Podcast
Questions and Answers
Which behavior is characteristic of Cluster C personality disorders?
Which behavior is characteristic of Cluster C personality disorders?
- Fear of separation and submissive behavior (correct)
- Bizarre and eccentric behaviors
- Manipulative and a disregard for social norms
- Verbalizing hostile feelings
What is a critical priority action for a nurse caring for a client displaying self-injury and violence?
What is a critical priority action for a nurse caring for a client displaying self-injury and violence?
- Provide medication for immediate relief
- Engage in talk therapy immediately
- Follow up with immediate safety measures (correct)
- Ensure the client understands treatment rules
What is the most appropriate statement for a nurse to make regarding medication for personality disorders?
What is the most appropriate statement for a nurse to make regarding medication for personality disorders?
- There is no medication that can cure the disorder (correct)
- Medications will resolve underlying issues immediately
- Medications can alleviate all symptoms effectively
- There are medications that can completely cure these disorders
What indicates an effective evaluation of a short-term goal for a client with a personality disorder?
What indicates an effective evaluation of a short-term goal for a client with a personality disorder?
What behavior might suggest a need for follow-up in a client with OCD?
What behavior might suggest a need for follow-up in a client with OCD?
How should a nurse approach a client with paranoid personality disorder?
How should a nurse approach a client with paranoid personality disorder?
What concern should a nurse have for a client with bulimia requesting a second meal tray shortly after eating?
What concern should a nurse have for a client with bulimia requesting a second meal tray shortly after eating?
What is an important part of the care plan for a client with antisocial personality disorder?
What is an important part of the care plan for a client with antisocial personality disorder?
What is a critical indicator that a client with anorexia nervosa needs immediate follow-up by the nurse?
What is a critical indicator that a client with anorexia nervosa needs immediate follow-up by the nurse?
Which sign is indicative of self-induced vomiting in clients?
Which sign is indicative of self-induced vomiting in clients?
What is an appropriate short-term goal for a client with anorexia nervosa?
What is an appropriate short-term goal for a client with anorexia nervosa?
What behavioral characteristic is commonly observed in individuals diagnosed with autism spectrum disorder?
What behavioral characteristic is commonly observed in individuals diagnosed with autism spectrum disorder?
Which statement accurately describes a priority action when caring for a client with an eating disorder after they eat?
Which statement accurately describes a priority action when caring for a client with an eating disorder after they eat?
What is a common feeling reported by individuals with binge eating disorder?
What is a common feeling reported by individuals with binge eating disorder?
In treating children with ADHD, why is recognizing personal space important?
In treating children with ADHD, why is recognizing personal space important?
What is a significant characteristic of narcissistic personality disorder?
What is a significant characteristic of narcissistic personality disorder?
What should a nurse assess in a child exhibiting symptoms of disruptive mood dysregulation disorder?
What should a nurse assess in a child exhibiting symptoms of disruptive mood dysregulation disorder?
How long does it typically take for fluoxetine (Prozac) to have a maximal response in clients?
How long does it typically take for fluoxetine (Prozac) to have a maximal response in clients?
Which statement is true regarding clients with Tourette's disorder?
Which statement is true regarding clients with Tourette's disorder?
What is a characteristic behavior of a client with dependent personality disorder?
What is a characteristic behavior of a client with dependent personality disorder?
Which symptom is commonly associated with anorexia nervosa?
Which symptom is commonly associated with anorexia nervosa?
What is an important nursing intervention for a child with ADD?
What is an important nursing intervention for a child with ADD?
Why is it important to develop a therapeutic relationship with clients?
Why is it important to develop a therapeutic relationship with clients?
Which statement about the treatment of refeeding syndrome is true?
Which statement about the treatment of refeeding syndrome is true?
Clients with personality disorders are typically characterized by which of the following?
Clients with personality disorders are typically characterized by which of the following?
What is a significant concern for children with Tourette's disorder?
What is a significant concern for children with Tourette's disorder?
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?
Which characteristic is associated with Antisocial Personality Disorder?
Which characteristic is associated with Antisocial Personality Disorder?
How should a nurse approach a client diagnosed with borderline personality disorder?
