nur 253 Mental health Exam 3
Study online at https://quizlet.com/_t7vmv
1. Different ways to diagnose/treat people: • Admit to hospital
• Partially hospitalized
• In day treatment settings
2. Milieu management is a significant part of treatment: o Goal is to manage pt affect in
group context
Community meetings
Coping skills group
Socialization groups
3. • When behaviors emerge: o Calmly review therapeutic goals
o boundaries of treatment
o avoid rejection and rescuing
• Assess for suicide intentions
4. Dependent Personality Disorder: thought to be a result of chronic physical illness, punishment,
indecent behavior or independent behavior in childhood, inherited trait of submissiveness,
5. dependent personality disorder-• What is important when planning their
care?: o Empathy
o Independence
6. dependent personality disorder-characteristics: o Clingy
o Submissive
o Fear of separation
o Difficulty making everyday decisions
o Dependent on other people to do things for them
o Need others to assume responsibility for the major areas in their life
o Do not express any kind of disagreement
o Difficulty in initiating projects or doing things on their own
o Helpless or uncomfortable being alone
Due to fears of being unable to care for themselves
7. Borderline Personality Disorder-: Thought to be a result of early abandonment which results in an
unstable view of self and others
8. Borderline personality disorder-important in planning care: • Importance of maintain-
ing a calm and matter of fact response
• Don't give in to the persuasion of these patients trying to manipulate
, nur 253 Mental health Exam 3
Study online at https://quizlet.com/_t7vmv
• Give rules, don't sugar coat, and be consistent
o Behavioral contracts
• Goal is to get these patients to verbalize when they want to hurt either themselves or others.
9. Borderline personality disorder-characteristics: o Dramatic
o Instability in emotional regulation and interpersonal relationships
o Impulsiveness
Spending money
Binge eating
Sex
Substance abuse
Reckless driving
o Identity of self-image distortions
o Unstable mood and affect
10. Borderline personality disorder-Ineffective and harming self-soothing
habits: Cutting
Promiscuous sexual behavior
Numbing with substance abuse (most common)
Splitting (primary defense mechanism coping style): cannot incorporate positive and negative aspects of one's self
or others into one image. Idealize a person at start of a new relationship and hoping this person can meet all their
expectations. With the first frustration comes immediate hatred of the same person.
Suicidal behaviors
• Will make gestures and threats
Feelings of emptiness
Inappropriate and intense flashes of anger that are uncontrollable
11. Histrionic Personality Disorder-: Earliest as 3-5 yrs of age with an overly intense attachment to
parent of opposite sex parent which results in fear of retaliation of same sex parent
12. Histrionic Personality Disorder- Know characteristics one might exhibit: o
Uncomfortable in situations where self is not the center of attention
o Interactions with others is often characterized by inappropriate sexual seductive and provocative behavior
o Consistently using physical appearance to draw attention to self
o Self-dramatic, theatrical
Exaggeration of expression and emotion
Study online at https://quizlet.com/_t7vmv
1. Different ways to diagnose/treat people: • Admit to hospital
• Partially hospitalized
• In day treatment settings
2. Milieu management is a significant part of treatment: o Goal is to manage pt affect in
group context
Community meetings
Coping skills group
Socialization groups
3. • When behaviors emerge: o Calmly review therapeutic goals
o boundaries of treatment
o avoid rejection and rescuing
• Assess for suicide intentions
4. Dependent Personality Disorder: thought to be a result of chronic physical illness, punishment,
indecent behavior or independent behavior in childhood, inherited trait of submissiveness,
5. dependent personality disorder-• What is important when planning their
care?: o Empathy
o Independence
6. dependent personality disorder-characteristics: o Clingy
o Submissive
o Fear of separation
o Difficulty making everyday decisions
o Dependent on other people to do things for them
o Need others to assume responsibility for the major areas in their life
o Do not express any kind of disagreement
o Difficulty in initiating projects or doing things on their own
o Helpless or uncomfortable being alone
Due to fears of being unable to care for themselves
7. Borderline Personality Disorder-: Thought to be a result of early abandonment which results in an
unstable view of self and others
8. Borderline personality disorder-important in planning care: • Importance of maintain-
ing a calm and matter of fact response
• Don't give in to the persuasion of these patients trying to manipulate
, nur 253 Mental health Exam 3
Study online at https://quizlet.com/_t7vmv
• Give rules, don't sugar coat, and be consistent
o Behavioral contracts
• Goal is to get these patients to verbalize when they want to hurt either themselves or others.
9. Borderline personality disorder-characteristics: o Dramatic
o Instability in emotional regulation and interpersonal relationships
o Impulsiveness
Spending money
Binge eating
Sex
Substance abuse
Reckless driving
o Identity of self-image distortions
o Unstable mood and affect
10. Borderline personality disorder-Ineffective and harming self-soothing
habits: Cutting
Promiscuous sexual behavior
Numbing with substance abuse (most common)
Splitting (primary defense mechanism coping style): cannot incorporate positive and negative aspects of one's self
or others into one image. Idealize a person at start of a new relationship and hoping this person can meet all their
expectations. With the first frustration comes immediate hatred of the same person.
Suicidal behaviors
• Will make gestures and threats
Feelings of emptiness
Inappropriate and intense flashes of anger that are uncontrollable
11. Histrionic Personality Disorder-: Earliest as 3-5 yrs of age with an overly intense attachment to
parent of opposite sex parent which results in fear of retaliation of same sex parent
12. Histrionic Personality Disorder- Know characteristics one might exhibit: o
Uncomfortable in situations where self is not the center of attention
o Interactions with others is often characterized by inappropriate sexual seductive and provocative behavior
o Consistently using physical appearance to draw attention to self
o Self-dramatic, theatrical
Exaggeration of expression and emotion
