30 Questions
What is a characteristic symptom of antisocial personality disorder?
Lack of empathy and disregard for rights of others
Which personality disorder is characterized by acute discomfort in relationships, cognitive or perceptual distortions, and eccentric behavior?
Schizotypal
What is a nursing intervention for borderline personality disorder?
Unstable relationships, self-image, and affect; impulsivity; self-mutilation
Which personality disorder is characterized by preoccupation with orderliness, perfectionism, and compulsive control?
Obsessive–compulsive
What is a characteristic symptom of dependent personality disorder?
Submissive and clinging behavior; excessive need to be taken care of
What is a nursing diagnosis associated with antisocial personality disorder?
Ineffective Coping: Inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources
What is a recommended nursing intervention for clients with antisocial personality disorder to help them manage emotions?
Teach problem-solving skills and help clients practice them
What should the nurse do when a client with antisocial personality disorder is confronted with problems?
Use confrontation to keep the client focused on the topic and in the present
What is a key nursing intervention for promoting responsible behavior in clients with antisocial personality disorder?
Set limits and identify consequences of exceeding the limit
What is a common nursing diagnosis for clients with borderline personality disorder?
Risk for suicide
What is a priority for the nurse when considering the safety of clients with borderline personality disorder?
Serious consideration of suicidal ideation and self-harm behaviors
What is a challenge for the nurse in determining when suicidal ideas are likely to be translated into action for clients with borderline personality disorder?
Determining when suicidal ideas are likely to be translated into action
What are the immediate expected outcomes for the client, as mentioned in the text?
Refraining from self-harm, identifying behaviors leading to hospitalization, and functioning within the therapeutic milieu
What is emphasized to prevent manipulation and ensure effectiveness in nursing interventions?
Consistent and firm adherence to the care plan
What is recommended to facilitate the client's ability to accept responsibility for their behavior and make alternative choices?
Encouraging the client to identify sources of frustration, exploring alternative methods of dealing with frustrations, and role-playing alternatives
What is important to avoid in discussions with the client to prevent manipulation?
Discussing another staff member's actions unless that staff member is present
What should be provided for unacceptable behaviors, according to the text?
Specific consequences with clear, concrete limits
What will help decrease manipulative behavior, according to the text?
Refusal to be manipulated or charmed by the client
What is a common nursing intervention for clients with schizoid personality disorder?
Referrals to social services for housing and assistance
What is a focus of nursing care for clients with schizotypal personality disorder?
Developing self-care and social skills
What is a common characteristic of people with antisocial personality disorder regarding seeking treatment?
They generally do not seek treatment voluntarily unless they perceive personal gain
What is a commonly used nursing diagnosis with clients with antisocial personality disorder?
Ineffective coping and risk for other-directed violence
What is an effective technique to manage manipulative behavior in clients with antisocial personality disorder?
Limit setting
What may help clients with schizotypal personality disorder talk clearly with others and reduce bizarre conversations?
Social skills training
What is an expected outcome for the Risk for Self-Mutilation nursing diagnosis?
Immediate safety and independence in controlling urges for self-harming behavior in the community
What is an important nursing intervention for managing negative behaviors in clients with Borderline Personality Disorder?
Consistent limit setting and withdrawal of attention
How should the nurse approach clients with Paranoid Personality Disorder?
In a formal, businesslike manner and refraining from social chit-chat or jokes
What is crucial when encouraging clients to identify and express feelings related to self-destructive behavior?
Focusing on self-responsibility and active approaches
What is an essential aspect for the success of the nurse-client relationship with paranoid clients?
Being on time, keeping commitments, and being straightforward
What are the risk factors for the Risk for Self-Mutilation nursing diagnosis?
Impulsive displays of temper and attention-seeking behavior
Study Notes
Nursing Care Plan for Borderline Personality Disorder
- Risk for Self-Mutilation nursing diagnosis includes impulsive displays of temper and attention-seeking behavior as risk factors.
- Expected outcomes include immediate safety, stabilization through elimination of acting-out behaviors, and independence in controlling urges for self-harming behavior in the community.
- Nursing interventions involve assessing the client for self-harm urges and closely supervising the client's use of potentially dangerous objects.
- Consistent limit setting and withdrawal of attention are essential in managing negative behaviors.
- Encouraging the client to identify and express feelings related to self-destructive behavior is crucial.
- Focusing on self-responsibility and active approaches, identifying strengths, and teaching positive coping strategies are important nursing interventions.
- For Paranoid Personality Disorder, forming an effective working relationship with paranoid or suspicious clients is challenging.
- The nurse must approach these clients in a formal, businesslike manner and refrain from social chit-chat or jokes.
- Being on time, keeping commitments, and being straightforward are essential for the success of the nurse-client relationship with paranoid clients.
Test your knowledge of nursing care plans for Borderline Personality Disorder and Paranoid Personality Disorder with this quiz. Explore nursing interventions, risk factors, and expected outcomes for managing self-harm urges and building effective relationships with clients.
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