How should a nurse approach a client diagnosed with borderline personality disorder?
What is a primary goal when caring for a client with Conduct Disorder?
What is a primary goal when caring for a client with Conduct Disorder?
What behavioral modification approach is suggested for clients with anorexia nervosa?
What behavioral modification approach is suggested for clients with anorexia nervosa?
Which condition is treated as a first-line approach using stimulant medications?
Which condition is treated as a first-line approach using stimulant medications?
What is a behavior that may indicate childhood depression in children?
What is a behavior that may indicate childhood depression in children?
What action should a nurse take when a client expresses suicidal thoughts during an assessment interview?
What action should a nurse take when a client expresses suicidal thoughts during an assessment interview?
What is a significant consequence of having anorexia nervosa that would warrant hospitalization?
What is a significant consequence of having anorexia nervosa that would warrant hospitalization?
Which strategy can help children with ADHD focus better on homework tasks?
Which strategy can help children with ADHD focus better on homework tasks?
Study Notes
Cluster A Personality Disorders
- Characterized by odd, bizarre, and eccentric behaviors.
- Includes diagnosis of disorders such as paranoid personality disorder, which is marked by high suspicion and perception of threat.
Antisocial Personality Disorder
- Involves manipulative behaviors and disregard for social norms.
- Long-term goals include accepting accountability for actions and respecting rules.
Cluster C Personality Disorders
- Features submissive, clingy behavior and fear of separation.
- Dependent personality disorder exemplifies these traits.
Nursing Interventions for Personality Disorders
- Self-injury and violence are priority concerns requiring immediate follow-up.
- Use non-threatening communication techniques for paranoid clients and maintain a calm demeanor.
- Therapeutic boundaries are essential to prevent manipulative behaviors in clients.
Eating Disorders
- Clients with bulimia may maintain a normal weight but often exhibit a concern for self-control.
- It takes up to two months for fluoxetine (Prozac) to show maximum effectiveness.
- Anorexia nervosa is marked by an extreme fear of obesity, with clients often exhibiting a very low BMI (17 or below).
- Russell’s sign indicates self-induced vomiting via scarring on hands.
- Immediate medical attention is required for clients displaying irregular heart rates.
Management of Eating Disorders
- Clients with eating disorders should be observed for at least one hour after meals to prevent food discard or inducing vomiting.
- Involvement of a dietitian is crucial for nutritional needs.
- Education on non-food-related life control strategies is necessary for bulimia clients.
Disruptive Mood Dysregulation Disorder (DMDD)
- Characterized by outbursts in multiple locations; symptoms only at one location may not qualify for diagnosis.
- Family involvement is key when addressing behavioral management in affected children.
Autism Spectrum Disorder
- Consistency in routine and special interests is critical in managing care.
- Non-verbal communication may require parental involvement for effective assessment.
Attention Deficit Disorder (ADD)
- Stimulant medications, such as Ritalin, are the first-line treatment.
- Effective coping strategies crucial for managing impulsive behaviors in adolescents.
Conduct and Oppositional Defiant Disorders
- Childhood-onset conduct disorder is often more severe than adolescent-onset and can lead to antisocial behavior.
- Behavioral contracts help define expected behaviors and consequences for clients with conduct disorder.
Therapeutic Relationships and Client Interventions
- Assist clients with problem-solving to develop coping skills.
- Clients with dependent personality disorder show lack of self-confidence and passivity.
Important Factors in Care
- Monitor for potential risks, including suicidal thoughts needing immediate reporting.
- Collaborative care plans should include family dynamics and psychosocial support.
- Maintaining structured environments and clear expectations assists in client care.
General Characteristics of Personality Disorders
- Exhibit inflexibility, compulsiveness, and difficulty in emotional connections.
- Diverse presentations necessitate tailored interventions for each disorder.
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Description
This quiz covers key concepts related to Cluster A, B, and C personality disorders. It explores characteristics such as eccentric behaviors, impulsivity, and dependency, while focusing on the assessment and care required for individuals displaying self-injury or violent behaviors. Test your understanding of the traits and nursing priorities associated with these disorders.
