Psychiatric Nursing Final Exam Newest 2026
Questions and Correct Detailed Answers Already
Graded A+
Dependent PD - CORRECT ANSWER-establish relationships in which they are
submissive, self-doubting, and avoid self responsibility. find it difficult to sustain
autonomy and often seek out relationships in which they can be taken care of.
Nursing Guidelines for Dependent PD - CORRECT ANSWER-1. Identify and help
address current stresses.
2. Try to satisfy patient's needs at the same time that limits are set up in such a
manner that patient does not feel punished and withdraw.
3. Be aware that strong countertransference often develops in clinicians because
of patient's excessive clinging (demands of extra time, nighttime calls, crisis
before vacations); therefore, supervision is well advised.
4. Teach and role-model assertiveness.
dialectical behavior therapy - CORRECT ANSWER-evidence-based theory to
successfully treat chronically suicidal pts w/ borderline personality disorder.
combines cognitive behavioral techniques with mindfulness, which emphasizes
being aware of thoughts and actively shaping them.
,histrionic PD - CORRECT ANSWER-marked by emotional attention-seeking
behavior in which the person needs to be the center of attention.
-impulsive,melodramatic, flirtatious and provocative.
Nursing Guidelines for histrionic PD - CORRECT ANSWER-1. Understand
seductive behavior as a response to distress.
2. Keep communication and interactions professional, despite temptation to
collude with the patient in a flirtatious and misleading manner.
3. Encourage and model the use of concrete and descriptive rather than vague
and impressionistic language.
4. Teach and role-model assertiveness.
Narcissistic PD - CORRECT ANSWER-arrogance w/ grandiose view of self-
importance. Has the need for constant admiration, along w/ a lack of empathy for
others, which strains relationships. results in exploitation of others. Underneath
this personality is a person w/ intense shame and fear of abandonment.
Nursing Guidelines for Narcissistic PD - CORRECT ANSWER-1. Remain neutral;
avoid engaging in power struggles or becoming defensive in response to the
patient's disparaging remarks.
2. Convey unassuming self-confidence.
,obsessive-compulsive PD - CORRECT ANSWER-characteristics of perfectionism
w/ a focus on orderliness and control. These people become so preoccupied w/
details and rules that they may not be able to accomplish a given task.
Nursing Guidelines for Obsessive-Compulsive PD - CORRECT ANSWER-1. Guard
against power struggles with patient. Need for control is very high.
2. Intellectualization, rationalization, reaction formation, isolation, and undoing
are the most common defense mechanisms.
paranoid PD - CORRECT ANSWER-characterized by distrust and suspiciousness
toward others based on the belief that others want to exploit, harm, or deceive
the person. these people are hypervigilant, anticipate hostility, and may provoke
hostile responses by initiating a "counterattack." demonstrate jealousy,
controlling behaviors, and unwillingness to forgive
Nursing Guidelines for Paranoid PD - CORRECT ANSWER-1. Avoid being too
"nice" or "friendly."
2. Give clear and straightforward explanations of tests and procedures
beforehand.
3. Use simple, clear language; avoid ambiguity.
4. Project a neutral but kind affect.
, 5. Warn about any changes, side effects of medication, and reasons for delay.
Such interventions may help allay anxiety and minimize suspiciousness. A written
plan may help encourage cooperation.
Schizoid PD - CORRECT ANSWER-Emotionally detached! Does not seek out or
enjoy close relationships. this individual may be able to function in a solitary
occupation but shows indifference to praise or criticism from others.
Depersonalization may occur.
Nursing Guidelines for Schizoid PD - CORRECT ANSWER-1. Avoid being too
"nice" or "friendly."
2. Do not try to increase socialization.
3. Perform thorough diagnostic assessment as needed to identify symptoms or
disorders the patient is reluctant to discuss.
schizotypal PD - CORRECT ANSWER-expressed in strikingly odd characteristics,
including magical thinking, derealization, perceptual distortions, and rigid,
peculiar ideas. speech patterns may be distinctive and bizarre.
Nursing Guidelines for Schizotypal PD - CORRECT ANSWER-1. Respect patient's
need for social isolation.
