What nursing care strategies are recommended for patients with Paranoid Personality
Disorder?
•Honor commitments
•Be on time
•Use formal, business-like communication
•Be honest and consistent
•Include patient in plan of care
What are the key characteristics of Antisocial Personality Disorder (ASPD)?
• Disregard for laws and social norms
• Manipulative
• Charming/witty but deceptive
• Criminal behavior
,What are the symptoms of Antisocial Personality Disorder (ASPD)?
• Chronic irresponsibility
• Aggression and irritability
• Lack of remorse or guilt
• Cannot maintain relationships or employment
What is a critical nursing management strategy for patients with Antisocial Personality
Disorder?
Set firm, direct limits and do not engage in manipulation.
,A patient with antisocial personality disorder asks the nurse for permission to break a unit
rule by using the phone after designated hours to call their spouse. Which response by the
nurse is most appropriate?
“You may not use the phone to call your spouse.”
Rationale: Patients with antisocial personality disorder may manipulate or challenge rules
and authority. The nurse should maintain firm, consistent boundaries and enforce unit rules
without arguing or negotiating.
What defines Borderline Personality Disorder (BPD)?
Long-term instability in emotions, relationships, self-image, and impulsivity.
, What are core symptoms of Borderline Personality Disorder?
•Fear of abandonment
•Splitting (idealization vs. devaluation) - Ex: viewing staff/others as all good or all bad
•Manipulation (attempts to divide staff or avoid abandonment)
•Self-harm behaviors
•Suicidal behavior
•Labile mood swings
•Chronic emptiness
•Impulsivity
•Paranoia/dissociation
Disorder?
•Honor commitments
•Be on time
•Use formal, business-like communication
•Be honest and consistent
•Include patient in plan of care
What are the key characteristics of Antisocial Personality Disorder (ASPD)?
• Disregard for laws and social norms
• Manipulative
• Charming/witty but deceptive
• Criminal behavior
,What are the symptoms of Antisocial Personality Disorder (ASPD)?
• Chronic irresponsibility
• Aggression and irritability
• Lack of remorse or guilt
• Cannot maintain relationships or employment
What is a critical nursing management strategy for patients with Antisocial Personality
Disorder?
Set firm, direct limits and do not engage in manipulation.
,A patient with antisocial personality disorder asks the nurse for permission to break a unit
rule by using the phone after designated hours to call their spouse. Which response by the
nurse is most appropriate?
“You may not use the phone to call your spouse.”
Rationale: Patients with antisocial personality disorder may manipulate or challenge rules
and authority. The nurse should maintain firm, consistent boundaries and enforce unit rules
without arguing or negotiating.
What defines Borderline Personality Disorder (BPD)?
Long-term instability in emotions, relationships, self-image, and impulsivity.
, What are core symptoms of Borderline Personality Disorder?
•Fear of abandonment
•Splitting (idealization vs. devaluation) - Ex: viewing staff/others as all good or all bad
•Manipulation (attempts to divide staff or avoid abandonment)
•Self-harm behaviors
•Suicidal behavior
•Labile mood swings
•Chronic emptiness
•Impulsivity
•Paranoia/dissociation
