Chapter 23: Personality Disorders

3. Ineffective denial

A client diagnosed with antisocial personality disorder states, "my kids are so busy at home and school they don't miss me or even know I'm gone." Which nursing diagnosis applies to the client? 1. Risk for injury 2. risk for violence: self-directed 3. Ineffective denial 4. Powerlessness

b. lifelong pattern of social withdrawal

10. Which of the following behavioral patterns is characteristic of individuals with schizotypal personality disorder? a. belittling themselves and their abilities b. lifelong pattern of social withdrawal c. suspiciousness and mistrust of others d. overreacting inappropriately to minor stimuli

b. a primitive defense mechanism in which the client sees objects as all good or all bad

3. "Splitting" by the client with BPD denotes which of the following? a. evidence of precocious development b. a primitive defense mechanism in which the client sees objects as all good or all bad c. a brief psychotic episode in which the client loses contact with reality d. two distinct personalities within the borderline client

d. rotate staff members who work with Kim so that she will learn to relate to more than one person.

1. Kim has a diagnosis of BPD. She often exhibits alternating clinging and distancing behaviors. Which of the following is the most appropriate nursing intervention with this type of behavior? a. encourage Kim to establish trust in one staff person with whom all therapeutic interaction should take place. b. secure a verbal contract from Kim that she will discontinue these behaviors. c. withdraw attention if these behaviors continue. d. rotate staff members who work with Kim so that she will learn to relate to more than one person.

a. refusal to stay in room alone, stating, "It's so lonely."

2. Kim, a client diagnosed with BPD, manipulates the staff in an effort to fulfill her own desires. All of the following may be examples of manipulative behaviors in the borderline client EXCEPT: a. refusal to stay in room alone, stating, "It's so lonely." b. asking Nurse Jones for cigarettes after 30 minutes, knowing the assigned nurse has explained she must wait 1 hour. c. stating to Nurse Jones, "I really like having you as my nurse. You're the best one around here." d. cutting arms with razor blade after discussing dismissal plans with physician.

d. rapprochement phase, during which the mother withdraws emotional support in response to the child's increasing independence

4. According to Margaret Mahler, predisposition to BPD occurs when developmental tasks go unfulfilled in which of the following phases? a. autistic phase, during which the child's needs for security and comfort go unfulfilled. b. symbiotic phase, during which the child fails to bond with the mother c. differentiation phase, during which the child fails to recognize a separateness between self and mother d. rapprochement phase, during which the mother withdraws emotional support in response to the child's increasing independence

2. splitting

A client diagnosed with borderline personality disorder ingratiatingly requests diazepam (Valium). When the ED physician refuses, the client becomes angry and demands to see another physician. What defense mechanism is the client using? 1. undoing 2. splitting 3. altruism 4. reaction formation

a. lack of guilt for wrongdoing

5. Jack is a new client on the psychiatric unit with a diagnosis of Antisocial Personality Disorder. Which of the following characteristics would you expect to assess in Jack? a. lack of guilt for wrongdoing b. insight into his own behavior c. ability to learn from past experiences d. compliance with authority

b. emulates a social community in which the client may learn to live harmoniously with others

6. Milieu therapy is a good choice for clients with antisocial personality disorder because it: a. provides a system of punishment and rewards for behavior modification b. emulates a social community in which the client may learn to live harmoniously with others c. provides mostly one-to-one interaction between the client and therapist d. provides a structured setting in which the clients have very little input into the planning of their care

4. the client will verbalize signs and symptoms of escalating anxiety within 72 hours of admission

A client diagnosed with an obsessive compulsive personality disorder has a nursing diagnosis of anxiety r/t interference with hand washing AEB "I'll go crazy if you don't let me do what I need to do". Which short-term outcome is appropriate for this client? 1. the client will refrain from hand washing during a 3 hour period after admission to unit 2. the client will wash hands only at appropriate intervals; that is bathroom and meals 3. the client will refrain from hand washing throughout the night 4. the client will verbalize signs and symptoms of escalating anxiety within 72 hours of admission

c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight

7. In evaluating the progress of Jack, a client diagnosed with Antisocial Personality Disorder, which of the following behaviors would be considered the most significant indication of positive change? a. Jack got angry only once in group this week. b. Jack was able to wait a whole hour for a cigarette without verbally abusing the staff. c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight. d. Jack stated that he would not start any more fights.

