Podcast
Questions and Answers
What is a key characteristic of clients with anorexia nervosa?
What is a key characteristic of clients with anorexia nervosa?
- High levels of physical activity
- Extreme fear of becoming obese (correct)
- Desire to maintain a healthy weight
- Irregular heart rate
What does Russell's sign indicate in clients?
What does Russell's sign indicate in clients?
- Compensatory exercise habits
- Malnutrition due to restricted intake
- Self-induced vomiting as a means of weight control (correct)
- Signs of anxiety and stress
When should a nurse report to the healthcare team concerning a client with anorexia?
When should a nurse report to the healthcare team concerning a client with anorexia?
- The client has a consistent weight gain
- The client displays suicidal ideations (correct)
- The client is following a meal plan
- The client has normal blood pressure
What is the preferred short-term goal for a client with anorexia nervosa?
What is the preferred short-term goal for a client with anorexia nervosa?
Why is it important for someone to accompany a client with an eating disorder to the bathroom after eating?
Why is it important for someone to accompany a client with an eating disorder to the bathroom after eating?
What characteristic is commonly seen in children with autism spectrum disorder?
What characteristic is commonly seen in children with autism spectrum disorder?
What characterizes Disruptive Mood Dysregulation Disorder (DMDD)?
What characterizes Disruptive Mood Dysregulation Disorder (DMDD)?
Why should a nurse question the use of electroconvulsive therapy in a child with autism spectrum disorder?
Why should a nurse question the use of electroconvulsive therapy in a child with autism spectrum disorder?
What does the symptom of difficulty concentrating in a child with ADHD indicate?
What does the symptom of difficulty concentrating in a child with ADHD indicate?
How should a nurse involve a parent when assessing a 3-year-old client with autism?
How should a nurse involve a parent when assessing a 3-year-old client with autism?
What priority is crucial in managing care for a child with autism spectrum disorder at home?
What priority is crucial in managing care for a child with autism spectrum disorder at home?
Which statement indicates that a client with ADHD understands the risks of their behavior?
Which statement indicates that a client with ADHD understands the risks of their behavior?
What goal should a nurse aim for when working with children who have ADHD?
What goal should a nurse aim for when working with children who have ADHD?
What is a significant characteristic of Narcissistic Personality Disorder?
What is a significant characteristic of Narcissistic Personality Disorder?
What behavior presents a risk for injury to others in clients with Conduct Disorder?
What behavior presents a risk for injury to others in clients with Conduct Disorder?
What is an essential practice for nurses caring for patients with anorexia nervosa after meals?
What is an essential practice for nurses caring for patients with anorexia nervosa after meals?
What significant behavior is characteristic of individuals with Histrionic Personality Disorder?
What significant behavior is characteristic of individuals with Histrionic Personality Disorder?
Which approach is most effective when caring for a client with Paranoid Personality Disorder?
Which approach is most effective when caring for a client with Paranoid Personality Disorder?
What is a primary long-term goal for individuals with Antisocial Personality Disorder?
What is a primary long-term goal for individuals with Antisocial Personality Disorder?
What behavior might an adolescent exhibit due to altered hormones and a low BMI?
What behavior might an adolescent exhibit due to altered hormones and a low BMI?
Which nursing approach is considered best for clients diagnosed with Borderline Personality Disorder?
Which nursing approach is considered best for clients diagnosed with Borderline Personality Disorder?
What sign may indicate a client is at risk for a personality disorder in the future?
What sign may indicate a client is at risk for a personality disorder in the future?
What is a notable trait of clients with Paranoid Personality Disorder?
What is a notable trait of clients with Paranoid Personality Disorder?
What is an important consideration when addressing the needs of clients with anorexia nervosa?
What is an important consideration when addressing the needs of clients with anorexia nervosa?
What is a potential intervention for a client at risk for refeeding syndrome?
What is a potential intervention for a client at risk for refeeding syndrome?
What behavior is typical of a client with dependent personality disorder?
What behavior is typical of a client with dependent personality disorder?
Which pharmacological treatments are commonly used for Tourette's disorder?
Which pharmacological treatments are commonly used for Tourette's disorder?
What can trigger an increase in tic behaviors in children with Tourette's?
What can trigger an increase in tic behaviors in children with Tourette's?
What is a primary concern for a client with anorexia nervosa?
What is a primary concern for a client with anorexia nervosa?
Which strategy should a nurse use when interacting with a child with Attention Deficit Disorder (ADD)?
Which strategy should a nurse use when interacting with a child with Attention Deficit Disorder (ADD)?
Which characteristic is NOT typical of clients with personality disorders?
Which characteristic is NOT typical of clients with personality disorders?
What is an important post-therapy consideration for children who suppress their tics in social situations?
What is an important post-therapy consideration for children who suppress their tics in social situations?
Which behavior is characteristic of a client with antisocial personality disorder?
