Psychology Personality Disorders Overview

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Questions and Answers

Which behavior is indicative of a client with Cluster C personality disorder?

Fear of separation (correct)

Manipulative behavior

Bizarre actions

Hostility towards others

What is the most appropriate response by a nurse regarding medication for personality disorders?

Medications are optional for treatment.

Medications can cure the disorder.

Medications help manage symptoms.

There is no medication that can cure the disorder. (correct)

Which of the following actions should a nurse prioritize when caring for a client displaying self-injury and violence?

Encourage socialization.

Provide medication.

Ensure a culture of safety. (correct)

Teach coping strategies.

How should a nurse communicate with a paranoid client to ensure they feel safe?

By appearing non-threatening. Signup and view all the answers

What is a common characteristic of a client with bulimia?

Normal weight. Signup and view all the answers

Which observation should prompt a follow-up for a client with obsessive-compulsive disorder (OCD)?

Items strung about haphazardly. Signup and view all the answers

What should a nurse focus on when caring for a client with antisocial personality disorder?

Helping them to verbalize hostile feelings. Signup and view all the answers

When evaluating a client's understanding of treatment setting rules, what is the most effective sign?

The client verbalizes consequences for violations. Signup and view all the answers

What is a characteristic symptom requiring immediate follow-up in clients with anorexia nervosa?

Irregular heart rate Signup and view all the answers

Which of the following is indicative of self-induced vomiting in individuals with eating disorders?

Russell’s sign Signup and view all the answers

What approach is crucial for managing a child with autism spectrum disorder at home?

Incorporating consistency Signup and view all the answers

Which factor is important for a nurse to consider when preparing teaching material for a child with Disruptive Mood Dysregulation Disorder?

The child’s level of development Signup and view all the answers

What is true about the use of SSRIs in the treatment of eating disorders?

SSRIs are used to treat symptoms of anorexia Signup and view all the answers

What should a health professional report immediately when caring for a client with anorexia nervosa?

Presence of suicidal ideations Signup and view all the answers

Which eating disorder is characterized by feelings of guilt related to binge eating?

Binge eating disorder Signup and view all the answers

In the context of ADHD, what behavior indicates a need for medical intervention?

Difficulty concentrating Signup and view all the answers

What is a typical behavior associated with Narcissistic Personality Disorder?

Lack of empathy Signup and view all the answers

What defines the goal for children suffering from ADHD?

To learn about personal space Signup and view all the answers

What is a common characteristic of a client with dependent personality disorder?

Is easily hurt by criticism Signup and view all the answers

Which condition is NOT commonly associated with Tourette's disorder in children?

Depression Signup and view all the answers

What are likely interventions for a client at risk for refeeding syndrome?

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

Which behavior is typical for children with ADHD during therapeutic interactions?

Needing attention before speaking Signup and view all the answers

Which of the following is a sign of anorexia nervosa?

Amenorrhea and menstrual abnormalities Signup and view all the answers

How do tics in children with Tourette's disorder typically behave under stress?

They worsen and may become more frequent Signup and view all the answers

What should the nurse prioritize when developing a therapeutic relationship with a client?

Assisting the client with problem-solving Signup and view all the answers

Which medication is likely NOT prescribed for Tourette's disorder?

Antidepressants Signup and view all the answers

What is a common characteristic of individuals with Histrionic Personality Disorder?

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

What should a nurse do when caring for a client with Paranoid Personality Disorder?

Maintain a confident physical stance Signup and view all the answers

Which of the following behaviors is likely to characterize Antisocial Personality Disorder?

Manipulative and deceitful actions Signup and view all the answers

What is a key long-term goal for clients with Antisocial Personality Disorder?

Accepting responsibility for actions Signup and view all the answers

Which intervention is most appropriate for clients with anorexia nervosa?

Encouraging clients to verbalize feelings Signup and view all the answers

What is the primary first-line treatment for Attention Deficit Disorder?

