Week 6- Personality Disorders Flashcards
Which behavior does dialectical behavioral therapy target for an antisocial personality disorder?
Passive
Suicidal
Assertive
Dependent
Suicidal
Dialectical behavioral therapy targets three behaviors, which include the quality of life behaviors, therapy interfering behaviors, and suicidal behavior. Passive, dependent, and assertive behaviors are not characteristic of patient with an antisocial personality disorder.
Which type of therapy is included in the treatment plan for a patient with an antisocial personality disorder?
Somatic
Exposure
Expressive arts
Dialectical behavioral
Dialectical behavioral
Which statement is true of pharmacological therapies for treatment of personality disorders?
Research has shown that psychotropic drugs have not been shown to be effective in treating personality disorders.
Patients with narcissistic personality disorder and obsessive-compulsive personality disorder benefit from the use of antianxiety medications along with use of selective serotonin reuptake inhibitors (SSRIs).
Patients with personality disorders benefit from specific off-label uses of antipsychotics, mood stabilizers, and antidepressants.
Patients with personality disorders are resistant to taking medications, and providers therefore often do not prescribe psychotropic drugs to these patients.
Patients with personality disorders benefit from specific off-label uses of antipsychotics, mood stabilizers, and antidepressants.
A nurse caring for a patient with a dependent personality disorder begins avoiding the patient because of the patient’s repeated states of crisis and demand for extra time. Which term would be used to described what has occurred in the nurse–patient relationship?
Projection
Conversion disorder
Defense mechanism
Countertransference
Countertransference
Countertransference occurs when the feeling of wanting to avoid the patient is based on prior interaction with the patient. Projection is a psychological defense mechanism in which individuals attribute characteristics they find unacceptable in themselves to another person. A conversion disorder consists of neurological symptoms or deficits that develop unconsciously and cannot be explained by medical evaluation. A defense mechanism is an unconscious way to cope with anxiety.
Which medication would the nurse anticipate incorporating into the plan of care for a patient diagnosed with antisocial personality disorder displaying aggressive behavior?
Fluoxetine
Clonazepam
Valproic acid
Methylphenidate
Valproic acid
Which term describes the behavior of a cluster B personality disorder?
Odd
Anxious
Aggressive
Antagonistic
Antagonistic
The behavior of a cluster B personality disorder is described as antagonistic, such as being deceitful and manipulative for personal gain or hostile if one’s needs are blocked. The behaviors in a cluster A personality disorder are described as odd or eccentric. Anxious or fearful behavior is descriptive of a cluster C personality disorder. Aggressive or destructive behaviors are not descriptive of any cluster of personality disorders.
Which personality disorder is most common among population samples in the community?
Avoidant
Paranoid
Histrionic
Narcissistic
Narcissistic
The nurse explains to a patient with a borderline personality disorder that the patient’s former psychiatrist resigned, and a new psychiatrist has been hired. Which patient reaction would the nurse anticipate?
Rage
Silence
Anxiety
Withdrawal
Rage
Which type of dialectical behavior therapy (DBT) for borderline personality disorder aims to reduce a person’s destructive behavior?
Aftercare therapy
Inpatient treatment
Outpatient skills group
Intensive outpatient treatment
Intensive outpatient treatment
During the intensive outpatient treatment phase of DBT, the aim is to reduce the patient’s destructive behaviors, such as property damage. Aftercare therapy helps the person improve quality of life skills and reinforces adaptive behaviors. During inpatient treatment, the goal is primarily to reduce the risk of suicide. DBT provided in the outpatient skills group aims at helping the patient stabilize, acquire skills for behavioral function, and become more functional.
Which behavioral characteristic would the nurse associate with a patient diagnosed with antisocial personality disorder?
Lack of empathy
Preoccupation with detail
Avoidance of interpersonal contact
A need for others to assume responsibility for decision making
Lack of empathy
Which statement accurately describes patients with a personality disorder?
They are resistant to behavioral change.
They have an ability to tolerate frustration and pain.
They usually seek help to change maladaptive behaviors.
They have little difficulty forming satisfying and intimate relationships.
They are resistant to behavioral change.
Which behavior would the nurse associate with a patient diagnosed with borderline personality disorder?
Always calm
Abuses peers
Mood swings
Self-isolation
Mood swings
