MENTAL QUIZ 5 (10/23)

difference between Schizoid and Avoidant Personality Disorder if having to explain to a family member

Avoidant personality disorder desire intimacy but fear it Schizoid personality disorder prefer to be alone.

which patient is most likely to be admitted to an inpatient facility for self-destructive behaviors between: Schizoid Personality Paranoid Personality BPD Antisocial Perso

BPD - self-destructive behavior is more likely to occur AND escalate w this dx

best nursing approach in maintaining a therapeutic relationship with a Borderline Personality Disorder (BPD) patient.

Being firm, consistent, and empathic, while addressing specific client behaviors

best nursing intervention used in a behavior approach when caring for a patient diagnosed with BPD.

Contract with the client to reinforce positive behaviors with unit privileges.

antisocial personality disorder

Ego-centrism and goal setting based on personal gratification. Incapacity for mutually intimate relationships Disregard for and failure to honor financial and other obligations.

personality disorder that often exhibits behaviors and statement of crisis such as, "Somebody help me, quick! "I'm bleeding, it's an emergency," after finding out it's only slight prick from a paper cut.

Histrionic personality disorder

reasons behavior modification programs are the treatment of choice for a patient diagnosed with an eating disorder.

It allows clients to maintain control.

best nursing behavior that should be implemented when dealing with a patient that has Borderline Personality Disorder who places unreasonable demands to modify the unit rules.

Maintain consistency, promote open communication to avoid staff manipulation.

nursing dx options for anorexia nervosa

NURSING DIAGNOSES: IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS/DEFICIENT FLUID VOLUME (RISK FOR OR ACTUAL) RELATED TO: Refusal to eat/drink, abuse of laxatives/diuretics EVIDENCED BY: Loss of weight; poor muscle tone and skin turgor; lanugo; bradycardia; hypotension; cardiac arrhythmias; pale, dry mucous membranes

Dependent relationships

Pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation.

most appropriate nursing intervention when caring for a client diagnosed with an eating disorder

Remain with the client for at least 1 hour after the meal

priority nursing diagnosis when providing care for a client diagnosed with a Paranoid Personality Disorder.

Risk for violence: directed toward others R/T paranoid thinking at risk for other issues like self harm or isolation but paranoia often leads to other directed harm!

most appropriate nursing diagnosis that is identified when working with a patient diagnosed with Schizoid Personality.

Social isolation R/T inability to relate to others

appropriate outcome criterion for a client's that has altered body image and reports, "feeling fat."

The client will perceive personal ideal body weight and shape as normal.

nursing interventions that is most appropriate when a Paranoid Personality Disorder patient becomes violent on the unit.

Use clear, calm statements and a confident physical stance.

nursing statement to address behaviors in an Antisocial Personality Disorder patient that is spitting, curing and refuses to answer questions.

acknowledge anger but it is NOT tolerated

Histrionic behavior + attire

colorful, dramatic, and extraverted behavior in excitable, emotional people bright-colored clothing or revealing garments

most appropriate nursing reply when dealing with an Anorexia nervosa patient when the treatment team calls for a family meeting.

educate on familial patterns! on parenting/discipline styles!

characteristics of a patient diagnosed with a Dependent Personality Disorder.

healthy person who CHOOSES to live with parents and depends on public transportation personality disorder is characterized by a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation

family dynamics that play a major influence in the development of Anorexia Nervosa in the home environment.

home environment is overprotective and demands perfection

which nursing diagnosis takes priority for a patient's BMI is <29 and diagnosed with Anorexia Nervosa.

imbalanced nutrition: less than body requirements Ineffective denial Disturbed body image/ Low self-esteem Ineffective coping related to feelings of helplessness, low self-esteem, and lack of control in life situation.

Compulsive Disorder + attire

inflexibility and lack of spontaneity when dealing with others. redundant clothing: more clothing than necessary

Schizotypal Disorder + attire

odd behavior, speech patterns, thoughts, and perceptions (may believe they are mediums/God-like) ill fitting/dirty/strange clothing

Paranoid relationships

pervasive distrust and suspiciousness of others, such that their motives are interpreted as malevolent.

Schizoid relationships

profound defect in the ability to form personal relationships or to respond to others in any meaningful emotional way

most effective technique used when discussing foods consumption with a patient diagnosed with an eating disorder.

promote choice (allows for pt control) snacks and fluids!!

rationale for scheduling group therapy immediately after meals with a patient with an eating disorder.

promote processing of anxiety associated with eating puts focus elsewhere prevents purging/hiding food

assessment finding when observing dental deterioration in a patient diagnosed Bulimia Nervosa.

purging corrodes the tooth enamel.

factors and behaviors seen in regards to relationship with others in a patient diagnosed with a Histrionic Personality Disorder.

relationships tend to be shallow and fleeting, serving their dependency needs

purpose of asking questions in a Bulimia Nervosa patient, that recall times in their life, when food was consumed without purging

remind pt theyre capable of eating w/o purging!!!

behaviors that are expected to be exhibited when planning care for a patient diagnosed with BPD

self harm!!!! suicidal gestures elicit a rescue response

typical response or reaction from a patient diagnosed with Avoidant Personality Disorder after receiving a compliment from another patient.

want intimacy but fearful of it Being grateful for the compliment but fearing later rejection and humiliation