Personality Disorders and Nursing Care

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Questions and Answers

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?

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?

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?

Setting an obtainable weight gain goal Signup and view all the answers

Why is it important for someone to accompany a client with an eating disorder to the bathroom after eating?

To monitor for any signs of purging behavior Signup and view all the answers

What characteristic is commonly seen in children with autism spectrum disorder?

Inability to maintain eye contact Signup and view all the answers

What characterizes Disruptive Mood Dysregulation Disorder (DMDD)?

Outbursts occurring in more than one location Signup and view all the answers

Why should a nurse question the use of electroconvulsive therapy in a child with autism spectrum disorder?

It may exacerbate their symptoms. Signup and view all the answers

What does the symptom of difficulty concentrating in a child with ADHD indicate?

Need for prn medication Signup and view all the answers

How should a nurse involve a parent when assessing a 3-year-old client with autism?

Involve the parent in the assessment process Signup and view all the answers

What priority is crucial in managing care for a child with autism spectrum disorder at home?

Ensuring consistency in routine Signup and view all the answers

Which statement indicates that a client with ADHD understands the risks of their behavior?

I know how important it is to not text and drive. Signup and view all the answers

What goal should a nurse aim for when working with children who have ADHD?

To learn to be less intrusive and more mature Signup and view all the answers

What is a significant characteristic of Narcissistic Personality Disorder?

Grandiose views of self-importance Signup and view all the answers

What behavior presents a risk for injury to others in clients with Conduct Disorder?

Verbal abuse or arguing Signup and view all the answers

What is an essential practice for nurses caring for patients with anorexia nervosa after meals?

Remaining with the client for at least 1 hour Signup and view all the answers

What significant behavior is characteristic of individuals with Histrionic Personality Disorder?

Self-dramatizing and attention-seeking Signup and view all the answers

Which approach is most effective when caring for a client with Paranoid Personality Disorder?

Utilizing clear and calm statements Signup and view all the answers

What is a primary long-term goal for individuals with Antisocial Personality Disorder?

Accepting accountability for actions Signup and view all the answers

What behavior might an adolescent exhibit due to altered hormones and a low BMI?

Impulsive and dangerous actions Signup and view all the answers

Which nursing approach is considered best for clients diagnosed with Borderline Personality Disorder?

Demonstrating firmness, consistency, and empathy Signup and view all the answers

What sign may indicate a client is at risk for a personality disorder in the future?

Occasional impulsive behaviors Signup and view all the answers

What is a notable trait of clients with Paranoid Personality Disorder?

Being constantly on guard for threats Signup and view all the answers

What is an important consideration when addressing the needs of clients with anorexia nervosa?

Educating families on dynamics and support Signup and view all the answers

What is a potential intervention for a client at risk for refeeding syndrome?

Consult a dietician for nutritional support Signup and view all the answers

What behavior is typical of a client with dependent personality disorder?

Showing an overall lack of self-confidence Signup and view all the answers

Which pharmacological treatments are commonly used for Tourette's disorder?

Antipsychotics and alpha-adrenergic agonists Signup and view all the answers

What can trigger an increase in tic behaviors in children with Tourette's?

Stressful situations Signup and view all the answers

What is a primary concern for a client with anorexia nervosa?

Concern about body image Signup and view all the answers

Which strategy should a nurse use when interacting with a child with Attention Deficit Disorder (ADD)?

Obtain the child’s attention before speaking Signup and view all the answers

Which characteristic is NOT typical of clients with personality disorders?

Flexibility in social interactions Signup and view all the answers

What is an important post-therapy consideration for children who suppress their tics in social situations?

They may require 'tic time' afterward Signup and view all the answers

Which behavior is characteristic of a client with antisocial personality disorder?

Displaying manipulation and disregard for social norms Signup and view all the answers

What signifies a need for immediate follow-up with a client reporting harm to themselves?

Reporting any form of harm or violence Signup and view all the answers

What should a nurse do when speaking to a client with paranoid personality traits?

Maintain a non-threatening appearance Signup and view all the answers

Which of the following behaviors would indicate distress in a client with Obsessive-Compulsive Disorder (OCD)?

Items being scattered about haphazardly Signup and view all the answers

What is a crucial part of the plan of care for a client with antisocial personality disorder?

Helping the client verbalize hostile feelings Signup and view all the answers

What is the correct approach for a nurse when handling a client diagnosed with bulimia who requests a second tray shortly after eating?

Express concern for the behavior and follow up Signup and view all the answers

How should the nurse evaluate a short-term goal for a client with a personality disorder effectively?

By verifying their understanding of treatment rules and consequences Signup and view all the answers

Which characteristic is typical for a client diagnosed with bulimia?

Normal weight Signup and view all the answers

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.