Personality Disorders
This cluster of personality disorders is known for being dramatic, emotional, and erratic, and includes Borderline and Narcissistic types.
What is Cluster B?
A client who believes that someone is "out to get me" is experiencing this type of delusion.
What is a persecutory delusion?
This class of medication has the highest addiction potential and is used to treat anxiety.
What are benzodiazepines?
According to Maslow's Hierarchy of Needs, this is the most fundamental priority (when it comes to mental health).
What is Safety?
A client experiencing a panic attack might show physical signs like palpitations, sweating, and this behavior.
What is restlessness?
A nurse would set firm boundaries and maintain consistent staff when caring for a client with a disorder from this cluster.
What is Cluster B?
This is the priority intervention for a client in the acute phase of schizophrenia.
What is crisis intervention and safety?
This is the first step to take if a client on lithium shows signs of toxicity, such as a lithium level of 2.5 mEq/L.
What is stopping the medication and contacting the provider?
The highest priority for a client with PTSD is this.
What is risk for suicide or injury?
This type of therapeutic communication is best for a client with MDD, allowing them to elaborate on their feelings.
What are open-ended questions?
This personality disorder is characterized by a person who is clingy, needs constant reassurance, and is often indecisive.
What is Dependent Personality Disorder?
When a client asks if you hear voices, your best response is to state you cannot hear them, but acknowledge the client's experience.
What is therapeutic communication?
A client who is experiencing restlessness and an inability to sit still is likely exhibiting this extrapyramidal symptom.
What is akathisia?
A nurse's priority action after receiving report is to see this type of client first.
What is a client threatening self or others?
A client with PTSD who starts engaging in daily activities, such as shopping or socializing, is showing this sign of improvement.
What is a decrease in avoidance?
A disorder is defined by odd beliefs and eccentric behaviors.
What is Schizotypal Personality Disorder?
This symptom involves voices telling a client to take a specific action, such as harming themselves or others.
What is a command hallucination?
This rare, life-threatening condition is a severe adverse effect of antipsychotic medications, and can be treated with IV dantrolene in severe cases.
What is Neuroleptic Malignant Syndrome (NMS)?
This is the most important nursing intervention for a client with self-inflicted lacerations.
What is a 1:1 sitter?
While medication can help with the symptoms of anxiety, it does not treat this.
What is the underlying cause?
A client who exhibits criminal behavior, aggression, and blames others for their actions likely has this personality disorder.
What is Antisocial Personality Disorder?
Maintaining continuity of care with the same staff and environment is a priority for a client with this type of thinking.
What is paranoid thinking?
Tardive dyskinesia and Parkinsonism are examples of these medication-induced side effects.
What are Extrapyramidal Symptoms (EPS)?
When caring for a client with paranoid thinking, you should not do this, but instead respect their personal space.
What is touching the client?
A client with bipolar disorder who is concerned about weight gain may be prescribed this instead of lithium.
What is an alternative mood stabilizer such as valproic acid?