a. overly self-centered and exploitative of others

8. Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder? a. overly self-centered and exploitative of others b. suspicious and mistrustful of others c. rule conscious and disapproving of change d. anxious and socially isolated

d. splitting

9. Carol is a nurse who was floated to the psychiatric unit to cover for a staff nurse who called out sick. She encounters a patient who is diagnosed with BPD, and the patients states, "Thank goodness they sent you to the unit. No one else here has taken the time to listen to my concerns." This may be an example of which symptom common in BPD? a. impulsivity b. self-harming behaviors c. dissociation d. splitting

1. Confront the client about the behavior

A client diagnosed with anti-social personality disorder is observed smoking in a non-smoking area. Which initial nursing intervention is appropriate? 1. Confront the client about the behavior 2. tell the client's primary nurse about the situation 3. remind all clients of the no smoking policy in the community meeting 4. teach alternative coping mechanisms to assist with anxiety

4. "these clients express a grandiose sense of self-importance

A nursing student is learning about narcissistic personality disorder. Which student statement indicates that learning has occurred? 1. "these clients have peculiarities of ideation" 2. "these clients require constant affirmation of approval" 3. "these clients are impulsive and are self-destructive" 4. "these clients express a grandiose sense of self-importance

1. Set limits on manipulative behavior 2. refuse to engage in controversial and argumentative encounters 4. encourage the discussion of angry feelings

A 15-year-old client living in a residential facility has a nursing diagnosis of ineffective coping r/t abuse AEB defiant responses to adult rules. Which of the following interventions would address this nursing diagnosis appropriately? select all 1. Set limits on manipulative behavior 2. refuse to engage in controversial and argumentative encounters 3. Obtain an order for tranquilizing drugs 4. encourage the discussion of angry feelings 5. remove all dangerous objects from the client's environment

4. Help the client identify values and beliefs

A client diagnosed with a borderline personality disorder is given a nursing diagnosis of disturbed personal identity r/t unmet dependency needs AEB the inability to be alone. Which nursing intervention would be appropriate? 1. ask the client directly, "have you thought about killing yourself?" 2. Maintain a low level of stimuli in the client's environment 3. Frequently orient the client to reality and surroundings 4. Help the client identify values and beliefs

3. role-model positive relationships

A client diagnosed with a dependent personality disorder has a nursing diagnosis of social isolation r/t parental abandonment AEB fear of involvement with individuals not in the immediate family. Which nursing intervention would be appropriate? 1. address inappropriate interactions during group therapy 2. recognize when client is playing one staff member against another 3. role-model positive relationships 4. encourage client to discuss conflicts evident within the family system

2. Denial

A client diagnosed with a narcissistic personality disorder has a grandiose sense of self improtance and entitlement. When confronted, the client states, "contrary to what everyone believes, I do not think that the whole world owes me a living." This client is using what defense mechanism? 1. minimization 2. Denial 3. Rationalization 4. Projection

2. Schizotypal personality

A client diagnosed with a personality disorder insists that a grandmother, through reincarnation, has come back to life as a pet kitten. The thought process described is reflective of which personality disorder? 1. Passive aggressive personality 2. Schizotypal personality 3. Borderline personality 4. Schizoid personality

a. schizoid personality disorder

A client diagnosed with a personality disorder is cold, aloof, and avoids others on the unit. The nurse recognizes that this behavior is symptomatic of which personality disorder? a. schizoid personality disorder b. dependent personality disorder c. borderline personality disorder d. antisocial personality disorder

3. Passive aggressive

A client diagnosed with a personality disorder tells the nurse, "when I was a waiter I used to spit in the dinners of annoying customers." This statement would be associated with which personality disorder? 1. A paranoid personality 2. Schizoid personality 3. Passive aggressive 4. Antisocial personality

