Podcast
Questions and Answers
What behavior is common in clients with a dependent personality disorder?
What behavior is common in clients with a dependent personality disorder?
- Manipulation of others
- Submissive and clingy behavior (correct)
- Inability to trust others
- Hostile feelings expressed verbally
What statement about Cluster A personality disorders is accurate?
What statement about Cluster A personality disorders is accurate?
- They often exhibit feelings of inadequacy.
- They consistently disregard social standards.
- They identify with odd, bizarre, or eccentric behaviors. (correct)
- They demonstrate overwhelming fear of social situations.
Which of the following should be a priority action for a nurse caring for a client who displays self-injury or violence?
Which of the following should be a priority action for a nurse caring for a client who displays self-injury or violence?
- Assess the client’s understanding of treatment rules.
- Offer therapeutic communication techniques.
- Ensure the client's safety through immediate follow-up. (correct)
- Provide an explanation of treatment options.
How should a nurse interact with a client who has a paranoid personality disorder?
How should a nurse interact with a client who has a paranoid personality disorder?
What is a characteristic feature of clients diagnosed with bulimia?
What is a characteristic feature of clients diagnosed with bulimia?
What is a suitable goal-setting approach for a nurse developing a care plan for a client with bulimia?
What is a suitable goal-setting approach for a nurse developing a care plan for a client with bulimia?
What is a critical aspect when caring for a client with an antisocial personality disorder?
What is a critical aspect when caring for a client with an antisocial personality disorder?
What indicates a client with obsessive-compulsive disorder is experiencing distress?
What indicates a client with obsessive-compulsive disorder is experiencing distress?
What is the potential benefit of electroconvulsive therapy?
What is the potential benefit of electroconvulsive therapy?
What is a common characteristic of children with Tourette's disorder when in social situations?
What is a common characteristic of children with Tourette's disorder when in social situations?
Which of the following is a symptom of anorexia nervosa?
Which of the following is a symptom of anorexia nervosa?
What is an important nursing action for a client with attention deficit disorder (ADD)?
What is an important nursing action for a client with attention deficit disorder (ADD)?
What must the nurse address when completing an intake for an adolescent client?
What must the nurse address when completing an intake for an adolescent client?
How might a client with dependent personality disorder typically respond to criticism?
How might a client with dependent personality disorder typically respond to criticism?
Which characteristic is NOT associated with Histrionic Personality Disorder?
Which characteristic is NOT associated with Histrionic Personality Disorder?
What is a common emotional characteristic of clients with personality disorders?
What is a common emotional characteristic of clients with personality disorders?
What is the most appropriate nursing intervention for a client with Paranoid Personality Disorder?
What is the most appropriate nursing intervention for a client with Paranoid Personality Disorder?
What nursing intervention is appropriate for a client at risk for refeeding syndrome?
What nursing intervention is appropriate for a client at risk for refeeding syndrome?
What long-term goal is essential for a client with Antisocial Personality Disorder?
What long-term goal is essential for a client with Antisocial Personality Disorder?
What type of medication is typically prescribed for Tourette's disorder?
What type of medication is typically prescribed for Tourette's disorder?
When caring for a client with anorexia nervosa, what is a recommended nursing action?
When caring for a client with anorexia nervosa, what is a recommended nursing action?
Why are stimulant medications considered first-line treatment for Attention Deficit Disorder (ADD)?
Why are stimulant medications considered first-line treatment for Attention Deficit Disorder (ADD)?
What approach should be considered when developing a behavior contract for a client with conduct disorder?
What approach should be considered when developing a behavior contract for a client with conduct disorder?
Which statement about the characteristics of children diagnosed with ADHD is accurate?
Which statement about the characteristics of children diagnosed with ADHD is accurate?
What typical sign may indicate depression in children?
What typical sign may indicate depression in children?
What should the nurse do when a client shares private information that includes suicidal thoughts?
What should the nurse do when a client shares private information that includes suicidal thoughts?
What should be prioritized for a client with anorexia nervosa displaying an irregular heart rate?
What should be prioritized for a client with anorexia nervosa displaying an irregular heart rate?
Which characteristic is NOT typical of clients with autism spectrum disorder?
Which characteristic is NOT typical of clients with autism spectrum disorder?
What is a common emotional response for individuals with binge eating disorder?
What is a common emotional response for individuals with binge eating disorder?
How long does it typically take for fluoxetine (Prozac) to show maximal effectiveness?
How long does it typically take for fluoxetine (Prozac) to show maximal effectiveness?
What is a primary role of a dietician in the care of clients with eating disorders?
What is a primary role of a dietician in the care of clients with eating disorders?
Which symptom may indicate a need for prn medication in a client with ADD?
Which symptom may indicate a need for prn medication in a client with ADD?
What should a nurse do if a client with ODD poses a threat to themselves or others?
What should a nurse do if a client with ODD poses a threat to themselves or others?
What is a short-term goal for a client with anorexia nervosa?
What is a short-term goal for a client with anorexia nervosa?
What indicates that the teaching about risk behavior has been effective for adolescents with ADHD?
What indicates that the teaching about risk behavior has been effective for adolescents with ADHD?
Which of the following is an indicator of self-induced vomiting in clients with eating disorders?
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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