antisocial personality disorder
a pattern of socially irresponsible, exploitative, and guiltless behavior, evident in the tendency to fail to conform to the law, develop stable relationships, or sustain consistent employment; exploitation and manipulation of others for personal gain is
avoidant personality disorder
a personality disorder characterized by social withdrawal rooted in extreme fear of rejection and feelings of inadequacy.
borderline personality disorder
a disorder characterized by a pattern of intense and chaotic relationships, with affective instability, fluctuating and extreme attitudes regarding other people, impulsivity, direct and indirect self-destructive behavior, and lack of a clear or certain se
dependent personality disorder
a personality disorder characterized by pervasive, excessive dependency needs, submissiveness, and exaggerated fears of inability to care for oneself.
histrionic personality disorder
a type of personality disorder characterized by excessively emotional and attention seeking behavior, often present in a very colorful and dramatic fashion.
narcissistic personality disorder
a disorder characterized by an exaggerated sense of self-worth. These individuals lack empathy and are hypersensitive to the evaluation to others.
object constancy
the phase in the separation/individuation process when the child learns to relate to objects in an effective, constant manner. A sense of separateness is established, and the child is able to internalize a sustained image of the loved object or person whe
obsessive-compulsive personality disorder
a type of personality disorder in which the individual has an intense fear of making mistakes, which manifests in inflexible and perfectionistic behavior. It is differentiated from obsessive compulsive disorder in that there is no evidence of the rituals
paranoid personality disorder
a type of personality disorder in which the individual intensely mistrusts others and assumes that they have malevolent intentions toward them.
schizoid personality disorder
a type of personality disorder characterized by extreme detachment from personal relationships and restricted expression of emotions.
schizotypal personality disorder
a disorder characterized by odd and eccentric behavior, not decompensating to the level of schizophrenia.
splitting
a primitive ego defense mechanism in which the person is unable to integrate and accept both positive and negative feeling. In the view of these individuals, people, including themselves, and life situations are either all good or all bad. This trait is c
d. rotate staff members who work with Kim so that she will learn to relate to more than one person.
1. Kim has a diagnosis of BPD. She often exhibits alternating clinging and distancing behaviors. Which of the following is the most appropriate nursing intervention with this type of behavior?
a. encourage Kim to establish trust in one staff person with w
a. refusal to stay in room alone, stating, "It's so lonely.
2. Kim, a client diagnosed with BPD, manipulates the staff in an effort to fulfill her own desires. All of the following may be examples of manipulative behaviors in the borderline client EXCEPT:
a. refusal to stay in room alone, stating, "It's so lonely.
b. a primitive defense mechanism in which the client sees objects as all good or all bad
3. "Splitting" by the client with BPD denotes which of the following?
a. evidence of precocious development
b. a primitive defense mechanism in which the client sees objects as all good or all bad
c. a brief psychotic episode in which the client loses con
d. rapprochement phase, during which the mother withdraws emotional support in response to the child's increasing independence
4. According to Margaret Mahler, predisposition to BPD occurs when developmental tasks go unfulfilled in which of the following phases?
a. autistic phase, during which the child's needs for security and comfort go unfulfilled.
b. symbiotic phase, during w
a. lack of guilt for wrongdoing
5. Jack is a new client on the psychiatric unit with a diagnosis of Antisocial Personality Disorder. Which of the following characteristics would you expect to assess in Jack?
a. lack of guilt for wrongdoing
b. insight into his own behavior
c. ability to
b. emulates a social community in which the client may learn to live harmoniously with others
6. Milieu therapy is a good choice for clients with antisocial personality disorder because it:
a. provides a system of punishment and rewards for behavior modification
b. emulates a social community in which the client may learn to live harmoniously with
c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight
7. In evaluating the progress of Jack, a client diagnosed with Antisocial Personality Disorder, which of the following behaviors would be considered the most significant indication of positive change?
a. Jack got angry only once in group this week.
