PrepU Videbeck Ch 18 Personality Disorders

When conducting a social history with a client diagnosed with a borderline personality disorder (BPD), which question would be most important to ask the client related to impulsivity? "Do you always practice safe sex?" "Do you think of yourself as physically attractive?" "Are you pleased with your medications?" "Are you interested in making your partner happy?"

"Do you always practice safe sex?"

A nursing instructor is teaching about using behavioral interventions when caring for clients with borderline personality disorder. Which statement by a student indicates a need for further instruction? "In some instances, negative responses can be viewed as positive reinforcement." "Sometimes it is best to just ignore a client's irritating behaviors." "Grossly disrespectful behaviors are better ignored." "Sometimes it is best to confront a client about irritating behaviors."

"Grossly disrespectful behaviors are better ignored." Nurses must decide how to respond to particular behaviors. In some instances, if the behavior is irritating but not harmful, it is best to ignore rather than focus on it. Grossly inappropriate behaviors, however, require confrontation.

A nurse is caring for a client diagnosed with borderline personality disorder. The nurse has instructed the client about using the communication triad. The nurse determines that the client has understood this technique when stating what? "Maybe I should start by describing the situation that has me upset." "I should begin by telling the other person what has triggered my emotion." "I should first tell the other person what I'd like to be different about the situation." "I should start by stating my feelings as an 'I' statement."

"I should start by stating my feelings as an 'I' statement."

Treatment approaches for clients with personality disorders generally rely on which modality? Cognitive-behavioral therapy A combination of approaches Individual therapy Pharmacotherapy

A combination of approaches

After teaching a group of nurses about borderline personality disorder, the leader determines that the education was successful when the group identifies that symptoms typically begin in which age group? Adolescence Late adulthood Middle-age individuals Young adulthood

Adolescence

A client comes to the clinic for a follow-up visit. Despite being warm and friendly with the nurse on a previous visit, today the client presents with anger and sarcastic undertones with the same nurse. The client is presenting which behavior commonly seen in borderline personality disorder? Dichotomous thinking Depression Affective instability Identity diffusion

Affective instability

What does the nurse recognize as the most likely explanation for the self-mutilating behaviors that occur with borderline personality disorder? The result of an inherited disorder that manifests itself as an incapacity to tolerate stress A constitutional inability to regulate affect that predisposes clients to psychic disorganization An expression of intense anger or helplessness in order to block emotional pain Use of projective identification to reduce anxiety

An expression of intense anger or helplessness in order to block emotional pain

Which diagnosis is associated with a pervasive disregard for and violation of the rights of others? Passive-aggressive personality Antisocial personality Schizoid personality Borderline personality

Antisocial personality

The nurse is counseling a 35-year-old client with a personality disorder. The client states that the client's problems are not the client's fault and that the client is a victim of circumstances and "fate." When experiencing stress, the client has impulsively called friends and family and stating, "It's my last day on earth." This client presentation is best described by which disorder? Borderline personality disorder Narcissistic personality disorder Histrionic personality disorder Antisocial personality disorder

Borderline personality disorder

A nurse is conducting a review class on borderline personality disorder. When describing the characteristics associated with this disorder, which would the nurse most likely include? Select all that apply. Problems with interpersonal relationships Impulsive behavior Difficulty regulating moods Thinking that is based on delusions Overinflated self-identity

Difficulty regulating moods Problems with interpersonal relationships Impulsive behavior

Which is considered a part of the social domain of the biopsychosocial interventions for the client diagnosed with borderline personality disorder (BPD)? Nutritional management Establishing boundaries Medication administration Self-harm prevention

Establishing boundaries

When documenting observations of the behaviors exhibited by a client diagnosed with borderline personality disorder, the nurse can correctly use which terms? Impulsive, aggressive, and manipulative Emotional, dramatic, and theatrical Perfectionistic, rigid, and controlling Impulsive, self-destructive, unstable

Impulsive, self-destructive, unstable

When providing care to a client who consistently attempts to manipulate the staff, the nurse can best maintain the therapeutic milieu by doing what? Promoting social ostracism of the client's exhibiting manipulation Instructing the staff to enforce all unit rules consistently Scheduling staff one-on-one time with the client Encouraging questions and discussing the client's concerns

Instructing the staff to enforce all unit rules consistently

A nurse is caring for a client diagnosed with schizoid personality trait. When developing a plan of care for the client, which would a nurse most likely include? Social skills training Anger management training Relaxation techniques Coping skills training

Social skills training

For clients with borderline personality disorder, there is a tendency to see the world as either good or bad. As a result, these clients use the primitive defense of what? Regression Compensation Splitting Denial

Splitting

Clients with borderline personality disorder (BPD) are usually admitted to an inpatient setting because of what? Splitting Medication noncompliance Agitation Threats of self-harm

Threats of self-harm