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Histrionic Personality disorder
Borderline Personality Disorders
BPD cont.
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100

Which of the following is a priority nursing action when caring for a patient with Histrionic Personality Disorder who is displaying signs of suicidal ideation?

  • A. Encourage the patient to write about their feelings in a journal.
  • B. Assess for the seriousness and immediacy of the suicidal gesture.
  • C. Distract the patient by engaging in social activities.
  • D. Reassure the patient that their feelings will pass with time.
  • B. Assess for the seriousness and immediacy of the suicidal gesture.
  • Rationale: It is crucial to assess the seriousness of any suicidal ideation or gestures to ensure the patient's safety and provide appropriate interventions.
100

A patient with BPD is being treated in a group therapy setting. Which characteristic of BPD might interfere with the effectiveness of group therapy?

  • A. Emotional detachment.
  • B. Stable self-identity.
  • C. Splitting and viewing others as all good or all bad.
  • D. Consistent mood and affect
  • C. Splitting and viewing others as all good or all bad.
  • Rationale: Splitting is a common defense mechanism in BPD where the patient views people or situations as entirely good or entirely bad. This can create difficulties in group therapy as the patient may idealize or devalue other group members or the therapist.
100

A patient with Borderline Personality Disorder is found unconscious after a suicide attempt. The patient’s plan involved a rescue that failed. What should the nurse understand about the motivation behind the patient’s behavior?

  • A. The patient intended to die and used a highly lethal method.
  • B. The patient likely used a less lethal means with the primary goal of gaining attention.
  • C. The patient did not plan for any rescue.
  • D. The patient’s behavior is unrelated to their feelings of abandonment.
  • B. The patient likely used a less lethal means with the primary goal of gaining attention.
  • Rationale: Patients with Borderline Personality Disorder often engage in suicidal gestures as a means of gaining attention rather than intending to die. However, these gestures can still result in unintentional death if the planned rescue fails.
100

What are the big 3 personality disorders that carry a risk for violence?

- BPD

- Antisocial (Sociopaths)

-Paranoid

200

During a therapy session, a patient with Histrionic Personality Disorder becomes flirtatious with the nurse. What is the most appropriate response by the nurse?

  • A. Ignore the behavior to avoid reinforcing it.
  • B. Flirt back to build rapport with the patient.
  • C. Set clear and professional boundaries.
  • D. Transfer the patient to another nurse.
  • C. Set clear and professional boundaries.
  • Rationale: Maintaining professional boundaries is crucial when dealing with patients who may exhibit flirtatious or seductive behavior. This helps to establish a safe and therapeutic environment.
200

A patient with Borderline Personality Disorder (BPD) is admitted to the psychiatric unit. Which behavior is most characteristic of this disorder?

  • A. Consistent mood and affect.
  • B. Stable relationships with others.
  • C. Emotional lability and impulsivity.
  • D. Low self-esteem and chronic depression.
  • C. Emotional lability and impulsivity.
  • Rationale: Borderline Personality Disorder is marked by emotional dysregulation, impulsivity, and intense mood swings. Patients often struggle with instability in their relationships, self-image, and emotions.
300

A nurse is assessing a patient diagnosed with Histrionic Personality Disorder. Which of the following behaviors would the nurse most likely observe?

  • A. The patient has a consistent pattern of stable relationships.
  • B. The patient displays a high tolerance for frustration.
  • C. The patient exhibits emotional attention-seeking behaviors.
  • D. The patient often avoids social interactions due to fear of rejection.
  • C. The patient exhibits emotional attention-seeking behaviors.
  • Rationale: Patients with Histrionic Personality Disorder typically engage in dramatic and attention-seeking behaviors. They crave attention and often go to great lengths to ensure they are the center of attention.
300

A patient with BPD reports a fear of abandonment and engages in self-destructive behavior when feeling rejected. What is the most appropriate nursing intervention?

  • A. Reassure the patient that they are not going to be abandoned.
  • B. Ignore the patient’s fears to avoid reinforcing them.
  • C. Set consistent and clear boundaries while providing support.
  • D. Encourage the patient to depend on the nursing staff for emotional support.
  • C. Set consistent and clear boundaries while providing support.
  • Rationale: Setting clear boundaries helps maintain a therapeutic relationship and provides the patient with a sense of stability. Offering support within these boundaries can help the patient feel secure without fostering dependency.
400

A nurse is developing a care plan for a patient with Histrionic Personality Disorder. Which treatment modality is likely to be most effective for this patient population?

  • A. Long-term pharmacological treatment with antipsychotics.
  • B. Individual psychotherapy focused on clarifying feelings and appropriate expression.
  • C. Avoidance of any group therapy due to the potential for disruptive behavior.
  • D. Providing detailed and complex information about their disorder to improve insight.
  • B. Individual psychotherapy focused on clarifying feelings and appropriate expression.
  • Rationale: Psychotherapy is the primary treatment for Histrionic Personality Disorder. It helps patients understand and manage their emotions and improve their interpersonal relationships.
400

Which of the following statements is true about the treatment of Borderline Personality Disorder?

  • A. Medication is the primary treatment for BPD.
  • B. Cognitive-behavioral therapy is ineffective for BPD.
  • C. Dialectical behavior therapy (DBT) is an effective treatment for BPD.
  • D. Patients with BPD rarely benefit from psychotherapy.
  • C. Dialectical behavior therapy (DBT) is an effective treatment for BPD.
  • Rationale: DBT is specifically designed to treat BPD and has been shown to be effective in reducing self-harm behaviors, improving emotional regulation, and enhancing relationships.
500

Which of the following statements about Histrionic Personality Disorder is true?

  • A. It is more commonly diagnosed in men than women.
  • B. Patients often have high frustration tolerance.
  • C. Patients usually do not think that they need psychiatric help.
  • D. There are specific pharmacological treatments for Histrionic Personality Disorder.
  • C. Patients usually do not think that they need psychiatric help.
  • Rationale: Individuals with Histrionic Personality Disorder often lack insight into their condition and may not believe they need psychiatric help, which can complicate treatment efforts.
500

A nurse is caring for a patient with BPD who exhibits self-destructive behaviors. What is the most appropriate initial nursing intervention?

  • A. Ignore the behavior to avoid reinforcing it.
  • B. Ensure the patient's safety by removing any harmful objects.
  • C. Encourage the patient to express their emotions freely.
  • D. Punish the patient for self-destructive behaviors.
  • B. Ensure the patient's safety by removing any harmful objects.
  • Rationale: Safety is the primary concern when caring for a patient with BPD who engages in self-destructive behaviors. Removing harmful objects helps to prevent self-harm and provides a safe environment for the patient.