Questions and Answers
What behavior is common in clients with a dependent personality disorder?
What statement about Cluster A personality disorders is accurate?
Which of the following should be a priority action for a nurse caring for a client who displays self-injury or violence?
How should a nurse interact with a client who has a paranoid personality disorder?
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What is a characteristic feature of clients diagnosed with bulimia?
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What is a suitable goal-setting approach for a nurse developing a care plan for a client with bulimia?
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What is a critical aspect when caring for a client with an antisocial personality disorder?
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What indicates a client with obsessive-compulsive disorder is experiencing distress?
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What is the potential benefit of electroconvulsive therapy?
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What is a common characteristic of children with Tourette's disorder when in social situations?
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Which of the following is a symptom of anorexia nervosa?
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What is an important nursing action for a client with attention deficit disorder (ADD)?
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What must the nurse address when completing an intake for an adolescent client?
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How might a client with dependent personality disorder typically respond to criticism?
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Which characteristic is NOT associated with Histrionic Personality Disorder?
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What is a common emotional characteristic of clients with personality disorders?
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What is the most appropriate nursing intervention for a client with Paranoid Personality Disorder?
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What nursing intervention is appropriate for a client at risk for refeeding syndrome?
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What long-term goal is essential for a client with Antisocial Personality Disorder?
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What type of medication is typically prescribed for Tourette's disorder?
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When caring for a client with anorexia nervosa, what is a recommended nursing action?
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Why are stimulant medications considered first-line treatment for Attention Deficit Disorder (ADD)?
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What approach should be considered when developing a behavior contract for a client with conduct disorder?
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Which statement about the characteristics of children diagnosed with ADHD is accurate?
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What typical sign may indicate depression in children?
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What should the nurse do when a client shares private information that includes suicidal thoughts?
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What should be prioritized for a client with anorexia nervosa displaying an irregular heart rate?
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Which characteristic is NOT typical of clients with autism spectrum disorder?
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What is a common emotional response for individuals with binge eating disorder?
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How long does it typically take for fluoxetine (Prozac) to show maximal effectiveness?
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What is a primary role of a dietician in the care of clients with eating disorders?
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Which symptom may indicate a need for prn medication in a client with ADD?
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What should a nurse do if a client with ODD poses a threat to themselves or others?
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What is a short-term goal for a client with anorexia nervosa?
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What indicates that the teaching about risk behavior has been effective for adolescents with ADHD?
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Which of the following is an indicator of self-induced vomiting in clients with eating disorders?
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Study Notes
Cluster A Personality Disorders
- Characterized by odd, bizarre, and eccentric behaviors.
- Often associated with manipulative actions and a disregard for social norms, particularly seen in antisocial personality disorder.
Cluster C Personality Disorders
- Features submissive and clingy behavior, often accompanied by fear of separation, indicative of dependent personality disorder.
Nursing Interventions and Client Safety
- Self-injury and violence are priority concerns that require immediate action.
- No medications can cure personality disorders; explain treatment options clearly to clients.
- Clients need to understand treatment setting rules and the consequences of violating them for effective evaluation of treatment goals.
Paranoid Personality Disorder
- Clients exhibit high suspicion and perceive threats; require non-threatening communication.
- Use clear, calm statements and a confident physical presence to enhance safety.
Obsessive-Compulsive Disorder (OCD)
- Individuals display a need for control and organization; clutter indicates distress.
Antisocial Personality Disorder
- Clients often need help verbalizing feelings to learn how to handle emotions constructively.
- Long-term goals include accountability for actions and adhering to societal rules.
Eating Disorders: Bulimia and Anorexia Nervosa
- Bulimia clients often maintain normal weight and demonstrate distress through requests for food shortly after meals.
- Involvement of clients in goal-setting is essential, alongside education on life management beyond food.
- Anorexia nervosa is marked by an extreme fear of weight gain and irregular heart rates indicating a need for immediate follow-up.
- Clients typically have a BMI of 17 or less, often present with altered hormones, and exhibit signs such as Russell's sign for self-induced vomiting.
Disruptive Mood Dysregulation Disorder (DMDD)
- Characterized by outbursts occurring in multiple settings; developmental level must be considered in family education about the disorder.
Autism Spectrum Disorder
- Consistency is crucial in managing home care; changes in routine can be harmful.
- Children may show difficulties in eye contact, engage in repetitive actions, and adhere strictly to routines.
Attention Deficit Hyperactivity Disorder (ADHD)
- Signs include impulsivity and difficulty concentrating; stimulant medications are the primary treatment.
- It's crucial to modify tasks and recognize personal space to assist children with ADHD.
Conduct Disorder
- Childhood-onset is more severe than adolescent-onset, with a likelihood of developing antisocial personality disorder.
- Behavior contracts might help delineate expected behaviors and their consequences.
Communication and Therapeutic Relationships
- When assessing clients, ensure privacy while disclosing crucial information like suicidal ideation to the treatment team.
- Support clients' problem-solving skills to foster strong therapeutic relationships.
Treatment Considerations
- Electroconvulsive therapy may be indicated for clients unresponsive to medications or therapy.
- Continuous monitoring for refeeding syndrome is important for clients receiving nutritional support.
Summary of Characteristic Symptoms
- Histrionic personality disorder includes self-dramatization and manipulative behaviors for attention.
- Dependent personality disorder involves passivity, lack of self-confidence, and susceptibility to criticism.
Family Dynamics in Eating Disorders
- Family dynamics and conflict avoidance can impede recovery for clients with anorexia nervosa; encouraging clients to voice feelings about family roles is vital for progress.
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Description
This quiz covers the key characteristics of Cluster A, B, and C personality disorders, including ODD, manipulative behaviors, and submission tendencies. It emphasizes the implications for nursing care and the recognition of self-injury and violence as priority concerns. Test your understanding of these complex disorders and their impact on patient care.
