Miscellaneous
A client diagnosed with schizoid personality disorder chooses solitary activities, lacks close friends, and appears indifferent to criticism. This nursing diagnosis is appropriate for this client.
What is social isolation R/T discomfort with human interaction AEB avoiding others?
An effective technique that involves 3 steps:
1. stating the behavioral limit
2. Identifying the consequences
3. Identifying the expected or desired behavior
What is the limit-setting?
Characterized by a pervasive pattern of preoccupation with perfectionism, mental and interpersonal control, and orderliness at the expense of flexibility, openness, and efficiency.
What is Obsessive Compulsive Disorder?
A client is diagnosed with obsessive-compulsive personality disorder and has a diagnosis of anxiety R/T interference with hand washing AEB "I'll go crazy if I can't wash my hands!" This is an appropriate short-term outcome for this client.
What is "within 72 hours of admission the client will recognize and report to staff signs of increasing anxiety"?
A technique that involves learning to assess situations realistically rather than always assuming a catastrophe will happen. An example is the nurse asking "So what is the worse thing that could happen?"
What is decatastrophizing?
A technique designed to manage manipulative or deceptive behavior where the nurse points out a client's problematic behavior while remaining neutral and matter-of-fact, avoiding accusing the client
What is confrontation?
•Reacts to criticism with anger, shame or humiliation •Is easily jealous •Exaggerates own importance
What are 3 symptoms of Narcissistic personality Disorder?
Three to four times more common in men than in women.
What percentage of men and women are diagnosed with APD?
The client, aloof, displaying a constricted affect and sitting alone at lunch and states, "Everyone wants to hurt me." This behavior might reflect this personality disorder.
What is paranoid personality disorder?
The technique of leaving the area and going to a neutral place to regain internal control.
What is taking a time-out?
Clients with a diagnosis of Narcissistic personality disorder rarely require this type of behavioral health treatment?
What is inpatient hospitalization?
The exact causes of this disorder are unknown, environmental and genetic factors have been implicated.
What is the case of this disorder?
The focus of nursing care is the development of self- care and social skills and improved functioning in the community.
What is the focus of care for the patient with schizotypal personality disorder?
A technique useful in changing patterns of thinking by helping clients recognize negative thoughts and feelings and replacing them with positive patterns of thinking.
What is cognitive restructuring?
Psychopharmacologic treatment for clients with personality disorders focuses on these rather than on the particular subtype of personality disorder.
What are the type and severity of symptoms?
Personality Disorder marked by excessive emotionality and attention-seeking behaviors
What is Histrionic personality disorder?
Formal diagnosis of Antisocial personality disorder occurs after this age.
What is 18 years of age?
A client with antisocial personality disorder demands at midnight to speak with the ethics committee about the involuntary commitment process. This is the nurse's best response to the request.
What is "I realize you are upset; however, this is not the appropriate time to voice your concerns to the committee"?
BPD usually begins during adolescence or early adulthood.
At what age does this disorder normally happen?
The highest nursing priority in planning care for the client.
What is the client's physical safety?
Talking to colleagues about feelings of frustration, clear and frequent communication with other members of the treatment team, not taking undue flattery or harsh criticism personally, and setting realistic client goals.
What are nurse self-awareness skills that minimize client manipulation and deal with feelings of frustration?
A technique the nurse can teach clients with antisocial personality disorder who have a pattern of reacting impulsively when confronted with problems.
What are problem-solving skills?