ATI Ch 16, Personality Disorders

Question 1

What are common comorbid conditions in clients with personality disorders?

Answer 1

Substance use disorders and a history of nonviolent and violent crimes, including sex offenses.

Comorbidity indicates that these conditions frequently occur together in individuals with personality disorders.

Question 2

What psychosocial influences are linked to personality disorders?

Answer 2

Childhood abuse or trauma and developmental factors related to parenting.

These factors can significantly impact the development of personality disorders.

Question 3

What biological influences are associated with personality disorders?

Answer 3

Genetic and biochemical factors.

These influences can contribute to the manifestation of personality disorders.

Question 4

What is a common pathological personality characteristic related to stress responses?

Answer 4

Inflexibility/maladaptive responses to stress.

This characteristic indicates difficulty in adapting to stressors.

Question 5

What characteristic describes a lack of social restraint in clients with personality disorders?

Answer 5

Compulsiveness and lack of social restraint.

This can lead to inappropriate behaviors in social situations.

Question 6

What is a common interpersonal difficulty experienced by clients with personality disorders?

Answer 6

Inability to emotionally connect in social and professional relationships.

This difficulty can severely impact personal and professional interactions.

Question 7

What tendency do clients with personality disorders often exhibit in relationships?

Answer 7

Tendency to provoke interpersonal conflict.

This can lead to strained relationships and social isolation.

Question 8

What is the main characteristic of Paranoid personality disorder?

Answer 8

Distrust and suspiciousness toward others based on unfounded beliefs that others want to harm, exploit, or deceive the person.

Question 9

Define Schizoid personality disorder.

Answer 9

Emotional detachment, disinterest in close relationships, and indifference to praise or criticism; often uncooperative.

Question 10

What defines Schizotypal personality disorder?

Answer 10

Odd beliefs leading to interpersonal difficulties, eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations.

Question 11

Identify the key traits of Antisocial personality disorder.

Answer 11

Disregard for others, exploitation, lack of empathy, repeated unlawful actions, deceit, failure to accept personal responsibility, sense of entitlement, manipulative behaviors.

Question 12

What are common features of Borderline personality disorder?

Answer 12

Instability of affect, identity, relationships, splitting behaviors, manipulation, impulsiveness, fear of abandonment, self-injurious behavior.

Question 13

Describe Histrionic personality disorder.

Answer 13

Emotional attention-seeking behavior, needs to be the center of attention; often seductive and flirtatious.

Question 14

What characterizes Narcissistic personality disorder?

Answer 14

Arrogance, grandiose self-importance, need for consistent admiration, lack of empathy for others, sensitivity to criticism.

Question 15

Fill in the blank: Avoidant personality disorder is characterized by _______.

Answer 15

social inhibition and avoidance of situations requiring interpersonal contact due to extreme fear of rejection.

Question 16

What defines Dependent personality disorder?

Answer 16

Extreme dependency in close relationships with an urgent search to find a replacement when one relationship ends.

Question 17

Identify the main traits of Obsessive-Compulsive personality disorder.

Answer 17

Indecisiveness, perfectionism, focus on orderliness and control, potentially hindering task accomplishment.

Question 18

True or False: Individuals with Schizoid personality disorder are often very interested in forming close relationships.

Answer 18

False.

Question 19

What is a common behavior seen in individuals with Borderline personality disorder?

Answer 19

Impulsivity.

Question 20

Fill in the blank: Individuals with Antisocial personality disorder often display _______ behaviors.

Answer 20

manipulative.

Question 21

True or False: People with Dependent personality disorder are typically very independent.

Answer 21

False.

Question 23

Why is self-assessment vital for nurses caring for clients with personality disorders?

Answer 23

It helps manage intense emotions that clients may evoke in the nurse

Self-assessment should be performed prior to care.

Question 24

How does awareness of personal reactions to stress contribute to nursing care?

Answer 24

It promotes effective nursing care

Understanding personal stress responses can enhance therapeutic communication.

Question 25

What is the focus of milieu management?

Answer 25

Appropriate social interaction within a group context ## Footnote It is essential for creating a supportive environment.

Question 26

What is a primary concern when caring for clients with personality disorders?