Stimulant medications Signup and view all the answers

How can homework tasks be made more manageable for children with ADHD?

Dividing tasks into smaller, achievable steps Signup and view all the answers

What should be reported to the treatment team during an assessment interview?

Any suicidal thoughts expressed by the client Signup and view all the answers

Which of the following could impede recovery in clients with anorexia nervosa?

Conflict avoidance within the family Signup and view all the answers

What distinguishes childhood-onset conduct disorder from adolescent-onset type?

A higher likelihood of developing antisocial personality disorder Signup and view all the answers

Study Notes

Cluster A and B Personality Disorders

Cluster A personality disorders are characterized by odd, bizarre, and eccentric behaviors.
Antisocial personality disorder features manipulative behavior and blatant disregard for social norms.
Narcissistic personality disorder in Cluster B is marked by arrogance, grandiosity, a need for admiration, and a lack of empathy.

Cluster C Personality Disorders

Dependent personality disorder includes submissive and clinging behaviors with a fear of separation.
Clients with this disorder often find it difficult to make decisions independently due to low self-confidence.

Client Behavior and Nursing Interventions

A client displaying self-injury or violence is a priority for nurse intervention to ensure safety.
Clear communication about treatment plan rules and regulations is crucial for effective care.
A nurse must be non-threatening when speaking to paranoid clients to avoid escalating tensions.

Specific Disorders and Symptoms

Clients with obsessive-compulsive disorder (OCD) exhibit a need for control and organized belongings, while disarray indicates distress.
Bulimia nervosa typically presents with normal weight yet involves binge eating and purging behaviors, requiring supportive interventions from nurses.
Anorexia nervosa is marked by extreme fear of obesity, low BMI (17 or less), and potential irregular heart rates which necessitate follow-up.

Treatment and Education

SSRIs, like fluoxetine (Prozac), require up to two months to demonstrate maximal effectiveness.
Education on non-food-related life management strategies is essential for clients with bulimia.
Families of anorexic patients must be involved in treatment to address dynamics that may contribute to the disorder.

Childhood Disorders

Disruptive Mood Dysregulation Disorder (DMDD) manifests in multiple locations; symptoms limited to one setting may not qualify for a diagnosis.
Consistency in routines is vital for children on the autism spectrum, characterized by strict routines and difficulties with social interaction.

Attention Deficit Hyperactivity Disorder (ADHD)

ADHD treatment often involves stimulant medications, such as Ritalin, which decrease appetite and manage hyperactive behaviors.
Children with ADHD should have tasks divided into manageable steps to enhance task completion.

General Nursing Practices

Nurses must implement 1:1 observation during mealtimes for clients with eating disorders to prevent self-induced vomiting.
Establishing therapeutic boundaries and recognizing personal space are critical in managing clients with oppositional defiant disorder (ODD).
Therapeutic relationship development relies on problem-solving assistance and strategies to cope with behavior.

Special Considerations for Disorders

Histrionic personality disorder individuals are attention-seeking, using flamboyant behavior to gain validation.
In cases of total loss of control, nurses must intervene promptly to ensure the safety of all participants.
The importance of family dynamics in the treatment of eating disorders and the need for addressing issues such as conflict avoidance are critical to recovery.

Additional Disorder Insights

Childhood-onset conduct disorder is generally more severe than adolescent-onset and often leads to adult antisocial behaviors.
Electroconvulsive therapy may be indicated for treatment-resistant patients with severe symptoms.
Tics associated with Tourette's disorder may worsen during stress, but children may suppress them in public settings.

Emotional and Psychological Support

Recognizing body image issues and fear of weight gain are essential in treating clients with anorexia nervosa.
Nursing interventions should focus on empowering clients with skills to verbalize feelings and experience emotional independence.

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Description

This quiz explores the various personality disorders classified into clusters A, B, and C. It discusses their characteristics, behavioral traits, and nursing interventions necessary for effective client care. Test your knowledge on these important psychological concepts and procedures related to personality disorders.