NURS 406 TEST 2 EXAM QUESTIONS AND ANSWERS
key points from chapters - CORRECT ANSWER✅✅---------
personality disorders - CORRECT ANSWER✅✅
personality disorder cluster pneumonic - CORRECT ANSWER✅✅cluster A: *eccentric* people still suck
(paranoid schizoid schizotypal)
cluster B: *erratic* boy needs his apple
(borderline narcissistic histrionic antisocial)
cluster C: *anxious* amy depends on company
(anxious dependent obsessive-compulsive)
abuse - CORRECT ANSWER✅✅• Sexual assault is a common and often underreported crime of violence.
• Females are far more likely to be victims of sexual assault and tend to know their perpetrators. Sexual
assault of males tends to be underreported due to the humiliation and stigma attached to such
victimization.
• Psychoactive substances play a major role in sexual assault, and alcohol is the most commonly used
date-rape drug. Other disinhibiting and amnestic substances play a role in forcible sex acts.
• A rape survivor experiences a wide range of feelings, which may or may not be exhibited to others.
• Sexual assault is often followed by feelings of fear, degradation, anger, and rage. Helplessness, anxiety,
sleep disturbances, disturbed relationships, flashbacks, depression, and somatic complaints are also
common.
,• The initial medical evaluation may be frightening and stressful. A police interview, repeated
questioning by health professionals, and the physical examination itself all have the potential to add to
the trauma and revictimization of the sexual assault.
• Nurses can minimize repetition of questions and support the patient as she goes through the medical
and legal evaluation.
• Survivors require long-term healthcare that can include counseling to minimize long-term effects of
the rape and assisting in an early return to a normal living pattern.
• Telephone and online resources are available to assist sexual assault and rape survivors.
disorders : personality - CORRECT ANSWER✅✅• All personality disorders share characteristics of
inflexibility and difficulties in interpersonal relationships that impair social or occupational functioning.
• Personality disorders are most likely caused by a combination of biological and psychosocial factors.
• Patients with personality disorders often enter psychiatric treatment because of distress from a
comorbid mental illness.
• Nurses may experience intense emotional reactions to patients with personality disorders and need to
make use of clinical supervision to maintain objectivity.
• Despite the relatively fixed patterns of maladaptive behavior, some patients with personality disorders
are able to change their behavior over time as a result of treatment.
eating disorders - CORRECT ANSWER✅✅A number of theoretical models help explain the origins of
eating disorders.
• Neurobiological theories focus on neurotransmitters in the brain that regulate mood and hunger.
• Psychological theories explore issues of control in anorexia and affective instability and poor impulse
control in bulimia.
,• Genetic theories postulate the existence of vulnerabilities that may predispose people toward eating
disorders.
• Sociocultural models look at our present societal ideal of being thin.
• Anorexia nervosa is a potentially life-threatening eating disorder that includes severe underweight;
low blood pressure, pulse, and temperature; dehydration; and dysrhythmias.
• Anorexia may be treated in an inpatient treatment setting in which milieu therapy, psychotherapy
(cognitive), development of self-care skills, and psychobiological interventions can be implemented.
• Long-term treatment is provided on an outpatient basis and aims to help patients maintain healthy
weight. It includes treatment modalities such as individual therapy, family therapy, group therapy,
psychopharmacology, and nutrition counseling.
• Patients with bulimia nervosa are typically within the normal weight range, but some may be slightly
below or above ideal body weight.
• Assessment of the patient with bulimia nervosa may show enlargement of the parotid glands, dental
erosion, and caries if the patient has induced vomiting.
• Acute care may be necessary when life-threatening complications such as gastric rupture (rare),
electrolyte imbalance, and cardiac dysrhythmias are present.
• The goal of interventions is to interrupt the binge-purge cycle. Psychotherapy and self-care skill
training are included in the treatment plan.
• Therapy is the long-term treatment focus to address coexisting depression, substance abuse, and/or
personality disorders that
, sexual disorders - CORRECT ANSWER✅✅Sexual dysfunction is an extremely common problem that
involves a disturbance in the desire, excitement, or orgasm phases of the sexual response cycle or pain
during sexual intercourse.
• There are seven different disorders of sexual dysfunction.
• Sexual problems have the potential to disrupt meaningful relationships.
• Healthcare workers are often uncomfortable asking questions related to sexuality. Providing
professional and holistic care requires that nurses include this vital area of assessment.
• Certain medical and surgical conditions and some drugs result in a variety of sexual dysfunctions,
including low libido, impotence, erectile dysfunction, anorgasmia, and priapism.
• There are distinctions between biological sex and gender identity. Gender dysphoria is a strong and
persistent cross-gender identification accompanied by anxiety, discomfort, and unhappiness.
• Paraphilia is a term used to identify repetitive or preferred sexual fantasies or behaviors that involve
preference for use of a nonhuman object, repetitive sexual activity with humans involving real or
simulated suffering or humiliation, and repetitive sexual activity with nonconsenting partners.
• Paraphilic disorders include exhibitionistic disorder, fetishistic disorder, frotteuristic disorder,
pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeuristic
disorder, and paraphilic disorders not otherwise specified.
• In addition to conducting a sexual assessment, nurses are involved in milieu and behavioral therapy,
counseling, education, and medication management.
• Nursing interventions for paraphilic disorders involve administration of medications (e.g.,
medroxyprogesterone [Depo-Provera] and SSRIs) and therapy.
