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At NURSING.com, we believe Black Lives Matter ✊🏿, No Human Is Illegal 🤝, Love Is Love 🏳️🌈, Women`s Rights Are Human Rights 👩, Science Is Real 🔬, Water Is Life 🌊, Injustice Anywhere Is A Threat To Justice Everywhere ☮️. AccessibilitySitemapDrug List A health care provider recently convicted of Medicare fraud says to a nurse, Sure I overbilled. Everyone takes advantage of the government. There are too many rules to follow and I should get the money. These statements show: d. lack of guilt feelings. Which intervention is appropriate for an individual diagnosed with an antisocial personality disorder who frequently manipulates others? a. Refer requests and questions related to care to the case manager. As a nurse prepares to administer medication to a patient diagnosed with a borderline personality disorder, the patient says, Just leave it on the table. Ill take it when I finish combing my hair. What is the
nurses best response? c. Say to the patient, I must watch you take the medication. Please take it now. What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will: c. acknowledge manipulative behavior when it is called to his or her attention. Consider this comment to three different nurses by a patient diagnosed with an antisocial personality disorder, Another nurse said you dont do your job right. Collectively, these interactions can be assessed as: A nurse reports to the treatment team that a patient diagnosed with an antisocial personality disorder has displayed the behaviors below. This patient is detached and superficial during counseling sessions. Which behavior by the patient most clearly warrants limit setting? c. Verbal abuse of another patient A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. Which type of medication would the nurse expect to be prescribed? b. Mood stabilizing medication A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. The psychiatrist suggests the use
of a medication. Which type of medication should the nurse expect? a. Selective serotonin reuptake inhibitor (SSRI) A patients spouse filed charges after repeatedly being battered. The patient sarcastically says, Im sorry
for what I did. I need psychiatric help. Which statement by the patient supports an antisocial personality disorder? d. I hit because I am tired of being nagged. My spouse deserves the beating. What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects? a. Risk for other-directed violence When a patient diagnosed with a personality disorder uses manipulation to get needs met, the staff applies limit-setting interventions. What is the correct rationale for this action? c. External controls are necessary due to failure of internal control. One month ago, a patient diagnosed with borderline personality disorder and a history of self-mutilation began
dialectical behavior therapy. Today the patient phones to say, I feel empty and want to hurt myself. The nurse should: c. assist the patient to choose coping strategies for triggering situations. What is the most challenging nursing intervention with patients diagnosed with personality disorders who use manipulation? b. Maintaining consistent limits The history shows that a newly admitted patient is impulsive. The nurse would expect behavior characterized by: c. acting without thought on urges or desires. The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by: d. little time elapsed between thought and action. A patient says, I get in trouble sometimes because I make quick decisions and act on them. Select the nurses most therapeutic response. a. Lets consider the advantages of being able to stop and think before acting. A patient diagnosed with borderline personality disorder was hospitalized several times after self-mutilating episodes. The patient
remains impulsive. Which nursing diagnosis is the initial focus of this therapy? a. Risk for self-directed violence A patient diagnosed with borderline personality disorder is hospitalized several times after self-inflicted lacerations.