2. encourage self-awareness through critical examination of feelings and behaviors

A client diagnosed with an antisocial personality disorder is given a nursing diagnosis of self-esteem disturbance r/t extreme poverty AEB continual boasting and grandiosity. Which nursing intervention would be appropriate? 1. offer to remain with the client during initial interactions with others on the unit 2. encourage self-awareness through critical examination of feelings and behaviors 3. recognize when the client is "splitting" staff by playing one staff member against the other 4. allow the client to take on responsibility for his/her own self-care practices

3. the client will be able to participate in one therapy group by end of shift

A client diagnosed with an avoidant personality disorder has the nursing diagnosis of social isolation r/t severe malformation of the spine AEB "I can't be around people, looking like this." Which short-term outcome is appropriate for this client's problem? 1. the client will see self as straight and tall by time of discharge 2. the client will see self as valuable after attending assertiveness training courses 3. the client will be able to participate in one therapy group by end of shift 4. the client will join a charade game to decrease social isolation

1. "I realize you're upset; however, this is not the appropriate time to explore your concerns"

A client diagnosed with antisocial personality disorder demands, at midnight, to speak to the ethics committee about the involuntary commitment process. Which nursing statement is appropriate? 1. "I realize you're upset; however, this is not the appropriate time to explore your concerns" 2. "Let me give you a sleeping pill to help put your mind at ease" 3. "It's midnight, and you are disturbing other clients" 4. "I will document your concerns in your chart for the morning shift to discuss with the ethics committee"

1. self mutilation is a manipulative gesture designed to elicit rescue response 2. self mutilation is often attempted when a "safety" plan has been established 3.self mutilation proposes that feeling pain is better than feeling nothing 4.self mutilation results from feelings of abandonment following separation from significant others

A client diagnosed with borderline personality disorder is admitted to a psychiatric unit with recent self-inflicted cuts to both arms. Which of the following would explain this behavior? Select all 1. self mutilation is a manipulative gesture designed to elicit rescue response 2. self mutilation is often attempted when a "safety" plan has been established 3.self mutilation proposes that feeling pain is better than feeling nothing 4.self mutilation results from feelings of abandonment following separation from significant others

d. generates conflict among the staff

A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe? a. social isolation b. suspiciousness of others c. bizarre speech patterns d. generates conflict among the staff

1. risk for self mutilation r/t need for attention

A client diagnosed with borderline personality disorder superficially cut both wrists, is disruptive in group and is "splitting" staff. Which nursing diagnosis would take priority? 1. risk for self mutilation r/t need for attention 2. ineffective coping r/t inability to deal directly with feelings 3. anxiety r/t fear of abandonment AEB "splitting" staff 4. risk of suicide r/t past suicide attempt

2. provide one-on-one teaching in the client's room

A client diagnosed with paranoid personality disorder needs information regarding medications. Which nursing intervention would assist this client in understanding prescribed medications? 1. ask the client to join the medication education group 2. provide one-on-one teaching in the client's room 3. during rounds, have the physician ask if the client has any questions 4. let the client read the medication information handout

2. impaired social interaction r/t inability to express feelings openly

A client diagnosed with passive-aggressive personality disorder continually complains to the marriage counselor about a nagging husband who criticizes her indecisiveness. Which nursing diagnosis reflects this client's problem? 1. social isolation r/t decrease self-esteem 2. impaired social interaction r/t inability to express feelings openly 3. powerlessness r/t spousal abuse 4. self-esteem disturbance r/t unrealistic expectations of husband

4. social isolation r/t discomfort with human interaction AEB avoiding others

A client diagnosed with schizoid personality disorder chooses solitary activities, lacks close friends and appears indifferent to criticism. Which nursing diagnosis would be appropriate for this client's problem? 1. anxiety r/t poos self-esteem AEB lack of close friends 2. ineffective coping r/t inability to communicate AEB indifference to criticism 3. altered sensory perception r/t threat to self -concept AEB magical thinking 4. social isolation r/t discomfort with human interaction AEB avoiding others

2. "My dinner has been poisoned"

A client has been diagnosed with cluster A personality disorder. Which client statement would reflect cluster A characteristics? 1. "I'm the best chef on the east coast" 2. "My dinner has been poisoned" 3. "I have to wash my hands 10 times before eating" 4. "I just can't eat when I'm alone"

4. "I can see your thoughts are bothersome. How can I help?"

