "Everyone wants to hurt me." This behavior might reflect this personality disorder.
What is paranoid personality disorder?
300
A client diagnosed with avoidant personality disorder has the nursing diagnosis of social isolation R/T severe malformation of the spine AEB "I can't be around people looking like this." This short term outcome is appropriate for this client.
What is "the client will be able to participate in one therapy group by the second day"?
300
A client diagnosed with antisocial personality disorder demands at midnight to speak with the ethics committee about the involuntary commitment process. This is the nurse's best response.
What is "I realize you are upset; however, this is not the appropriate time to voice your concerns to the committee?"
300
A client diagnosed with obsessive compulsive personality disorder is admitted to a psychiatric unit in a highly agitated state. The physician prescribes a benzodiazepine. This medication would be a likely choice.
What is Clonazepam (klonopin)?
300
Group members realize they are not alone with their problems, feelings or thoughts.
What is universality?
400
This client exhibits recurrent suicidal and self-mutilating behaviors. This is characteristic of this personality disorder.
What is borderline personality disorder?
400
A client diagnosed with borderline personality disorder superficially cut both wrists, is disruptive in group, and is "splitting" staff. This nursing diagnosis would take priority.
What is risk for self-mutilation R/T anxiety and need for attention?
400
A client diagnosed with paranoid personality disorder needs further information about medications. This nursing intervention would best assist the client in understanding prescribed medications.
What is provide one-on-one teaching in the client's room?
400
A client diagnosed with schizoid personality disorder is now beginning to evidence symptoms of a thought disorder. This is a category of medication which might be expected to be prescribed.
What is an antipsychotic medication?
400
Group members examine aspects of life that affect everyone, such as loneliness or death to find meaning for themselves.
What is existential resolution?
500
This client exhibits behavior and appearance that is described as odd, eccentric, or peculiar. This may be indicative of this personality disorder.
What is schizotypal personality disorder?
500
A client exhibiting passive-aggressive personality traits continuously complains to her marriage counselor about her husband who nags and criticizes her. This is an appropriate nursing diagnosis for this client.
What is impaired social interaction R/T inability to express feelings directly and openly?
500
A client is verbally provoking another client who is paranoid. This nursing intervention is the best initial response.
What is limit setting?
500
A nursing instructor is teaching about the relationship between personality disorders and medication. This statement made by the student indicates understanding of the concept.
What is the understanding that there are no specific medications which cure or even control personality disorders completely.
500
This is a most important factor in effective limit setting.
What is consistency among staff?
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