Questions and Answers
Which behavior is characteristic of Cluster C personality disorders?
What is a critical priority action for a nurse caring for a client displaying self-injury and violence?
What is the most appropriate statement for a nurse to make regarding medication for personality disorders?
What indicates an effective evaluation of a short-term goal for a client with a personality disorder?
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What behavior might suggest a need for follow-up in a client with OCD?
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How should a nurse approach a client with paranoid personality disorder?
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What concern should a nurse have for a client with bulimia requesting a second meal tray shortly after eating?
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What is an important part of the care plan for a client with antisocial personality disorder?
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What is a critical indicator that a client with anorexia nervosa needs immediate follow-up by the nurse?
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Which sign is indicative of self-induced vomiting in clients?
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What is an appropriate short-term goal for a client with anorexia nervosa?
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What behavioral characteristic is commonly observed in individuals diagnosed with autism spectrum disorder?
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Which statement accurately describes a priority action when caring for a client with an eating disorder after they eat?
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What is a common feeling reported by individuals with binge eating disorder?
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In treating children with ADHD, why is recognizing personal space important?
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What is a significant characteristic of narcissistic personality disorder?
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What should a nurse assess in a child exhibiting symptoms of disruptive mood dysregulation disorder?
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How long does it typically take for fluoxetine (Prozac) to have a maximal response in clients?
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Which statement is true regarding clients with Tourette's disorder?
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What is a characteristic behavior of a client with dependent personality disorder?
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Which symptom is commonly associated with anorexia nervosa?
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What is an important nursing intervention for a child with ADD?
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Why is it important to develop a therapeutic relationship with clients?
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Which statement about the treatment of refeeding syndrome is true?
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Clients with personality disorders are typically characterized by which of the following?
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What is a significant concern for children with Tourette's disorder?
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What is the most appropriate nursing intervention for a client with Paranoid Personality Disorder?
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Which characteristic is associated with Antisocial Personality Disorder?
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How should a nurse approach a client diagnosed with borderline personality disorder?
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What is a primary goal when caring for a client with Conduct Disorder?
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What behavioral modification approach is suggested for clients with anorexia nervosa?
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Which condition is treated as a first-line approach using stimulant medications?
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What is a behavior that may indicate childhood depression in children?
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What action should a nurse take when a client expresses suicidal thoughts during an assessment interview?
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What is a significant consequence of having anorexia nervosa that would warrant hospitalization?
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Which strategy can help children with ADHD focus better on homework tasks?
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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.