A client newly admitted to an in-patient psychiatric unit is diagnosed with schizotypal personality disorder. The client states, "I can't believe you are not afraid of the monsters coming after us all." Which is the most appropriate nursing response? 1. "I don't know what monsters you are talking about." 2. "the monsters? Can you please tell me more about this?" 3. "I was wondering if you want to come to group to talk about that," 4. "I can see your thoughts are bothersome. How can I help?"

1. encourage the client to keep a journal

A client on an in-patient psychiatric unit has been diagnosed with borderline personality disorder. Using interpersonal theory, which intervention would assist the client in understanding how the client's feelings affect relationship? 1. encourage the client to keep a journal 2. set limits to assist client in developing healthy ego 3. hold a family education session about personality disorders 4. on the client's admission, discuss consequences for acting out in group therapy

3. "Began cursing when confronted with drug seeking behavior"

A diabetic client is admitted to a medical floor for medication stabilization has a history of antisocial personality disorder. Which documented behaviors would support this diagnosis? 1. "labile mood and affect and old scars noted on wrists bilaterally" 2. "appears younger than stated age with flamboyant hair and makeup" 3. "Began cursing when confronted with drug seeking behavior" 4. "Demands foods prepared by personal chef to be delivered to room"

4. narcissistic personality

A male client diagnosed with a personality disorder boasts to the nurse that he has to fight off female attention and is the highest paid in his company. These statements are reflective of which personality disorder? 1. obsessive compulsive personality 2. Passive aggressive personality 3. Schizotypal personality 4. narcissistic personality

b. antisocial personality disorder

A male patient with a history of ADHD as a child is given a court-ordered admission to the psychiatric hospital after pleading not guilty to a crime. Which diagnosis would the nurse suspect upon admission? a. histrionic personality disorder b. antisocial personality disorder c. BPD d. paranoid personality disorder

1. Sarcastically states, "That group is only for crazy people with problems"

A nurse encourages an angry client to attend group therapy. Knowing that the client has been diagnosed with a cluster B personality disorder, which client response might the nurse expect? 1. Sarcastically states, "That group is only for crazy people with problems" 2. Scornfully states, "No, can't you see that I'm having a seance with my mom?" 3. Suspiciously states, "no, that room has been bugged" 4. Hesitantly states, "Ok, but only if I can sit next to you"

4. prison warden

A nurse is discharging a client diagnosed with narcissistic personality disorder. Which employment opportunity is most likely to be recommended by the treatment team? 1. home construction 2. air traffic controller 3. night watchman at the zoo 4. prison warden

2. Hippocrates, in the 4th century B.C, identified four fundamental personality styles

A nursing student is studying the historical aspects of personality disorder. Which entry on the examination indicates that learning has occurred? 1. Zeus, in the 3rd century, identified and applied the theory of object relations 2. Hippocrates, in the 4th century B.C, identified four fundamental personality styles 3. Narcissus, in 923 A.D, introduced the word "personality" from the Greek term "persona" 4. Achilles, in 866 A.D, described the pathology of personality as a complex behavioral phenomenon

a. Schizoid personality disorder

A patient admits to the nurse, "My parents weren't very nurturing when I was a child, so I don't know how to build a relationship. That is why I prefer to be alone." Which of the following personality disorders would the nurse suspect? a. Schizoid personality disorder b. BPD c. paranoid personality disorder d. avoidant personality disorder

c. paranoid personality disorder

A patient admitted to a psychiatric facility exhibits a pervasive mistrust and suspiciousness of others. He says to the nurse, "The world is harsh and unkind. It is best to trust no one." The nurse understands that the patient displays symptoms of which disorder? a. Schizotypal personality disorder b. BPD c. paranoid personality disorder d. avoidant personality disorder

d. dramatic or erratic

A patient is diagnosed with Narcissistic Personality Disorder. The nurse knows that the patients behavior will be a. anxious or fearful b. odd or eccentric c. psychotic d. dramatic or erratic

