CM1 MH: personality disorder

Individuals with antisocial personality disorder are usually ___________ on the surface and can easily con people into what they want

charming

Which response would the nurse expect from a client with antisocial personality disorder? a. "I need a lot of help with my troubles" b. "society makes people follow rules that don't apply to me" c. "this might help me straighten out my life" d. "I don't like to be

"society makes people follow rules that don't apply to me"

the nurse discovers the client with antisocial personality disorder and visitors are smoking weed in the hall. Which response would the nurse make when the client responds "I'm celebrating. I went to trial today and just got put on probation"? a. "you're lucky you got probation so don't get back in trouble" b. "I understand your relief about the trial, but smoking is against the rules" c. "it's important that you and your friends join the other visitors in the day room" d. "If you can't follow

If you can't follow the rules your visiting privileges will be canceled

antisocial clients are incapable of _______________ for self-created problems and blames society for the behavior

accepting responsibility

client's with ___________ lack judgement and self control and are unable to post-pone gratification. They are self centered, impulsive, and believe the rules don't apply to them

antisocial personality disorder

which action would the nurse take for a client with borderline personality disorder? a. provide an unstructured environment to promote self expression b. be firm, consistent, and understanding while focusing on specific target behaviors c. use an authoritarian approach, because this type of client needs to learn to conform to the rules of society d. record but ignore marked shifts in mood, suicidal threats, and temper displays because these are attention-seeking behaviors

be firm, consistent, and understanding while focusing on specific target behaviors

Clients with ___________ tend to establish intense relationships

bordeline personality disorder

clients with _____________ show a pattern of unstable interpersonal relationships, impulsiveness, affective instability, and frantic efforts to avoid abandonment.

borderline personality disorder

a client with a personality disorder aggressively throws the playing cards around the room when another client is caught cheating. Which rationale explains the aggressive response to throwing cards? a. client has poor reality testing and imagines a threat b. behavior suggests that violence is a learned response c. behavior confirms a diagnosis of antisocial personality disorder d. client's response is related to inadequate impulse control

client's response is related to inadequate impulse control

which behavior is typical for antisocial personality disorder? a. sexual acting out b. disregard for others c. loss of contact with reality d. compulsive, repetitive behaviors

disregard for others

Which personality traits are exhibited in a client who has a diagnosis of borderline personality disorder? select all engaging indecisive withdrawn manipulative perfectionistic

engaging manipulative

Which characteristic of clients with antisocial personality disorder would the nurse consider when planning care? a. engages in many rituals b. is a perfectionist c. exhibits lack of empathy for others d. possesses limited communication skills

exhibits lack of empathy for others

the client who has low self esteem reacts to off putting circumstances by using __________ behavior

hostile

clients with borderline personality disorder tend to be _______ and ____________ and have trouble being _________ towards otheres

impulsive egocentric empathic

Which factor would the nurse find in the client history of a young college student diagnosed with borderline personality disorder? select all impulsiveness lability of mood ritualistic behavior psychomotor retardation self-destructive behavior

impulsiveness lability of mood self-destructive behavior

Which response would the nurse make to a client diagnosed with borderline personality disorder who receives the wrong tray for lunch and becomes upset at the dietary staff regarding this mistake? a. "getting angry is wrong, your behavior must stop" b. "yelling is unacceptable and will only get you placed in seclusion" c. "you have to eat the first tray of food, then I'll get you another tray" d. "it must be frustrating to get the wrong tray. I'll order another tray for you"

it must be frustrating to get the wrong tray. I'll order another tray for you

which problem is most likely to underlie angry or hostile behavior for a client with the diagnosis of borderline personality disorder? a. low self-esteme b. inability to test reality c. reaction to command hallucination d. ineffective verbal communication

low self-esteme

are people with borderline personality disorder perfectionists?

no

which parameter would the nurse assess for in a client with borderline personality disorder and possible depression who has a history of self-abuse and acting out behavior? a. degree of anger b. potential for suicide c. level of intelligence d. ability to test reality

potential for suicide

which nursing intervention would be essential for a client diagnosed with antisocial personality disorder who's admitted to the MH hospital? a. encouraging interactions with others b. presenting a united, consistent staff approach c. assuming a nurturing, forgiving tone in disputes d. using seclusion when manipulative behaviors are exhibited

presenting a united, consistent staff approach

antisocial personality disorder clients require firm ___________ set on behaviors

realistic limits

clients with antisocial personality disorder do not care about _______________

rules

which intervention will the nurse use for a client with borderline personality disorder to develop healthier coping mechanisms? a. provide a stress free environment b. encourage healthy relationships with peers c. allow client to take responsibility for decisions d. set realistic limits on maladaptive behaviors

set realistic limits on maladaptive behaviors

which action would be difficult for a client who has borderline personality disorder to complete during the orientation phase of a therapeutic relationship? a. controlling anxiety b. terminating the session on time c. accepting the psychiatric diagnosis d. setting mutual goals for the relationship

setting mutual goals for the relationship

which parameter would the nurse consider before confronting a client diagnosed with borderline personality disorder? a. the last time meds were given b. the depth of their working relationship c. the client's ability to be empathic towards others d. the degree of self-awareness exhibited by the client

the depth of their working relationship

which characteristic would the nurse observe in a client with antisocial personality disorder? a. suffers from extreme anxiety b. rapidly learns by experience if punished c. usually is unable to postpone gratification d. has a great sense of responsibility toward others

usually is unable to postpone gratification

A client with borderline personality disorder hears that the nurse is leaving on vacation. Which response would indicate the client's ability to maintain a more mature relationship? a. states "I need to get well enough by then so I can leave too" b. wishes the nurse a safe trip and offers thanks for the help received c. responds "I guess you leaving is just another loss I'll have to adjust to" d. informs the nurse that there is no sense in waiting and that the relationship can be ended today

wishes the nurse a safe trip and offers thanks for the help received

Which initial statement would the nurse say to a client with borderline personality disorder who is badgering clients in the day room? a. "you must leave people alone, this behavior is unaccepable" b. "there will be consequences if you do not stop annoying people" c. "tell me how. you feel when you are exerting control over other people" d. "i'm surprised that you're acting this way, you seemed to have improved lately"

you must leave people alone, this behavior is unacceptable