When planning care for clients diagnosed with personality disorders, what should be the goal

A client tells the nurse, "When I was a waiter, I used to spit in the dinners of the annoying customers." This statement would be associated with which personality trait?

1) Paranoid personality trait

2) Schizoid personality trait

3) Antisocial personality trait

4) Passive-aggressive personality trait

4) Passive-aggressive personality trait

[Clients exhibiting passive-aggressive personality traits are characterized by a passive resistance to demands for adequate performance in occupational and social functioning.]

A male client diagnosed with a personality disorder boasts to the nurse that he has to fight off female attention and is the highest paid in his company. These statements are reflective of what personality disorder?

1) Obsessive-compulsive personality disorder

2) Avoidant personality disorder

3) Schizotypal personality disorder

4) Narcissistic personality disorder

4) Narcissistic personality disorder

[Clients diagnosed with narcissistic personality disorder are characterized by a constant need for attention, a grandiose sense of self-importance, and preoccupation with fantasies of success, power, brilliance, and beauty, all of which this client is displaying].

shifts against one another?

1) Assign one staff member to her each shift.

2) Rotate staff assigned to her each shift.

3) Have each shift develop a plan.

4) Schedule a meeting with the client to discuss the problem.

2) Rotate staff assigned to her each shift.

[it is important to rotate the staff who work with the client to avoid a client's developing dependence on particular individuals. This also encourages the client to learn to relate to more than 1 staff member and is an attempt to decrease the splitting and diminish fears of abandonment].

A client with Antisocial Personality Disorder is verbally threatening to the staff. Select the best, initial nursing intervention for this behavior.

1) Set firm limits on client's behavior.

2) Medicate the client

3) Ignore the client's threats

4) Call a Code

1) Set firm limits on client's behavior.

[They should be made aware early on of which behaviors are acceptable and which are not. There should be consequences for violations of the limits. Because the client cannot or will not impose their own limits on maladaptive behaviors, these behaviors must be delineated and enforced by staff. Undesirable consequences may help decrease repetition of the negative behaviors].

A nurse is caring for a client diagnosed with antisocial personality disorder. Which factors should the nurse consider when planning this client's care? (Select all that apply)

1) This client has personality traits that are deeply ingrained and difficult to modify.

2) This client needs medication to treat the underlying physiological pathology.

3) This client uses manipulation, making the implementation of treatment problematic.

4) This client has poor impulse control that hinders compliance with a plan of care.

5) This client is likely to have secondary diagnoses of substance abuse and depression.

1) This client has personality traits that are deeply ingrained and difficult to modify.

3) This client uses manipulation, making the implementation of treatment problematic.

4) This client has poor impulse control that hinders compliance with a plan of care.

5) This client is likely to have secondary diagnoses of substance abuse and depression.

Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder (BPD)?

1) Being firm, consistent, and empathetic, while addressing specific client behaviors

2) Promoting client self-expression by implementing laissez-faire leadership

3) Using authoritative leadership to help clients learn to conform to society norms

4) Overlooking inappropriate behaviors to avoid providing secondary gains

1) Being firm, consistent, and empathetic, while addressing specific client behaviors

[Individuals with borderline personality disorder always seem to be in a state of crisis and can often have negative patterns of interaction, such as manipulation and splitting].

hree of the following are positive outcome criteria for an Antisocial Personality client. Which one is NOT?

1) Client recognizes when anger is escalating

2) Client experiences a true desire to change.

3) Client manipulates others to his advantage.

4) Client follows established rules.

3) Client manipulates others to his advantage.

[This manipulation is characteristic of anti-social personality disorder behavior]

When planning care for clients diagnosed with personality disorders, what should be the goal of treatment?

1) To stabilize the client's pathology with the correct combination of psychotropic medications.

2) To change the characteristics of the dysfunctional personality.

3) To reduce inflexibility of personality traits that interferes with functioning and relationships.

4) To decrease the prevalence of neurotransmitters at receptor sites.

3) To reduce inflexibility of personality traits that interferes with functioning and relationships.

How do you deal with a personality disorder diagnosis?

When planning care for a client diagnosed with schizotypal personality disorder which intervention helps the client become involved with others?

Which factor differentiates a client diagnosed with schizotypal personality disorder from a client diagnosed with schizoid personality?

How do you deal with intense emotions with borderline personality disorder?