• Advanced practice nurses may specialize in the area of sexual counseling, treatm
key points from chapters - CORRECT ANSWER✅✅---------
personality disorders - CORRECT ANSWER✅✅
personality disorder cluster pneumonic - CORRECT ANSWER✅✅cluster A: *eccentric* people still suck
(paranoid schizoid schizotypal)
cluster B: *erratic* boy needs his apple
(borderline narcissistic histrionic antisocial)
cluster C: *anxious* amy depends on company
(anxious dependent obsessive-compulsive)
abuse - CORRECT ANSWER✅✅• Sexual assault is a common and often underreported crime of violence.
• Females are far more likely to be victims of sexual assault and tend to know their perpetrators. Sexual
assault of males tends to be underreported due to the humiliation and stigma attached to such
victimization.
• Psychoactive substances play a major role in sexual assault, and alcohol is the most commonly used
date-rape drug. Other disinhibiting and amnestic substances play a role in forcible sex acts.
• A rape survivor experiences a wide range of feelings, which may or may not be exhibited to others.
• Sexual assault is often followed by feelings of fear, degradation, anger, and rage. Helplessness, anxiety,
sleep disturbances, disturbed relationships, flashbacks, depression, and somatic complaints are also
common.
,• The initial medical evaluation may be frightening and stressful. A police interview, repeated
questioning by health professionals, and the physical examination itself all have the potential to add to
the trauma and revictimization of the sexual assault.
• Nurses can minimize repetition of questions and support the patient as she goes through the medical
and legal evaluation.
• Survivors require long-term healthcare that can include counseling to minimize long-term effects of
the rape and assisting in an early return to a normal living pattern.
• Telephone and online resources are available to assist sexual assault and rape survivors.
disorders : personality - CORRECT ANSWER✅✅• All personality disorders share characteristics of
inflexibility and difficulties in interpersonal relationships that impair social or occupational functioning.
• Personality disorders are most likely caused by a combination of biological and psychosocial factors.
• Patients with personality disorders often enter psychiatric treatment because of distress from a
comorbid mental illness.
• Nurses may experience intense emotional reactions to patients with personality disorders and need to
make use of clinical supervision to maintain objectivity.
• Despite the relatively fixed patterns of maladaptive behavior, some patients with personality disorders
are able to change their behavior over time as a result of treatment.
eating disorders - CORRECT ANSWER✅✅A number of theoretical models help explain the origins of
eating disorders.
• Neurobiological theories focus on neurotransmitters in the brain that regulate mood and hunger.
• Psychological theories explore issues of control in anorexia and affective instability and poor impulse
control in bulimia.
,• Genetic theories postulate the existence of vulnerabilities that may predispose people toward eating
disorders.
• Sociocultural models look at our present societal ideal of being thin.
• Anorexia nervosa is a potentially life-threatening eating disorder that includes severe underweight;
low blood pressure, pulse, and temperature; dehydration; and dysrhythmias.
• Anorexia may be treated in an inpatient treatment setting in which milieu therapy, psychotherapy
(cognitive), development of self-care skills, and psychobiological interventions can be implemented.
• Long-term treatment is provided on an outpatient basis and aims to help patients maintain healthy
weight. It includes treatment modalities such as individual therapy, family therapy, group therapy,
psychopharmacology, and nutrition counseling.
• Patients with bulimia nervosa are typically within the normal weight range, but some may be slightly
below or above ideal body weight.
• Assessment of the patient with bulimia nervosa may show enlargement of the parotid glands, dental
erosion, and caries if the patient has induced vomiting.
• Acute care may be necessary when life-threatening complications such as gastric rupture (rare),
electrolyte imbalance, and cardiac dysrhythmias are present.
• The goal of interventions is to interrupt the binge-purge cycle. Psychotherapy and self-care skill
training are included in the treatment plan.
• Therapy is the long-term treatment focus to address coexisting depression, substance abuse, and/or
personality disorders that
, sexual disorders - CORRECT ANSWER✅✅Sexual dysfunction is an extremely common problem that
involves a disturbance in the desire, excitement, or orgasm phases of the sexual response cycle or pain
during sexual intercourse.
• There are seven different disorders of sexual dysfunction.
• Sexual problems have the potential to disrupt meaningful relationships.
• Healthcare workers are often uncomfortable asking questions related to sexuality. Providing
professional and holistic care requires that nurses include this vital area of assessment.
• Certain medical and surgical conditions and some drugs result in a variety of sexual dysfunctions,
including low libido, impotence, erectile dysfunction, anorgasmia, and priapism.
• There are distinctions between biological sex and gender identity. Gender dysphoria is a strong and
persistent cross-gender identification accompanied by anxiety, discomfort, and unhappiness.
• Paraphilia is a term used to identify repetitive or preferred sexual fantasies or behaviors that involve
preference for use of a nonhuman object, repetitive sexual activity with humans involving real or
simulated suffering or humiliation, and repetitive sexual activity with nonconsenting partners.
• Paraphilic disorders include exhibitionistic disorder, fetishistic disorder, frotteuristic disorder,
pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeuristic
disorder, and paraphilic disorders not otherwise specified.
• In addition to conducting a sexual assessment, nurses are involved in milieu and behavioral therapy,
counseling, education, and medication management.
• Nursing interventions for paraphilic disorders involve administration of medications (e.g.,
medroxyprogesterone [Depo-Provera] and SSRIs) and therapy.
• Advanced practice nurses may specialize in the area of sexual counseling, treatm