The patient remains impulsive. Dialectical behavior therapy starts on an outpatient basis. Which nursing diagnosis is the focus of this therapy? a. Risk for self-mutilation Which statement made by a patient diagnosed with borderline personality
disorder indicates the treatment plan is effective? c. I felt empty and wanted to hurt myself, so I called you. Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is effective? d. “I felt empty and wanted to cut myself, so I called you.” When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include: d. grandiosity, self-importance, and a sense of entitlement. When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include: d. grandiosity, attention seeking, and arrogance. For which behavior would limit setting be most essential? The patient who: d. urges a suspicious patient to hit anyone who stares. A nurse in the emergency department tells an adult, “Your mother had a severe stroke.” The adult tearfully says, “Who will take care of me now? My mother always told me what to do, what to wear, and what to eat. I need someone to
reassure me when I get anxious.” Which term best describes this behavior? The nurse caring for an individual demonstrating symptoms of schizotypal personality disorder would expect assessment findings to include: d. socially anxious, rambling stories, peculiar ideas. Others describe a worker as very shy and lacking in self-confidence. This worker stays in an office cubicle all day, never coming out for breaks or lunch. Which term best describes this behavior? What is the priority intervention for a nurse beginning to work with a patient diagnosed with a schizotypal personality disorder? a. Respect the patients need for periods of social isolation. A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self-mutilation may have been due to: d. fear of abandonment associated with progress toward autonomy and independence. A patient diagnosed with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should: b. provide care in a matter-of-fact manner. A nurse set limits while interacting with a patient demonstrating behaviors associated with borderline personality disorder. The patient tells the nurse, You used to care about me. I thought you were wonderful. Now I can see I was wrong. Youre evil. This outburst can be assessed as: Which characteristic of personality disorders makes it most necessary for staff to schedule frequent team meetings in order to address the patients needs and maintain a therapeutic milieu? c. Ability to provoke interpersonal conflict Which characteristic of individuals diagnosed with personality disorders makes it most necessary for staff to schedule frequent meetings? c. Ability to evoke interpersonal conflict A nursing diagnosis appropriate to consider for a patient diagnosed with any of the personality disorders is: b. impaired social interaction. Which common assessment finding would be most applicable to a patient diagnosed with any personality disorder? The patient: b. has self-esteem issues, despite his or her outward presentation. A new psychiatric technician says, Schizophreniaschizotypal! Whats the difference? The nurses response should include which information? c. With schizotypal personality disorder, the person can be made aware of misinterpretations of reality. Personality traits most likely to be documented regarding a patient demonstrating characteristics of an obsessive-compulsive personality disorder are: b. perfectionist, inflexible. A nurse determines desired outcomes for a patient diagnosed with schizotypal personality disorder. Select the best outcome. The patient will: d. demonstrate ability to introduce self to a stranger in a social situation. A patient says, The other nurses wont give me my medication early, but you know what its like to be in pain and dont let your patients suffer. Could you get me my pill now? I wont tell anyone. Which response by the nurse would be most therapeutic? b. I understand that you have pain, but giving medicine too soon would not be safe. A nurse plans care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviors will the nurse expect? Select all that apply. b. Callous attitude d. Aggression For
which patients diagnosed with personality disorders would a family history of similar problems be most likely? Select all that apply. a. Obsessive-compulsive b. Antisocial c. Borderline d. Schizotypal For which patients
diagnosed with personality disorders would a family history of similar problems be most likely? Select all that apply. a. Obsessive-compulsive b. Antisocial d. Schizotypal Family members of an individual undergoing a residential alcohol rehabilitation program ask, How can we help? Select the nurs d. Make your loved one responsible for the consequences of behavior. What intervention is appropriate for an individual diagnosed with antisocial personality disorder?Psychotherapy. Psychotherapy, also called talk therapy, is sometimes used to treat antisocial personality disorder. Therapy may include, for example, anger and violence management, treatment for alcohol or substance misuse, and treatment for other mental health conditions.
What is antisocial personality characterized quizlet?Hostility, significant irritability, agitation, aggression or violence. Lack of empathy for others and lack of remorse about harming others. Unnecessary risk-taking or dangerous behavior with no regard for the safety of self or others.
Which behavior would be most characteristic of an individual with narcissistic personality disorder?Narcissistic personality disorder — one of several types of personality disorders — is a mental condition in which people have an inflated sense of their own importance, a deep need for excessive attention and admiration, troubled relationships, and a lack of empathy for others.
What is histrionic personality nursing diagnosis?Histrionic Personality Disorder.
This is characterized by a pervasive pattern of excessive emotionality and attention-seeking; clients usually seek treatment for depression, unexplained physical problems, and difficulties in relationships.
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A nursing diagnosis appropriate to consider for a patient with antisocial personality disorder is
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