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NUR2459 MODULE 7 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
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Terms in this set (47)
Cluster A (Odd/Eccentric): Paranoid (mistrust), Schizoid (emotional
detachment), Schizotypal (magical thinking).
Cluster B (Dramatic/Emotional/Erratic): Antisocial (manipulative, no
What are the three clusters of
remorse), Borderline (splitting, fear of abandonment), Histrionic
personality disorders and their
(attention-seeking),
traits?
Narcissistic (grandiosity).
Cluster C (Anxious/Fearful): Avoidant (fear of rejection), Dependent
(intense reliance), Obsessive-Compulsive (perfectionism, inflexibility).
Definition: Maladaptive personality traits that deviate from cultural norms, are
Define a personality disorder and its rigid, and impair functioning.
common features
Features: Difficulty in relationships, lack of insight, and interpersonal
challenges
Maintain safety and boundaries.
Set clear limits to reduce manipulation.
What are key nursing
interventions for personality
Provide a structured environment and consistent
disorders?
staffing. Encourage journaling and realistic praise
Instability in relationships, impulsivity, and fear of abandonment.
What are the hallmark traits of
Borderline Personality Disorder
Self-harm tendencies and use of splitting as a defense mechanism
(BPD)?
Definition: Recurrent episodes of uncontrollable eating without
compensatory behaviors.
What is binge-eating disorder
(BED)?
Risks: Obesity, hypertension, and emotional distress
Biological: Genetics, neurotransmitter dysregulation.
What are risk factors for eating
Environmental: Childhood trauma, controlling parents.
disorders?
Developmental: Pressure for thinness in sports
What is the hallmark characteristic of Mistrust and suspicion of others, often without justification
paranoid personality disorder?
What are signs of severe BMI < 75% of expected weight, severe bradycardia, hypotension,
malnutrition in anorexia nervosa electrolyte imbalances
that require
hospitalization?
What are complications of bulimia Electrolyte imbalances, dental erosion, dehydration, cardiac dysrhythmias
nervosa?
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Definition: Calloused knuckles from self-induced vomiting.
What is Russell's sign, and which
disorder is it associated with?
Associated with: Bulimia nervosa
Paranoid PD: Mistrust, guarded, hypervigilant.
What are the hallmark traits of
Schizoid PD: Emotional detachment, prefers solitude.
Cluster A personality disorders?
Schizotypal PD: Magical thinking, social deficits, eccentric behavior
Avoidant PD: Fear of rejection, socially withdrawn but desires relationships.
Dependent PD: Reliance on others, difficulty making decisions, fear of
What are the hallmark signs of
being alone.
Cluster C personality disorders?
Obsessive-Compulsive PD: Perfectionism, need for control, fear of
making mistakes.
CBT: Focus on restructuring thoughts and behaviors.
What are key therapies for treating Family-Based Therapy: Involve family in treatment for anorexia (e.g.,
eating disorders? Maudsley Approach).
Pharmacology: SSRIs like Fluoxetine for comorbid conditions
Episodes of uncontrollable eating without purging.
What are the signs of binge-eating
disorder (BED)?
Associated with obesity, hypertension, and emotional distress
Childhood trauma, neglect, or abuse.
What are risk factors for developing
Family history of mental illness.
borderline personality disorder (BPD)?
Poor attachment in early relationships
Nutritional rehabilitation to restore
What is the primary treatment goal
weight. Address control issues in therapy.
for anorexia nervosa?
Monitor for refeeding syndrome
Phase I: Parents control food intake and weight restoration.
Describe the Maudsley Approach
Phase II: Adolescents regain control of eating under supervision.
phases for anorexia nervosa.
Phase III: Focus on self-identity and maintaining progress
Establish a structured environment with monitored
What are the priority nursing
meals. Encourage self-monitoring through journals.
interventions for bulimia nervosa?
Provide education on triggers for binge eating
Social withdrawal, feelings of inadequacy, fear of rejection.
What are signs of avoidant
personality disorder?
Desire for relationships but avoidance due to fear of rejection
Attention-seeking, dramatic, uses physical appearance to gain attention.
What are the main traits of histrionic
personality disorder? Requires constant approval and affirmation (ex: Regina George) (
ClusterB for Bitch!)
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