Personality Disorders
Seeks attention, overly friendly & flirtatious, wants to be noticed, emotions change rapidly.
What is Histrionic
Antisocial Personality
What is explain consequences of negative behaviors; educate about the d/o; set STRICT boundaries for the antisocial clients; encourage the clients to seek therapy; and teach self-care to the clients.
A teenage girl is diagnosed to have a borderline personality disorder. Which manifestations support the diagnosis?
What is lack of self-esteem, strong dependency needs, and impulsive behavior
Pt shoves another client out of the way. Which action (and tone of voice) should the nurse take first?
What is CALMLY confront the behavior and REMIND the pt of consequences for negative behavior
What action by the borderline personality disorder client shows that the client is improving with therapy?
What is easily talking about their anger issues and demands
Few friends, loner, indifferent praise/criticism
What is schizoid
Paranoid
What is provide support, encourage client to recognize that behavior is part of the reason they are seeing a therapist, understand that pts suspicion and distrust of the therapist is real to them.
Aggression toward people and animals, Destruction of property, Deceitfulness, Theft, Serious violation of rules
What is Conduct D/O
Pt is demonstrating manipulative behavior. What action should the nurse take?
What is Institute consequences
Borderline personality D/O Priority
What is Assign different staff members to the client each day, assess for any self mutilation and suicidal behavior (“superficial cuts”)
Aloof and isolated, magical thinking, metaphoric speech.
What is schizotypal
Schizotypal
What is a safe and secure environment, set limits and rules or boundaries, prevent self-harm
Pt tells the RN he kicks animals and throws them over the fence around his home. He was constantly fighting at school from impulse. He says he has no remorse for his actions and still mistreats animals and people he doesn't know. What D/O does he have?
What is Antisocial Personality Disorder
Pt with paranoid personality D/O tells nurse, “Did you hear that noise? Somebody’s watching me.” What is the best response by the nurse?
What is "you did not hear the noise but to tell you how the pt is feeling".
Pt is demonstrating manipulative behavior. What action should the nurse take?
What is institute consequences for manipulative behavior
Breaks laws, no remorse/ guilt, appears friendly on the surface, can be charming.
What is antsocial
Histrionic
What is prevent self-harm; keep client safe and secure; set rules and boundaries; encourage psychotherapy
What D/O does a 40-year-old client who uses public transportation and lives with her siblings as have?
What is Dependent personality disorder
How does the nurse manage an aggressive pt?
What is short, slow, calm, open-ended statements/questions
Give personal space (No TOUCH)
Avoid confrontation
Attempt to determine what is happening to patient
The plan of care for clients with borderline personality should include?
What is ensuring pt adheres to certain restrictions and rules
Impulsive, false emotions, dramatic, inappropriate sexual behavior, center of attention
What is Histrionic
What behavior indicates that a client with paranoid ideas is improving?
What is discusses feelings of the anxiety
Pt is withdrawn and suspicious, prefers to be alone and pt describes themself as having “special powers” and states, “I believe we can all read each other’s thoughts at times.”
What is Schizotypal
During a group therapy session a client diagnosed with mania constantly disrupts the group. What intervention will the nurse initially implement?
What is setting limits on the clients behavior
General nursing interventions for pts with personality D/O
What is
Safe and secure environment
Prevention of self harm
Set limits and rules
Discuss consequences