5 Written Questions

1. Goal is safety, use contracts, identify triggers and patterns, take suicidal threats seriously
2. little personal involvement, irritable, aggressive
3. cold, aloof, detachmed, no close friends, indifferent to others attitudes ( do not respond to praise)
4. Substance abuse, psychotic episodes (clusterA), suicidal behaviors, mood disorders (commonly depression)
5. often come from abusive home, identity disturbance, impulsive, manipulating, self destructive, self harm (cutting, burning), reckless, suicidal

5 Matching Questions

1. Cluster C Obsessive-Social
2. Cluster B Histrionic-Cognitive
3. Cluster B Borderline-Cognitive
4. Cluster B Antisocial-Cognitive
5. Cluster B Borderline-Affect

1. a egocentric, grandiose, low self-esteem, very charming and manipulative
2. b Intense, anxious, labile, chronic feelings of emptiness
3. c "black or white" thinking, identity disturbances, body image issues, dichotomous thinking
4. d need for control, omnipotent (all powerful) and omniscient (all knowing)
5. e self centered, high need for approval, guided by feelings

5 Multiple Choice Questions

1. Goal:willingness to work on a realistic future, need to focus on positives in life. Interventions: calm neutral manner, use reframing, help pt recognive cognitive distortions, dsicourage dwelling on past mistakes, set realistic goals
   1. Concurrent Disorders
   2. Dx-chronic low self esteem
   3. Personality Disorders
   4. Character
2. Avoid sharing of feelings, never forgive or forget, chronic tension
   1. Cluster A Paranoid-socially
   2. Cluster A Paranoid- cognitively
   3. Cluster A Paranoid-affective
   4. Cluster A Schizoid-Affective
3. set realistic goals, be aware of manipulation, clear & consistent boundaries, clear communication, avoid rejecting or rescueing, assess for self harm or suicide
   1. Nursing actions for Schizotypal
   2. Nursing actions for Borderline
   3. Nursing Actions for Antisocial
   4. Nursing actions for Schizoid
4. unable to sustain lasting relationships, exploit others, lack of guilt, failure to conform to social norms
   1. Cluster B Antisocial-Socially
   2. Cluster A Schizotypal-Socially
   3. Cluster B Antisocial-Cognitive
   4. Cluster B Histrionic-Socially
5. social discomfort, do not let people close even for work
   1. Cluster C Avoidant-Behavior
   2. Cluster C Avoidant-Social
   3. Cluster C Avoidant-Cognitive
   4. Cluster A Paranoid -behaviors

5 True/False Questions

1. Characteristics of all Personality Disorders → short term goals of safety and comfort

   True        False

2. Cluster B Histrionic-Affect → constrantly seek praise, approval and assurance, role of victim, flights of romantic fantasy

   True        False

3. Cluster C Avoidant-Cognitive → overly sensitive to opinions of others, exaggerated need for acceptance

   True        False

4. Cluster C (anxious or fearful) → Avoidant, dependent, Obsessive complusive

   True        False

5. Cluster C Obsessive-Cognitive → "black or white" thinking, identity disturbances, body image issues, dichotomous thinking

   True        False