b. Jac
a. overly self-centered and exploitative of others
8. Which of the following behavioral patterns is characteristic of individuals with narcissistic personality disorder?
a. overly self-centered and exploitative of others
b. suspicious and mistrustful of others
c. rule conscious and disapproving of change
d. splitting
9. Carol is a nurse who was floated to the psychiatric unit to cover for a staff nurse who called out sick. She encounters a patient who is diagnosed with BPD, and the patients states, "Thank goodness they sent you to the unit. No one else here has taken
b. lifelong pattern of social withdrawal
10. Which of the following behavioral patterns is characteristic of individuals with schizotypal personality disorder?
a. belittling themselves and their abilities
b. lifelong pattern of social withdrawal
c. suspiciousness and mistrust of others
d. overre
b. paranoid personality disorder
c. schizoid personality disorder
f. schizotypal personality disorder
Which of the following disorders are classified as Cluster A? Select all that apply.
a. antisocial personality disorder
b. paranoid personality disorder
c. schizoid personality disorder
d. avoidant personality disorder
e. dependent personality disorder
f.
a. antisocial personality disorder
d. borderline personality disorder
Which of the following disorders are classified as Cluster B? Select all that apply.
a. antisocial personality disorder
b. paranoid personality disorder
c. schizoid personality disorder
d. borderline personality disorder
e. dependent personality disorder
e. dependent personality disorder
Which of the following disorders are classified as Cluster C? Select all that apply.
a. antisocial personality disorder
b. paranoid personality disorder
c. schizoid personality disorder
d. borderline personality disorder
e. dependent personality disorder
b. behaviors described as odd or eccentric
Which of the following personality traits describes cluster A of personality disorders?
a. behaviors described as neurotic or psychotic
b. behaviors described as odd or eccentric
c. behaviors described as dramatic, emotional, or erratic
d. behaviors descr
c. behaviors described as dramatic, emotional, or erratic
Which of the following personality traits describes cluster B of personality disorders?
a. behaviors described as anxious or fearful
b. behaviors described as odd or eccentric
c. behaviors described as dramatic, emotional, or erratic
d. behaviors describe
a. behaviors described as anxious or fearful
Which of the following personality traits describes cluster c of personality disorders?
a. behaviors described as anxious or fearful
b. behaviors described as odd or eccentric
c. behaviors described as dramatic, emotional, or erratic
d. behaviors describe
d. dramatic or erratic
A patient is diagnosed with Narcissistic Personality Disorder. The nurse knows that the patients behavior will be
a. anxious or fearful
b. odd or eccentric
c. psychotic
d. dramatic or erratic
b. antisocial personality disorder
A male patient with a history of ADHD as a child is given a court-ordered admission to the psychiatric hospital after pleading not guilty to a crime. Which diagnosis would the nurse suspect upon admission?
a. histrionic personality disorder
b. antisocial
c. paranoid personality disorder
A patient admitted to a psychiatric facility exhibits a pervasive mistrust and suspiciousness of others. He says to the nurse, "The world is harsh and unkind. It is best to trust no one." The nurse understands that the patient displays symptoms of which d
a. Schizoid personality disorder
A patient admits to the nurse, "My parents weren't very nurturing when I was a child, so I don't know how to build a relationship. That is why I prefer to be alone." Which of the following personality disorders would the nurse suspect?
a. Schizoid persona
a. schizoid personality disorder
A client diagnosed with a personality disorder is cold, aloof, and avoids others on the unit. The nurse recognizes that this behavior is symptomatic of which personality disorder?
a. schizoid personality disorder
b. dependent personality disorder
c. borde
b. grandiose sense of self-importance
When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior?
a. odd beliefs and magical thinking
b. grandiose sense of self-importance
c. pattern of intense and chaotic relationship
d. generates conflict among the staff
A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe?
a. social isolation
b. suspiciousness of others
c. bizarre speech patterns
d. generates conflict among the
c. little tolerance for being alone
In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?
a. predictability
b. controlled anger
c. little tolerance for being alone
d. stable and satisfactory relationships
a. "It's not my fault.
An individual with a history of antisocial personality disorder was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on his behavior would be expected?
a. "It's not my fault."
b. "I'm too ashamed to tal