Terms etc.
The problems this person has can to an extent be internalized. These patterns of behavior are uncomfortable and foreign to the self. Associated with the willingness to change.
a) egosyntonic
b)pervasive personality
c) egodystonic
d) functional impairment
c) egodystonic
FILL IN THE BLANK (from your own brain)
1. Cluster A : odd & _____?
2. Which disorders are associated with this cluster?
1. eccentric
2. Paranoid, Schizoid, Schizotypal
FILL IN THE BLANK (from your own brain)
1. cluster b: _____ & erratic
2. What disorders are associated with this cluster?
1. dramatic
2. antisocial, BPD, histrionic, narcissistic
FILL IN THE BLANK (from your own brain)
1. cluster c: _____ & ____
2. What disorders are associated?
1. anxious & fearful
2. avoidant, dependent, obsessive- compulsive, passive aggressive ( in DSM5 it is listed as a personality trait rather than a specific disorder)
What is a technique used to help the client with BPD gain control over self- critical thoughts?
a. social manipulation
b. SSRI's
c. thought stopping
d. impulse correcting
c. thought stopping
A client who has see's their actions as a result from the actions of others would be considered? This person is comfortable with their actions and do not see a reason to change.
a. egodystonic
b. egosyntonic
c. egocentric
d. egocentered
b. egosyntonic
The nurse is caring for a client with a paranoid personality. The nurse understands that which of the following are appropriate interventions for this client? SATA
a. approach done in a gentle non intrusive manner
b. understanding the need for privacy but not granting it
c. mandating group meetings
d. staying aware of her body language when interacting with this client
e. protect from suicide and self- manipulation
a. approach done in a gentle non intrusive manner
d. staying aware of her body language when interacting with this client
The nurse is caring for a client with BPD. The nurse understands that which of the following are appropriate interventions for this client? SATA
a. protect from suicide and self- mutilation
b. provide assertiveness training
c. set limits
d. frequent staff meetings to avoid client pitting staff against one another
e. encourage sexuality
a. protect from suicide and self- mutilation
c. set limits
d. frequent staff meetings to avoid client pitting staff against one another
The nurse is caring for a client with dependent personality. The nurse understands that which of the following are appropriate interventions for this client? SATA
a. provide assertiveness training
b. provide problem solving skills
c. encourage recognition of distress r/t fear of rejection
d. help analyze sense of entitlement
a. provide assertiveness training
b. provide problem solving skills
c. encourage recognition of distress r/t fear of rejection
A client is diagnosed with paranoid personality disorder. Which would the nurse expect to assess? SATA
a. anger as a emotional response
b. distancing self from others
c. outwardly passive
d. tendency to be rigid and controlling
a. anger as a emotional response
b. distancing self from others
d. tendency to be rigid and controlling
MATCH THE TERM
a. odd & eccentric 1. cluster b
b. anxious & fearful 2. cluster a
c. dramatic & erratic 3. cluster c
cluster a: odd & eccentric
cluster b: dramatic & erratic
cluster c: anxious & fearful
Finding hidden demeaning or threatening meanings in benign remarks or events is associated with what disorder?
a. Schizoid
b. schizotypal
c. paranoid
d. avoidant
c. paranoid
Chelsea is a 27 year old female who has been admitted to the psych unit for self mutilation. Chelsea states that her partner recently broke things off with her because the partner could no longer manage the emotional reactivity. Chelsea states that she experienced intense thoughts of self harm and does not remember what happened next. Upon examination of Chelsea's arms the nurse notes healed scarring and Chelsea states her self mutilation began when she was in middle school.
What type of disorder is Chelsea most likely experiencing?
a. histrionic
b. antisocial
c. bpd
d. obsessive
c. bpd
TRUE or FALSE
Avoidant personality:
a. has a fear of rejection (T/F)
b. feels uncomfortable when alone (T/F)
c. restraint within intimate relationships (T/F)
a. TRUE
b. FALSE... dependent
c. TRUE
A nurse is working with a client diagnosed with antisocial personality disorder. The nurse needs to keep in mind which information about the therapeutic relationship?
a. the goal is to alleviate dysfunctional thinking
b. the relationship is initially superficial due to lack of client commitment
c. the client uses the relationship to change the problem behavior
d. the client continuously focuses on new topics during the relationship
b. the relationship is initially superficial due to lack of client commitment
TRUE or FALSE
1. Physiological under arousal to stimulation is associated with risk taking and is included in the social theory
2. Transference: hostility towards self is projected onto other, resulting in fear, mistrust, withdrawal to avoid being hurt.
