Podcast
Questions and Answers
A therapeutic nursing intervention for a patient diagnosed with borderline personality disorder who exhibits alternating clinging and distancing behaviors would be to:
A therapeutic nursing intervention for a patient diagnosed with borderline personality disorder who exhibits alternating clinging and distancing behaviors would be to:
- Secure a verbal contract indicating that the patient will not demonstrate these behaviors.
- Rotate staff so that the patient will learn to relate to more than one person. (correct)
- Withdraw attention from the patient if these behaviors continue.
- Encourage the patient to establish trust in one person, with whom all therapeutic interactions take place.
Which of the following are examples of manipulative behaviors in a patient diagnosed with borderline personality disorder? (Select all that apply)
Which of the following are examples of manipulative behaviors in a patient diagnosed with borderline personality disorder? (Select all that apply)
- Refusal to stay in a room alone, stating, 'It is so lonely.'
- Stating to the nurse, 'I really like having you for my nurse. You're the best one around here.' (correct)
- Cutting arms with a plastic knife after discussing discharge plans with the psychiatrist. (correct)
- Asking the nurse for Ativan, knowing the assigned nurse has explained the need to wait 1 hour for additional medication. (correct)
Splitting by the patient with borderline personality disorder indicates:
Splitting by the patient with borderline personality disorder indicates:
- Evidence of precocious behavior.
- A brief psychotic episode in which the patient loses contact with reality.
- Two distinct personalities within the patient with borderline personality disorder.
- A primitive defense in which the patient sees objects as all good or all bad. (correct)
Which of the following characteristics would you expect to assess in a patient with antisocial personality disorder?
Which of the following characteristics would you expect to assess in a patient with antisocial personality disorder?
Milieu therapy is a therapeutic choice for patients with antisocial personality disorder since this therapy:
Milieu therapy is a therapeutic choice for patients with antisocial personality disorder since this therapy:
Which of the following behaviors would be considered the most significant indication of positive change in a patient diagnosed with antisocial personality disorder?
Which of the following behaviors would be considered the most significant indication of positive change in a patient diagnosed with antisocial personality disorder?
Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder?
Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder?
Which of the following behavioral patterns is characteristic of individuals with schizotypal personality disorder?
Which of the following behavioral patterns is characteristic of individuals with schizotypal personality disorder?
Which intervention would be most therapeutic for a patient diagnosed with antisocial personality disorder who has a nursing diagnosis of Defensive coping related to manipulation of others?
Which intervention would be most therapeutic for a patient diagnosed with antisocial personality disorder who has a nursing diagnosis of Defensive coping related to manipulation of others?
Flashcards
Rotating Staff for Borderline Personality Disorder
Rotating Staff for Borderline Personality Disorder
A patient with borderline personality disorder may show alternating clingy or distant behavior. Using a rotating staff can expose the patient to different relationships and help them develop healthier coping skills.
Manipulative Behaviors in Borderline Personality Disorder
Manipulative Behaviors in Borderline Personality Disorder
Manipulative behaviors in borderline personality disorder can be subtle ways of gaining special treatment or control. They often involve flattery or playing on the nurse's emotions.
Splitting in Borderline Personality Disorder
Splitting in Borderline Personality Disorder
Splitting is a defense mechanism where the patient only sees things in extremes: completely good or completely bad. It's a way of simplifying complex emotions and relationships.
Characteristics of Antisocial Personality Disorder
Characteristics of Antisocial Personality Disorder
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Milieu Therapy for Antisocial Personality Disorder
Milieu Therapy for Antisocial Personality Disorder
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Positive Change in Antisocial Personality Disorder
Positive Change in Antisocial Personality Disorder
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Narcissistic Personality Disorder Traits
Narcissistic Personality Disorder Traits
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Schizotypal Personality Disorder Traits
Schizotypal Personality Disorder Traits
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Managing Manipulative Behaviors in Antisocial Personality Disorder
Managing Manipulative Behaviors in Antisocial Personality Disorder
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Study Notes
Borderline Personality Disorder
- Patients often show alternating clinging and distancing behaviors; best intervention involves rotating staff to help them relate to multiple individuals.
- Manipulative behaviors include requesting medication despite knowing the wait time, flattery towards nursing staff, and self-harm after discussing discharge.
Splitting
- Splitting is a defense mechanism wherein individuals perceive others as entirely good or bad, indicative of primitive coping strategies.
Antisocial Personality Disorder
- Key characteristic includes a lack of guilt for wrongdoings, unlike insight or compliance with authority.
- Milieu therapy fosters social engagement in a structured community setting, beneficial for these patients.
- A significant positive change is observed when a patient apologizes for past harm, showing recognition of the impact of their actions.
Narcissistic Personality Disorder
- Individuals are typically self-centered and exploit others, indicating a need for admiration and validation.
Schizotypal Personality Disorder
- Characterized by a lifelong pattern of social withdrawal, patients may exhibit behavior that reflects discomfort in social situations.
Defensive Coping
- A therapeutic intervention for defensive coping due to manipulation includes referring care-related questions to primary care providers rather than confronting undesired behaviors directly.
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