Anxiety
The nurse should do this when they notice a patient is pacing, increasingly anxious.
The nurse would do this for a newly admitted patient with compulsive behaviors.
What is allowing time for the patient's rituals?
Patients with this disorder are not frequently hospitalized compared to the other personality disorders.
What are patients with narcissistic personality disorder?
The nurse acts in this manner when working with a patient with an unexplained leg paralysis.
What is a detached manner?
Lack of reinforcement may help to extinguish the patient's maladaptive response.
The nurse would instruct the patient to do this when taking an MAOI.
What is changing positions slowly to avoid orthostatic hypotension?
The nurse would expect this change in the patient during moderate anxiety.
What is urinary frequency?
May also expect aches and insomnia.
Setting strict limits on the patient's rituals would occur at this time.
What is when the patient's anxiety becomes more manageable later in the hospitalization?
This is the key feature of borderline personality disorder exemplified in the patient stating "I cut myself because you are leaving me"
What are impulsive, self-destructive behaviors?
This is an example of a primary gain.
What is seeking hospitalization to avoid a stressful family event or court date?
This is the relapse rate for conversion disorder.
What is one-quarter of patients relapse within a year?
The nurse would expect these physical findings during panic anxiety.
What are unintelligible speech or the inability to speak?
What is identifying the triggers?
These interventions would be used for the patient with narcissistic personality disorder.
What are maintaining a neutral demeanor and avoid becoming defensive?
This is the distinguishing criterion between somatic symptom disorder and illness anxiety disorder.
What is patients with SSD experience somatic symptoms and those with IAD have minimal or no somatic symptoms.
A patient who experienced a natural disaster experiences difficulty sleeping due to nightmares and survivor's guilt. This diagnosis would describe their symptoms.
What is post-traumatic stress syndrome?
This would be a discharge goal for the patient with anxiety.
What are identifying anxiety-producing situations?
What is reduce anxiety?
Seeing individuals as "all good" or "all bad" is an example of this.
What is splitting?
The individual views people in extremes and has extreme difficulty in seeing past perceived disagreements or faults. For example, the individual who splits plans to meet a friend for coffee. The friend is 10 minutes late and suddenly they are the worst friend ever, triggering an intense disagreement. The individual simplifies complex situations and copes with intense emotions through splitting.
This is the overall presentation of a patient with somatic symptom disorder.
What is anxious, seeking care from several healthcare providers simultaneously, and having vague symptoms?
This medication is the antidote for benzodiazepines.
What is flumazenil?
The patient must do this before the nurse can implement interventions to assist the patient in reducing anxiety.
What are identifying the stressors?
After the patient identifies the stressors the nurse can assist the patient.
This would be a common medication class for the patient with OCD.
What are SSRIs?
These are the recommended nursing communication techniques when working with patients with borderline personality disorder.
What are maintaining clear boundaries, avoid splitting between staff members (potentially adhering to an behavior plan, having a second staff member present for interactions or exams), and use clear, nontechnical answers?
Patients with BPD require boundaries to help them view the environment as more consistent and predictable. They may have distorted communication patterns, so take care to communicate clearly, concisely, and without jargon that could further distant the patient.
This is the function of dissociation.
What is isolation of painful events so the person's awareness and anxiety are decreased?
This would be a meal-related goal for a patient with anorexia.
What is observing the patient for 1 hour after meals?