2. the client will express feelings without inflicting self-injury by discharge

A suicidal client is diagnosed with borderline personality disorder. Which short-term outcome is most beneficial for the client? 1. The client will be fee from self-injurious behavior 2. the client will express feelings without inflicting self-injury by discharge 3. the client will socialize with peers in the milieu by day 3 4. the client will acknowledge the client's role in the altered interpersonal relationships

4. Exhibits behavior or appearance that is odd, eccentric or peculiar

According to the DSM-IV-TR, which diagnostic criterion describes schizotypal personality disorder? 1. neither desires nor enjoys close relationships, including being part of a family 2. is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates 3. considers relationships to be more intimate than they actually are 4. Exhibits behavior or appearance that is odd, eccentric or peculiar

1. does not form intimate relationships because of fear of being shamed or ridiculed 3. is unwilling to be involved with people unless certain of being liked

According to the DSM-IV-TR, which of the following diagnostic criteria define avoidant personality disorder? select all 1. does not form intimate relationships because of fear of being shamed or ridiculed 2. has difficulty making everyday decisions without reassurance from others 3. is unwilling to be involved with people unless certain of being liked 4. shows perfectionism that interferes with task completion 5. views self as socially inept, unappealing and inferior

2. Frantic efforts to avoid real or imagined abandonment 3. Recurrent suicidal and self-mutilating behaviors 5. Chronic feelings of emptiness

According to the DSM-IV-TR, which of the following diagnostic criteria define borderline personality disorder? Select all 1. Arrogant, haughty behaviors or attitudes 2. Frantic efforts to avoid real or imagined abandonment 3. Recurrent suicidal and self-mutilating behaviors 4. Unrealistic preoccupation with fears of being left to take care of self 5. Chronic feelings of emptiness

2. observe client frequently

After being treated in the ED for self-inflicted lacerations to wrists and arms, a client with a diagnosis of borderline personality disorder is admitted to the psychiatric unit. Which nursing intervention takes priority? 1. Administer tranquilizing drugs 2. observe client frequently 3. encourage client to verbalize hostile feelings 4. explore alternative ways of handling frustration

1. failure to accept the consequences of their own behavior 4. copes by altering environment instead of self 5. lack of insight

Although there are differences among the 3 personality clusters, there also are some traits common to all individuals diagnosed with personality disorders. Which of the following are common traits? select all 1. failure to accept the consequences of their own behavior 2. self-injurious behaviors 3. reluctance in taking personal risks 4. copes by altering environment instead of self 5. lack of insight

a. "It's not my fault."

An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on his behavior would be expected? a. "It's not my fault." b. "I'm too ashamed to talk about it." c. "I just don't remember doing it." d. "I'm really sorry about all the people I've hurt."

4. a client diagnosed with avoidant personality disorder

An inexperienced agency nurse is assigned to an in-patient psychiatric unit. Which client should this nurse be assigned? 1. a client diagnosed with antisocial personality disorder 2. a client diagnosed with paranoid personality disorder 3. a client diagnosed with borderline personality disorder 4. a client diagnosed with avoidant personality disorder

3. "personality disorders cannot be cured or controlled successfully with medication"

An instructor is teaching a nursing student facts r/t clients diagnosed with a personality disorder. Which student statement indicates that learning has occurred? 1. "clients diagnosed with personality disorders need frequent hospitalizations" 2. "clients perceive their behaviors as uncomfortable and disorganized" 3. "personality disorders cannot be cured or controlled successfully with medication" 4. "practitioners have a good understanding about the etiology of personality disorders"

c. little tolerance for being alone

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe? a. predictability b. controlled anger c. little tolerance for being alone d. stable and satisfactory relationships