Which behavior is characteristic of a client with antisocial personality disorder?
What signifies a need for immediate follow-up with a client reporting harm to themselves?
What signifies a need for immediate follow-up with a client reporting harm to themselves?
What should a nurse do when speaking to a client with paranoid personality traits?
What should a nurse do when speaking to a client with paranoid personality traits?
Which of the following behaviors would indicate distress in a client with Obsessive-Compulsive Disorder (OCD)?
Which of the following behaviors would indicate distress in a client with Obsessive-Compulsive Disorder (OCD)?
What is a crucial part of the plan of care for a client with antisocial personality disorder?
What is a crucial part of the plan of care for a client with antisocial personality disorder?
What is the correct approach for a nurse when handling a client diagnosed with bulimia who requests a second tray shortly after eating?
What is the correct approach for a nurse when handling a client diagnosed with bulimia who requests a second tray shortly after eating?
How should the nurse evaluate a short-term goal for a client with a personality disorder effectively?
How should the nurse evaluate a short-term goal for a client with a personality disorder effectively?
Which characteristic is typical for a client diagnosed with bulimia?
Which characteristic is typical for a client diagnosed with bulimia?
Study Notes
Cluster A, B, and C Personality Disorders
- Cluster A includes personality disorders characterized by odd, bizarre, and eccentric behaviors.
- Antisocial personality disorder is marked by manipulative tendencies and disregard for social norms.
- Cluster C is defined by dependent disorder, exhibiting submissive, clingy behavior and fear of separation.
Nursing Care for Personality Disorders
- Prioritize clients displaying self-injury and violence as they require immediate attention.
- Clarify to clients that no medications exist to cure personality disorders.
- An effective short-term goal involves clients understanding treatment rules and consequences.
- Maintain a culture of safety; report any self-harm or threats immediately.
Paranoid Personality Disorder
- Clients are highly suspicious and perceive threats in their environment.
- Use a non-threatening demeanor while communicating with these clients to foster safety.
Obsessive-Compulsive Disorder (OCD)
- Clients often need to maintain order and control in their environments.
- Disorganized or haphazard belongings indicate distress and require follow-up.
Antisocial Personality Disorder Management
- Encourage clients to verbalize hostile feelings to develop healthier coping strategies.
Eating Disorders: Bulimia Nervosa
- Clients may display normal weight while engaging in bulimic behaviors.
- A nurse should monitor clients post-meal to prevent purging behaviors.
- Education on alternative life control strategies is essential to recovery.
Eating Disorders: Anorexia Nervosa
- Characterized by an extreme fear of weight gain, clients often have a BMI of 17 or less.
- Monitor for irregular heart rates as they require immediate intervention.
- Include clients in goal-setting for achievable weight gain during treatment.
Russell's Sign
- Indicates self-induced vomiting, often evident as scars on the hands.
Binge Eating Disorder
- Clients commonly express feelings of guilt following binge episodes.
Disruptive Mood Dysregulation Disorder (DMDD)
- Symptoms must occur in more than one location for a valid diagnosis.
- Tailor teaching materials based on the client's developmental level.
Autism Spectrum Disorder
- Routine and familiar toys are crucial; changes can disrupt comfort.
- Involve parents in assessments as young children may not communicate freely.
Attention-Deficit/Hyperactivity Disorder (ADHD)
- Recognize the need for clear communication and limit-setting to aid attention and involvement.
- Adolescents may engage in risky behaviors; understanding and teaching about these behaviors is vital.
Personality Disorders and Risk
- Splitting and manipulative behaviors require therapeutic boundaries from caregivers.
- Narcissistic personality disorder includes traits of arrogance, self-importance, and lack of empathy.
Key Psychological Interventions
- Remain with anorexia or bulimia patients for at least one hour after meals to prevent purging.
- Understand distorted body image perceptions prevalent in eating disorders.
- Regularly assess psychosocial and family dynamics during intake evaluations.
Therapeutic Relationships
- Problem-solving and coping skills training is foundational in developing therapeutic relationships with clients.
Management Strategies for Clients
- For Tourette's disorder, antipsychotics and alpha-adrenergic agonists are common treatments.
- Recognize tic suppression in social settings may lead to increased tic behavior later.
Treatment Considerations
- The need for clear and calm communication is essential in managing paranoid personality disorder.
- Firm, consistent, and empathetic care is best for clients with borderline personality disorder.
- Educate families about the support and dynamics critical for recovery in anorexia nervosa.
Refeeding Syndrome and Nutritional Support
- Consult a dietitian for structured nutritional support, monitor electrolytes, and consider telemetry for at-risk clients.
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Description
This quiz explores Cluster A, B, and C personality disorders, focusing on their characteristics and nursing interventions. Questions assess understanding of behaviors like manipulativeness, submissiveness, and self-injury. Test your knowledge on recognizing and caring for clients with these disorders.