3. Failure to individuate, growing up in a multigenerational enmeshed family may lead to dichotomous thinking or splitting, also chaotic and/or abusive environments may be associated with borderline. Associated with family theory
1. FALSE... this is associated with the neurobio theory
2. False...Transference is a phenomenon in which one seems to direct feelings or desires related to an important figure in one's life toward someone who is not that person. The definition listed in the question is associated with the intrapersonal theory
3. TRUE
NAME THE DISORDER:
1. Tyler is 21 years old. Tyler played on the school football team in high school and was well liked. After graduation the neighborhood kids began to see less of their friend and some even stated that Tyler lashed out on him after a misunderstanding. The local kids also noticed that Tyler's long time girlfriend has stopped hanging out and has deactivated her social media accounts.
2. Hannah is a lone wolf who does not have close friends or relationships with family. Hannah dresses as a fairy and thinks she is part fairy. Hannah has been known to post videos of her fairy self making odd statements.
1. Paranoid
2. Schizotypal
TRUE or FALSE
1. A client must have evidence of a conduct disorder before age 15 in order to be diagnosed with antisocial personality disorder.
2. BPD is a pattern of excessive emotions and attention seeking behaviors with long history of unstable interpersonal relationships
3. BPD: chronic feelings of emptiness is combatted by attempts to draw attention to self
1. TRUE
2. FALSE: Histrionic personality is a pattern of excessive emotions and attention seeking behaviors.... BPD has history of unstable interpersonal relationships
3. FALSE...attempts to draw attention to self is Histrionic
Sandra is a 56 year old female who is just starting therapy as part of a remediation process that she must attend if she wants to keep her job. Sandra is visibly agitated that the company has decided this is her only option. Upon evaluation Sandra states that this requirement is unreasonable and that the higher up's should be here and not her.
Which disorder is Sandra exhibiting?
a. obsessive compulsive
b. passive aggressive
c. dependent
d. avoidant
b. passive aggressive
A client is diagnosed with avoidant personality disorder. When assessing the client, which would be evident? SATA
a. timid
b. sensitive to negative comments
c. fear of rejection
d. absence of decision making ability
a. timid
b. sensitive to negative comments
c. fear of rejection
The nurse cares for a client diagnosed with antisocial personality disorder. Which is the best intervention the nurse can use to enhance the client's socialization?
a. remind the client of the right's of others
b. assist the client in verbalizing which behaviors are appropriate
c. confront the client when the client's interactions are manipulative or exploitative
d. increase the client's self esteem by offering merited praise when appropriate
c. confront the client when the client's interactions are manipulative or exploitative
source: kaplan
A mental health nurse is planning a psychotherapy group for clients with personality disorders. The nurse knows the group will be comprised of a significant number of clients from Arab and Asian ethnicity. Which should the nurse consider when planning this group?
a. be aware of how each client's personality has been affected by his or her cultures values and beliefs
b. be cautious to treat both populations with respect to their culturally driven health care preferences
c. expect that most people of Arab descent will have PTSD
d. ensure cultural sensitivity when discussing client problems with their family members
a. be aware of how each client's personality has been affected by his or her cultures values and beliefs
NAME THE DISORDER:
1. Sarah has a strong belief in her own superiority and is preoccupied with thoughts of self power.
2. Janet is often seen wearing promiscuous clothing and is known to have exaggerated expression of emotions and to be reactive.
3. Lionel is a street busker. He states he got into this work after never finding a good fit in the rat race. Lionel is known to have double sided cards when dealing cards for passer byers and get's aggressive when confronted on this.
1. Narcissistic
2. Histrionic
3. Antisocial
Kevin is a 25 year old Caucasian male. Kevin states that ever since his parents forced him to move out he feels helpless. Kevin states that his anxiety has also gotten worse recently. Kevin states that the way his life is right now is due to his parents actions and choice to kick him out. Kevin states that he was very against the idea but went with it after his mom helped him secure his own place and ensured he had essentials like food and furniture.
What disorder is Kevin most likely experiencing?
a. avoidant
b. dependent
c. obsessive compulsive
d. BPD
b. dependent
A psych nurse is reviewing information about the possible theories associated with narcissistic personality disorder. The nurse demonstrates understanding of the info by identifying which concept as being associated with the development?
a. parental overindulgence of a child
b. deficiency of serotonin and dopamine
c. complete emotional separation from a caregiver
d. alteration in brain structures
a. parental overindulgence of a child