3. cluster C personality

Irresponsible, guiltless behavior is to a client diagnosed with cluster B personality disorder as avoidant, dependent behavior is to a client diagnosed with a: 1. cluster A personality disorder 2. cluster b personality 3. cluster C personality 4. cluster D personality

2. histrionic personality

Peculiarities of ideation, appearance, and behavior and deficits in interpersonal relationships is to schizotypal personality disorder as a pervasive patter of excessive emotionality and attention seeking behavior is to: 1. borderline personality 2. histrionic personality 3. paranoid personality 4. passive aggressive personality

4. Cluster C: avoidant dependent, obsessive compulsive disorders; anxious or fearful characteristics

Personality disorders are grouped in clusters according to their behavioral characteristics. In which cluster are the disorders correctly matched with their behavioral characteristics? 1. Cluster C: antisocial, borderline, histrionic, narcissistic disorders; anxious or fearful characteristic behaviors 2. Cluster A: avoidant, dependent, obsessive compulsive disorders; odd or eccentric characteristics 3. Cluster A: antisocial, borderline, histrionic disorders; dramatic, emotional, or erratic characteristics 4. Cluster C: avoidant dependent, obsessive compulsive disorders; anxious or fearful characteristics

3. the need for awareness of separateness of self

The nurse is assessing a client diagnosed with borderline personality disorder. According to Mahler's theory of object relations, which describes the client's unmet developmental need? 1. the need for survival and comfort 2. the need for awareness of an external source for fulfillment 3. the need foe awareness of separateness of self 4. the need for internalization of a sustained image of a love object/person

2. clients diagnosed with paranoid personality disorder frequently have been family scapegoats and subjected to parental antagonism and harassment

Using interpersonal theory, which statement is true regarding development of paranoid personality disorder? 1. studies have revealed a higher incidence of paranoid personality disorder among relatives of clients of schizophrenia 2. clients diagnosed with paranoid personality disorder frequently have been family scapegoats and subjected to parental antagonism and harassment 3. there is an alteration in the ego development so that the ego is unable to balance the id and superego 4. during the anal stage of development, the client diagnosed with paranoid personality disorder has problems with control within his/her environment

4. attention-seeking flamboyance

When assessing a client diagnosed with histrionic personality disorder, the nurse might identify which characteristic behaviors? 1. old beliefs and magical thinking 2. Grandiose sense of self-importance 3. Preoccupation with orderliness and perfectionism 4. attention-seeking flamboyance

b. grandiose sense of self-importance

When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? a. odd beliefs and magical thinking b. grandiose sense of self-importance c. pattern of intense and chaotic relationships d. submissive and clinging behaviors

4. seeks subtle retribution when feeling others have wronged them

When assessing a client diagnosed with passive-aggressive personality disorder, the nurse might identify which characteristic behavior? 1. exhibits behaviors that attempt to "split" the staff 2. shows reckless disregard for the safety of self or others 3. has unjustified doubts about the trustworthiness of friends 4. seeks subtle retribution when feeling others have wronged them

3. a client verbally provoking another patient who is paranoid

Which client situation requires the nurse to prioritize the implementation of limit setting? 1. a client making sexual advances toward a staff member 2. a client telling a staff member that another staff member allows food in the bed-rooms 3. a client verbally provoking another patient who is paranoid 4. a client refusing medications to receive secondary gains

2. self-awareness by the nurse is necessary to ensure a therapeutic relationship

Which intervention describes an important component in the treatment of clients diagnosed with personality disorder? 1. psychotropic medications are prescribed to reduce hospitalizations 2. self-awareness by the nurse is necessary to ensure a therapeutic relationship 3. group therapy, not individual therapy, is the preferred approach 4. addressing co morbid issues is not indicated

b. paranoid personality disorder c. schizoid personality disorder f. schizotypal personality disorder

