PSYCH MENTAL HEALTH NUR 162 TEST 3 QUESTIONS AND ANSWERS
Paranoid personality disorder PD (Personality Disorder) - CORRECT ANSWER✅✅Pervasive mistrust and
suspicious of other
"matter-of-fact" approach
-teach pt to validate with another person before taking action.. =rational= "it will assist the client to start
basing decisions and actions on reality"
Lack of caring about others - CORRECT ANSWER✅✅Schizotypical PD, antisocial PD, Narcissistic PD
Histrionic PD - CORRECT ANSWER✅✅Behavior=having a tantrum if not getting enough attention
Teach-social skills, provide factual feedback about behavior
Passive-agressive PD - CORRECT ANSWER✅✅behavior-dosent agree with rules and is negative about it,
procrastination and intentional inefficiency
Antisocial PD (min age 18yo for daignosis) - CORRECT ANSWER✅✅Sense of mistrust
"matter-of-fact" approach
pt begging to use phone, not allowed -"you may not use the phone to call your wife"
Periodic team meetings-team consistency is important to prevent manipulation by the client
TIme out- allows opportunity for pt to regain control of emotions
Narcissistic PD - CORRECT ANSWER✅✅Grandiose and superior self concept
"matter-of-fact" approach
Self- transcendence - CORRECT ANSWER✅✅Considers oneself to be an integral part of the universe
Avoidant PD - CORRECT ANSWER✅✅pt with temperament traits of high harm avoidance
, Development of a PD - CORRECT ANSWER✅✅Failure to complete a developmental task jeopardizes
future personality development
Therapeutic relationship most effective "matter-of-fact" approach with - CORRECT
ANSWER✅✅Paranoid, antisocial, narcissistic
Schizoid PD - CORRECT ANSWER✅✅teaching-to function more comfortably -"make necessary requests
in writing or over the phone"
Realisitic outcome for PD - CORRECT ANSWER✅✅OUtcomes that focus on change in behavior
BOrderline PD (s/s @ adolescents) - CORRECT ANSWER✅✅R/O sexual and physical abuse as a child PT
boundaries-" I'm here tp help you just as all the staffs are"
Respect pts boundaries at all times
teaching-cognitive restructuring technique-EX> recognize negative thoughts and replace them with
positive ones , thought stopping
Dependent PD - CORRECT ANSWER✅✅Goal to increase problem solving skills= progress = pt asking
question
Limit setting technique -manipulative behavior - CORRECT ANSWER✅✅Stating the behavior limit, ID
the consequences if the limit is exceeded, ID the expected or desired behavior
FRustrated nurse - CORRECT ANSWER✅✅Discuss frustration with a colleague or supervisor in a private
setting
CHallenges with PD - CORRECT ANSWER✅✅It can take a long time to change behaviors,
The nurse can easily but mistakenly
believe the pt lacks motivation or willingness,
They challenge the ability of therapeutic staff to work as a team,
Team members may have different opinions about individual pts
Paranoid personality disorder PD (Personality Disorder) - CORRECT ANSWER✅✅Pervasive mistrust and
suspicious of other
"matter-of-fact" approach
-teach pt to validate with another person before taking action.. =rational= "it will assist the client to start
basing decisions and actions on reality"
Lack of caring about others - CORRECT ANSWER✅✅Schizotypical PD, antisocial PD, Narcissistic PD
Histrionic PD - CORRECT ANSWER✅✅Behavior=having a tantrum if not getting enough attention
Teach-social skills, provide factual feedback about behavior
Passive-agressive PD - CORRECT ANSWER✅✅behavior-dosent agree with rules and is negative about it,
procrastination and intentional inefficiency
Antisocial PD (min age 18yo for daignosis) - CORRECT ANSWER✅✅Sense of mistrust
"matter-of-fact" approach
pt begging to use phone, not allowed -"you may not use the phone to call your wife"
Periodic team meetings-team consistency is important to prevent manipulation by the client
TIme out- allows opportunity for pt to regain control of emotions
Narcissistic PD - CORRECT ANSWER✅✅Grandiose and superior self concept
"matter-of-fact" approach
Self- transcendence - CORRECT ANSWER✅✅Considers oneself to be an integral part of the universe
Avoidant PD - CORRECT ANSWER✅✅pt with temperament traits of high harm avoidance
, Development of a PD - CORRECT ANSWER✅✅Failure to complete a developmental task jeopardizes
future personality development
Therapeutic relationship most effective "matter-of-fact" approach with - CORRECT
ANSWER✅✅Paranoid, antisocial, narcissistic
Schizoid PD - CORRECT ANSWER✅✅teaching-to function more comfortably -"make necessary requests
in writing or over the phone"
Realisitic outcome for PD - CORRECT ANSWER✅✅OUtcomes that focus on change in behavior
BOrderline PD (s/s @ adolescents) - CORRECT ANSWER✅✅R/O sexual and physical abuse as a child PT
boundaries-" I'm here tp help you just as all the staffs are"
Respect pts boundaries at all times
teaching-cognitive restructuring technique-EX> recognize negative thoughts and replace them with
positive ones , thought stopping
Dependent PD - CORRECT ANSWER✅✅Goal to increase problem solving skills= progress = pt asking
question
Limit setting technique -manipulative behavior - CORRECT ANSWER✅✅Stating the behavior limit, ID
the consequences if the limit is exceeded, ID the expected or desired behavior
FRustrated nurse - CORRECT ANSWER✅✅Discuss frustration with a colleague or supervisor in a private
setting
CHallenges with PD - CORRECT ANSWER✅✅It can take a long time to change behaviors,
The nurse can easily but mistakenly
believe the pt lacks motivation or willingness,
They challenge the ability of therapeutic staff to work as a team,
Team members may have different opinions about individual pts
