Personality Disorders

Question 1

borderline personality disorder

Answer 1

impulsive, self-mutilating, *fear of abandonment

Question 2

antisocial personality disorder

Answer 2

callous, cold, no remorse for being hurtful, aggressive

Question 3

self assessment is essential in assessing personality disorders, t or f

Answer 3

true - must take care of yourself

Question 4

*most effective treatment for personality disorders

Answer 4

personality reconstruction (psycho-dynamic approach)

Question 5

how long does personality reconstruction take

Answer 5

10-15 yrs

Question 6

focus intervention for personality disorders on

Answer 6

safety - have pt come to you when they’re thinking of hurting themselves instead of when they already did

Question 7

before implementing interventions for personality disorders establish

Answer 7

trust - rapport (pt lack this)

Question 8

to establish trust w/personality disorder pt. do this

Answer 8

provide choices for empowerment, orient pt. to reality if they are delusional, identify their skills/strengths - teach them how to build on that, **set limits to avoid manipulation

Question 9

milieu therapy (mgmt) for personality disorder

Answer 9

affect mgmt

Question 10

therapeutic tools for personality disorders

Answer 10

Community meetings, problem-solving groups, coping skills groups, and socialization groups

Question 11

When a patient with a personality disorder uses
manipulation to get his or her needs met, the staff decides to apply limit-setting interventions. What is the correct rationale for this action?

Answer 11

C.External controls are necessary while internal

controls are developed.

Question 12

the psycho-dynamic approach focuses on

Answer 12

insight development

Question 13

*****dialectical behavior therapy focuses on

Answer 13

practical application for BPD
crises intervention for suicide 
setting limits
stabilization
behavior control
emotion regulation
distress tolerance skills

Question 14

borderline personality disorder s/s

Answer 14

always in state of crisis
extreme intensity
behavior reflects changeability
self-destructive behaviors
impulsive

Question 15

A patient with borderline personality disorder and a history of self-mutilation has now begun dialectical behavior therapy on an outpatient basis. Counseling focuses on self-harm behavior management. Today the patient telephones to say, “I’m feeling empty and want to cut myself.” The nurse should:

Answer 15

C. Assist the patient to identify the trigger situation

and choose a coping strategy

Question 16

common behaviors of anti-social personality disorders

Answer 16

Socially irresponsible
Cruel and malicious
Guiltless
Disregard for the rights of others
General disregard for the law
Cold, callous, intimidating
Inconsistent work or academic performance
Failure to conform to societal norms
Unable to form satisfying interpersonal relationships

Question 17

those with conduct disorder as kids commonly end up with anti-social disorder, t or f

Answer 17

true

Question 18

its common for those with anti-social disorder to hurt themselves, t or f

Answer 18

false, risk is for harm to others, don’t care about others

Question 19

Which intervention is appropriate for a patient with an

antisocial personality disorder who frequently manipulates others?

Answer 19

A.Refer the patient’s requests and questions related
to care to the case manager.
you want 1 point person

Question 20

outcomes for anti-social disorders

Answer 20

discussing angry feelings
not harming self accidentally or harming others
engaging in socially appropriate behaviors, not manipulating other people