Which of the following disorders are classified as Cluster A? Select all that apply. a. antisocial personality disorder b. paranoid personality disorder c. schizoid personality disorder d. avoidant personality disorder e. dependent personality disorder f. schizotypal personality disorder

a. antisocial personality disorder d. borderline personality disorder

Which of the following disorders are classified as Cluster B? Select all that apply. a. antisocial personality disorder b. paranoid personality disorder c. schizoid personality disorder d. borderline personality disorder e. dependent personality disorder f. schizotypal personality disorder

e. dependent personality disorder

Which of the following disorders are classified as Cluster C? Select all that apply. a. antisocial personality disorder b. paranoid personality disorder c. schizoid personality disorder d. borderline personality disorder e. dependent personality disorder f. schizotypal personality disorder

b. behaviors described as odd or eccentric

Which of the following personality traits describes cluster A of personality disorders? a. behaviors described as neurotic or psychotic b. behaviors described as odd or eccentric c. behaviors described as dramatic, emotional, or erratic d. behaviors described as anxious or fearful

c. behaviors described as dramatic, emotional, or erratic

Which of the following personality traits describes cluster B of personality disorders? a. behaviors described as anxious or fearful b. behaviors described as odd or eccentric c. behaviors described as dramatic, emotional, or erratic d. behaviors described as neurotic or psychotic

a. behaviors described as anxious or fearful

Which of the following personality traits describes cluster c of personality disorders? a. behaviors described as anxious or fearful b. behaviors described as odd or eccentric c. behaviors described as dramatic, emotional, or erratic d. behaviors described as neurotic or psychotic

4. the individual may have been subjected to parental antagonism and harassment

Which predisposing factor would be implicated in the etiology of paranoid personality disorder? 1. the individual may have been subjected to parental demands, criticism, and perfectionistic expectations 2. the individual may have been subjected to parental indifference, impassivity, or formality 3. the individual may have been subjected to parental bleak and unfeeling coldness 4. the individual may have been subjected to parental antagonism and harassment

1. the client sits alone at lunch and states, "everyone wants to hurt me"

Which scenario would the nurse expect to observe if the client were diagnosed with paranoid personality disorder? 1. the client sits alone at lunch and states, "everyone wants to hurt me" 2. the client is irresponsible and exploits other peers in the milieu for cigarettes 3. the client is shy and refuses to talk to others because of poor self esteem 4. the client sits with peers and allows others to make decisions for the entire group

1. Borderline personality

a client diagnosed with a personality disorder states, "you are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9p.m." This statement would be associated with which personality disorder? 1. Borderline personality 2. Schizoid personality 3. Passive aggressive personality 4. Paranoid personality

borderline personality disorder

a disorder characterized by a pattern of intense and chaotic relationships, with affective instability, fluctuating and extreme attitudes regarding other people, impulsivity, direct and indirect self-destructive behavior, and lack of a clear or certain sense of identity, life plan, or values.

narcissistic personality disorder

a disorder characterized by an exaggerated sense of self-worth. These individuals lack empathy and are hypersensitive to the evaluation to others.

schizotypal personality disorder

a disorder characterized by odd and eccentric behavior, not decompensating to the level of schizophrenia.

antisocial personality disorder

a pattern of socially irresponsible, exploitative, and guiltless behavior, evident in the tendency to fail to conform to the law, develop stable relationships, or sustain consistent employment; exploitation and manipulation of others for personal gain is common.

dependent personality disorder

a personality disorder characterized by pervasive, excessive dependency needs, submissiveness, and exaggerated fears of inability to care for oneself.

avoidant personality disorder

a personality disorder characterized by social withdrawal rooted in extreme fear of rejection and feelings of inadequacy.

histrionic personality disorder

a type of personality disorder characterized by excessively emotional and attention seeking behavior, often present in a very colorful and dramatic fashion.

schizoid personality disorder

a type of personality disorder characterized by extreme detachment from personal relationships and restricted expression of emotions.

obsessive-compulsive personality disorder

a type of personality disorder in which the individual has an intense fear of making mistakes, which manifests in inflexible and perfectionistic behavior. It is differentiated from obsessive compulsive disorder in that there is no evidence of the rituals in the individual with this personality disorder.

paranoid personality disorder

a type of personality disorder in which the individual intensely mistrusts others and assumes that they have malevolent intentions toward them.