MH Quiz 5 SG
what is the most appropriate nursing statement to address behaviors in an Antisocial Personality Disorder patient that is spitting, curing and refuses to answer questions?
"I understand that you are angry, but this behavior will not be tolerated"
what are the factors and behaviors seen in regards to relationship with others in a patient diagnosed with a Histrionic Personality Disorder?
"Their interpersonal relationships tend to be shallow and fleeting, serving their dependency needs"
what is the most appropriate nursing reply when dealing with an Anorexia nervosa patient when the treatment team calls for a family meeting?
"eating disorders have been correlated to certain familial patterns; without addressing these, your child's condition will not improve"
what are the characteristics of a patient diagnosed with a Dependent Personality Disorder?
A physically healthy client who lives with parents and relies in public transportation
what are the behaviors that are expected to be exhibited when planning care for a patient diagnosed with BPD?
As the day shift nurse leaves the unit, the client suddenly shows the nurse a bloody arm and states "I cut myself because you are leaving me"
what is the best nursing approach in maintaining a therapeutic relationship with a Borderline Personality Disorder (BPD) patient?
Being firm, consistent and empathetic, while addressing specific client behaviors
what is the typical response or reaction from a patient diagnosed with Avoidant Personality Disorder after receiving a compliment from another patient?
Being grateful for the compliment but fearing later rejection and humiliation
which patient is most likely to be admitted to an inpatient facility for self-destructive behaviors between a Schizoid Personality, Paranoid Personality, BPD or Antisocial Personality?
Client with borderline personality disorder
what are the difference between Schizoid and Avoidant Personality Disorder if having to explain to a family member?
Clients diagnosed with avoidant personality disorder desire intimacy but fear it, and clients diagnosed with schizoid personality disorder prefer to be alone
what is the 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
what is the 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
what are the difference in behaviors and attire in patient's diagnosed with a Compulsive Disorder, Schizotypal Disorder and Histrionic Disorder behaviors?
Histrionic personality disorder would wear flamboyant attire, spiked heels and theatrical makeup and be highly emotional
what is the 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 of care by open communication to avoid staff manipulation
what is the priority nursing diagnosis when providing care for a client diagnosed with a Paranoid Personality Disorder?
Risk for violence: directed toward others related to suspicious thoughts
what is the most appropriate nursing diagnosis that is identified when working with a patient diagnosed with Schizoid Personality?
Social isolation related to inability to relate to others
what 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
what is the most appropriate nursing intervention when caring for a client diagnosed with an eating disorder?
assess for malnutrition and/or dehydration
what nursing diagnosis takes priority for a patient's BMI is <29 and diagnosed with Anorexia Nervosa?
observe for adverse effects of re-feeding
what is the appropriate outcome criterion for a client's that has altered body image and reports, "feeling fat"?
the client will cease strenuous exercise programs
what is the assessment finding when observing dental deterioration in a patient diagnosed bulimia nervosa?
the emesis produced during purging is acidic and corrodes the tooth enamel
What family dynamic plays a major influence in the development of Anorexia Nervosa in the home enviornement?
the home environment is overprotective and demands perfection
what are the reasons behavior modification programs are the treatment of choice for a patient diagnosed with an eating disorder?
this therapy will provide the client with control over behavioral choices
what is the purpose of asking questions in asking questions in a bulimia nervosa patient, that recall times in their life, when food was consumed without purging?
to emphasize that the client is capable of consuming food without purgiing
what is the best rationale for scheduling group therapy immediately after meals with a patient with an eating disorder?
to promote the processing of anxiety associated with eating
What is the most effective technique used when discussing food consumption with a patient diagnosed with an eating disorder?
waiting with the client for 1 hour after eating