Answer 26

Safety ## Footnote Some clients are at risk for self-injury or violence.

Question 27

Which personality disorder is associated with a higher risk for danger to self?

Answer 27

Borderline personality disorder ## Footnote Clients with this disorder may exhibit self-destructive behaviors.

Question 28

Which personality disorder is associated with a higher risk for danger to others?

Answer 28

Antisocial personality disorder ## Footnote Clients may exhibit aggressive or violent behaviors towards others.

Question 29

What does the plan of care for clients with personality disorders depend on?

Answer 29

The cluster they are in ## Footnote Different clusters require varied approaches.

Question 30

What is emphasized in the care plan for Cluster A personality disorders?

Answer 30

Client skill and resource development in maintaining interpersonal relationships ## Footnote Focus is on enhancing social functioning.

Question 31

What is the focus for clients in Cluster B personality disorders?

Answer 31

Developing skills to limit dramatic and inappropriate behaviors ## Footnote This includes managing emotional responses.

Question 32

What is the goal for clients in Cluster C personality disorders?

Answer 32

Providing education and therapies to manage feelings of anxiety ## Footnote Clients often struggle with anxiety-related issues.

Question 33

What can cause a client to act out toward the nurse?

Answer 33

Feelings of being threatened or having no control ## Footnote This can hinder the therapeutic relationship.

Question 34

What approach helps build a therapeutic nurse-client relationship?

Answer 34

A firm, yet supportive approach with consistent care ## Footnote Consistency fosters trust.

Question 35

How can a nurse enhance a client's sense of control?

Answer 35

By offering realistic choices ## Footnote Empowerment is key for effective communication.

Question 36

What is essential when working with manipulative clients?

Answer 36

Limit-setting and consistency ## Footnote Especially important for clients with borderline or antisocial personality disorders.

Question 37

What type of training benefits clients with dependent and histrionic personality disorders?

Answer 37

Assertiveness training and modeling ## Footnote Psychotherapy can also be helpful.

Question 38

What should nurses respect in clients with schizoid or schizotypal personality disorders?

Answer 38

Their need to isolate themselves ## Footnote Isolation is a coping mechanism for these clients.

Question 39

What is important for nurses when caring for clients with histrionic personality disorder?

Answer 39

Maintaining professional boundaries and communication ## Footnote This is crucial due to potential flirtatious behaviors.

Question 40

What should nurses do when caring for clients who exhibit dependent behavior?

Answer 40

Self-assess frequently for countertransference reactions ## Footnote This helps manage personal responses to client behaviors.

Question 42

What are psychotropic agents used for?

Answer 42

To provide relief from manifestations ## Footnote Psychotropic agents include a variety of medications aimed at treating mental health conditions.

Question 43

List the types of medications that may be prescribed for mental health.

Answer 43

* Antidepressant * Anxiolytic * Antipsychotic * Mood stabilizer ## Footnote These medications target different aspects of mental health disorders.

Question 44

What are effective treatment modalities for clients with personality disorders?

Answer 44

* Psychotherapy * Group therapy * Cognitive behavioral therapy ## Footnote These therapies aim to improve coping strategies and interpersonal functioning.

Question 45

What is dialectical behavior therapy used for?

Answer 45

For clients who exhibit self-injurious behavior ## Footnote It focuses on gradual behavior changes and provides acceptance and validation.

Question 46

What is a primary focus of case management for clients with personality disorders?

Answer 46

To support reintegration with the family and ensure appropriate referrals to outpatient care ## Footnote This is particularly important in acute care facilities.

Question 47

In long-term outpatient facilities, what is a goal of case management?

Answer 47

Reducing hospitalization by providing resources for crisis services ## Footnote This also involves enhancing the social support system.

Question 48

True or False: Dialectical behavior therapy is a form of individual therapy.

Answer 48

False ## Footnote Dialectical behavior therapy is a type of cognitive-behavioral therapy that can include group sessions.

Question 49

Fill in the blank: _______ therapy is used for clients who have personality disorders.

Answer 49

[Psychotherapy] ## Footnote This term encompasses various therapeutic approaches tailored to individual needs.