2. Be aware of patient's suspiciousness, and employ appropriate interventions.
Questions and Correct Detailed Answers Already
Graded A+
Dependent PD - CORRECT ANSWER-establish relationships in which they are
submissive, self-doubting, and avoid self responsibility. find it difficult to sustain
autonomy and often seek out relationships in which they can be taken care of.
Nursing Guidelines for Dependent PD - CORRECT ANSWER-1. Identify and help
address current stresses.
2. Try to satisfy patient's needs at the same time that limits are set up in such a
manner that patient does not feel punished and withdraw.
3. Be aware that strong countertransference often develops in clinicians because
of patient's excessive clinging (demands of extra time, nighttime calls, crisis
before vacations); therefore, supervision is well advised.
4. Teach and role-model assertiveness.
dialectical behavior therapy - CORRECT ANSWER-evidence-based theory to
successfully treat chronically suicidal pts w/ borderline personality disorder.
combines cognitive behavioral techniques with mindfulness, which emphasizes
being aware of thoughts and actively shaping them.
,histrionic PD - CORRECT ANSWER-marked by emotional attention-seeking
behavior in which the person needs to be the center of attention.
-impulsive,melodramatic, flirtatious and provocative.
Nursing Guidelines for histrionic PD - CORRECT ANSWER-1. Understand
seductive behavior as a response to distress.
2. Keep communication and interactions professional, despite temptation to
collude with the patient in a flirtatious and misleading manner.
3. Encourage and model the use of concrete and descriptive rather than vague
and impressionistic language.
4. Teach and role-model assertiveness.
Narcissistic PD - CORRECT ANSWER-arrogance w/ grandiose view of self-
importance. Has the need for constant admiration, along w/ a lack of empathy for
others, which strains relationships. results in exploitation of others. Underneath
this personality is a person w/ intense shame and fear of abandonment.
Nursing Guidelines for Narcissistic PD - CORRECT ANSWER-1. Remain neutral;
avoid engaging in power struggles or becoming defensive in response to the
patient's disparaging remarks.
2. Convey unassuming self-confidence.
,obsessive-compulsive PD - CORRECT ANSWER-characteristics of perfectionism
w/ a focus on orderliness and control. These people become so preoccupied w/
details and rules that they may not be able to accomplish a given task.
Nursing Guidelines for Obsessive-Compulsive PD - CORRECT ANSWER-1. Guard
against power struggles with patient. Need for control is very high.
2. Intellectualization, rationalization, reaction formation, isolation, and undoing
are the most common defense mechanisms.
paranoid PD - CORRECT ANSWER-characterized by distrust and suspiciousness
toward others based on the belief that others want to exploit, harm, or deceive
the person. these people are hypervigilant, anticipate hostility, and may provoke
hostile responses by initiating a "counterattack." demonstrate jealousy,
controlling behaviors, and unwillingness to forgive
Nursing Guidelines for Paranoid PD - CORRECT ANSWER-1. Avoid being too
"nice" or "friendly."
2. Give clear and straightforward explanations of tests and procedures
beforehand.
3. Use simple, clear language; avoid ambiguity.
4. Project a neutral but kind affect.
, 5. Warn about any changes, side effects of medication, and reasons for delay.
Such interventions may help allay anxiety and minimize suspiciousness. A written
plan may help encourage cooperation.
Schizoid PD - CORRECT ANSWER-Emotionally detached! Does not seek out or
enjoy close relationships. this individual may be able to function in a solitary
occupation but shows indifference to praise or criticism from others.
Depersonalization may occur.
Nursing Guidelines for Schizoid PD - CORRECT ANSWER-1. Avoid being too
"nice" or "friendly."
2. Do not try to increase socialization.
3. Perform thorough diagnostic assessment as needed to identify symptoms or
disorders the patient is reluctant to discuss.
schizotypal PD - CORRECT ANSWER-expressed in strikingly odd characteristics,
including magical thinking, derealization, perceptual distortions, and rigid,
peculiar ideas. speech patterns may be distinctive and bizarre.
Nursing Guidelines for Schizotypal PD - CORRECT ANSWER-1. Respect patient's
need for social isolation.
2. Be aware of patient's suspiciousness, and employ appropriate interventions.
