Personality Disorders Clusters A & C
This predisposes clients for risk of ALL Cluster A personality disorders
What is a family history of schizophrenia?
(Which Cluster A disorder has the highest risk of developing schizophrenia?)
Power struggles are a key challenge for this personality disorder
What is narcissistic personality disorder?
Patients with this anxiety disorder may avoid places where help is not readily available
What is agoraphobia?
These two self-destructive disorders temporarily reduce anxiety
What is trichotillomania (hair pulling) & excoriation (skin picking)?
This neurocognitive disorder is very similar to the early presentation of Alzheimer's Disease
What is mild cognitive disorder?
The difference is 50% of people don't progress to dementia and this disorder can be addressed with reminders, planning, and social support
This is an important nursing intervention for an ADHD diagnosed client taking stimulant drugs
What is give them no later than 4pm/avoid giving at night?
This classification of drugs is used for short-term maintenance of anxiety
What are benzodiazepines?
What is the antidote?
Patients with this personality disorder are not typically interested in therapy
What is schizotypal personality disorder?
What is borderline personality disorder?
This is one (of three) coping mechanisms that patients with anxiety may use adaptively or maladaptively
What is blocking feelings, blocking memories, or blocking conflicts?
Are these coping mechanisms usually adaptive or maladaptive?
This is the difference between malingering & factitious disorder imposed upon self
What is secondary gain vs. emotional want?
This communication disorder may cause the individual to stutter over their words
What is child-onset fluency disorder?
Is treatment effective?
What is lithium?
This non-stimulant drug is the first-line treatment for tic disorders but the second-line treatment for ADHD
What is atomoxetine?
What is a primary side effect?
The nurse evaluate themselves for countertransference when caring for a patient with this personality disorder
What is dependent personality disorder?
These two personality disorders have a high likelihood of suicidal ideation and suicidal behaviors
What is borderline & histrionic personality disorder?
It is important to first rule this out before considering an anxiety diagnosis
What is a medical cause?
What are some medical causes of anxiety?
This is the first-line psychological therapy treatment for obsessive-compulsive disorders
What is exposure response prevention?
What is an example of this?
This is the desired response for patients with tic disorders when doing comprehensive behavioral intervention for tics
What is a competing muscle movement or intentional sound?
This nonbenzodiazepine anxiolytic drug is used for long-term maintenance of anxiety and can take 2-4 weeks for therapeutic effect
What is buspirone?
The two drugs approved for use in autism, risperidone & aripiprazole can cause these two symptoms which can become embarrassing
What is gynecomastia & galactorrhea?
Treatment for these two disorders includes improving the ability for the client to adjust to a non-perfect day
What is avoidant & obsessive-compulsive personality disorder?
What is antisocial personality disorder?
This behavioral therapy for anxiety can include saying "STOP" out loud or snapping a rubber band around their wrist
What is thought stopping?
This is the phenomenon where clients presenting with functional neurologic disorder do not express concern about the loss of neurological function
What is La Belle Difference?
What could be some neurological deficits associated?
These are the 4 "A"s of Alzheimer's Disease
What is aphasia, agraphia, agnosia, & apraxia?
Other clinical manifestations are confabulation, perseveration, hyperorality, & sundowning
This drug is the primary stimulant mixed with amphetamine salts is used for ADHD treatment
What is methylphenidate?
Risperidone & aripiprazole can cause these extrapyramidal side effects
What is an acute dystonic reaction of the neck, eyes, or tongue. Prolonged spasms are a medical emergency.
Nurse Whitney is caring for a patient with paranoid personality disorder and recommends group therapy for the client. Is this a good recommendation for them? Why or why not?
No--group therapy is often threatening to individuals with paranoid personality disorder. Individual therapy is a better choice.
Nurse Jessalyn is caring for a patient with borderline personality disorder (BPD). What are at least two important things to consider when dealing with borderline personality disorder patients?
1. It's not personal
2. Enforce limits & consistency
3. Recognize fear of abandonment
4. Suicide risk
Nurse Emily is helping a patient recover from a severe anxiety attack. What are at least 3 interventions for this patient during the attack?
Remaining calm, reducing stimuli, repeating clear/simple statements, using a low-pitched voice, reinforcing reality (exterminating hallucinations), provide outlets for exercise, offering high calorie foods if patient is pacing, provide safety
Nurse Jahriyah has a friend who is constantly looking in the mirror and considering her 7th cosmetic surgery. At what point should Jahriyah consider a hospital admission for her friend?
When her friend becomes suicidal.
What disorder does her friend have?
In order to be diagnosed with an intellectual disability, the client must exhibit deficits in these 3 areas
What is intellectual, social, and daily functioning?
This drug is used to reduce self-injurious behaviors in disorders such as BPD & Autism
What is naltrexone?
How many animals does Tobias McWatters have?
6
(7 if you count Minh Le)