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5 Written questions

5 Matching questions

  1. Dx-risk for self mutilation (Borderline)
  2. Cluster B Antisocial-Socially
  3. Nursing Actions for Antisocial
  4. Cluster B Borderline-Socially
  5. Cluster B Antisocial-Cognitive
  1. a unable to sustain lasting relationships, exploit others, lack of guilt, failure to conform to social norms
  2. b egocentric, grandiose, low self-esteem, very charming and manipulative
  3. c reduce effects of manipulation, set clear & realistic limits, have a written plan, consistency, clear boundaries, be objective (be aware that they can instill guilt when not getting what they want)
  4. d Goal: free of self inflicted injury. Interventions: look for patterns, monitor closely, use matter of fact approach, work out a plan for alternative behaviors, set limits, be consistent
  5. e history of intense unstable and manipulative relationships, seek love but fear abuse, stress related, paranoid ideation

5 Multiple choice questions

  1. Influenced by environmental variables, the product of learning & interactions with the environment
  2. No specific meds for personality disorders, meds are used to modify temperament and treat comorbid Axis I diseases. Antipsychotics help with fixed thoughts, SSRI's for depression and anxienty(Prozac, Paxil, Zoloft)
  3. "black or white" thinking, identity disturbances, body image issues, dichotomous thinking
  4. gentle, friendly & reassuring, use positive feedback, identify stressors, may use desensitization, one on one not group, don't push into social situations (often use MAOI's & Benzos)
  5. constrantly seek praise, approval and assurance, role of victim, flights of romantic fantasy

5 True/False questions

  1. Cluster C Obsessive Comp.-Behaviorperfectionist, detail oriented, need for certainty, procrastination, indecision, belief in "correct" solution

          

  2. Cluster C Avoidant-Behaviordependence, submission, avoid independence (often seen in older women)

          

  3. Defense Mechanisms seen with Personality Disorders:1)inflexible, maladaptive response to stress
    2)disability in working and loving
    3)ability to evoke conflict in nurses, family & friends
    4)capacity to have an intense effect on others (often undesirable results)

          

  4. Dx-chronic low self esteemSubstance abuse, psychotic episodes (clusterA), suicidal behaviors, mood disorders (commonly depression)

          

  5. 4 Possible Inherited Traits1)novelty seeking (Cluster B)
    2)harm avoidance (Cluster A)
    3)reward dependence (Cluster B)
    4) persistence