Townsend Mental Health Chapter 32 Personality Disorders

Townsend Mental Health Chapter 32 Personality Disorders Kim has a dx of borderline personality disorder. She often exhibits alternating clinging and distancing behaviors. The most appropriate nursing intervention with this type of behavior would be to: a. encourage Kim to establish trust in one staff person, with who all therapeutic interaction should take place b. secure a verbal contract from Kim that she will DC these behaviors c. Withdraw attention if these behaviors continue d. rotate staff members who work with Kim so that she will learn to relate to more than one person ️d. rotate staff members who work with Kim so that she will learn to relate to more than one person Kim, a ct diagnosed with borderline personality disorder, 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. asking Nurse Jones for cigarettes after 30 minutes, knowing the assigned nurse has explained she must wait one hour c. stating to Nurse Jones "I really like having you for my nurse. You're the best one around here." d. cutting arms with a razor blade after discussing dismissal plans with physician ️a. refusal to stay in room alone, stating, "It's so lonely" "Splitting" by the client with borderline personality disorder denotes: a. evidence of precocious development b. primitive defense mechanism in which the ct sees objects as all good or all bad c. a brief psychotic episode in which the client loses contact with reality d. two distinct personalities within the borderline client ️b. primitive defense mechanism in which the ct sees objects as all good or all bad According to Margaret Mahler, predisposition to borderline personality disorder occurs when developmental tasks go unfilled 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 which the child fails to bond with the mother c. differentiation phase, during which the child fails to recognize a separateness between self and mother d. rapprochement phase, during which the mother withdraws emotional support in response to the child's increasing independence. ️d. rapprochement phase, during which the mother withdraws emotional support in response to the child's increasing independence. Jack is a new client on the psychiatric unit with a dx 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 learn from past experiences d. compliance with authority ️a. lack of guilt for wrongdoing 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 others c. provides mostly one-to-one interaction between the client and therapist d. provides a very structured setting in which the clients have very little input into the planning of their care ️b. emulates a social community in which the client may learn to live harmoniously with others 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. Jack was able to wait a whole hour for a cigarette without verbally abusing the staff c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight d. Jack stated that he would no longer start any more fights ️c. On his own initiative, Jack sent a note of apology to a man he had injured in a recent fight Which of the following behavioral patterns is characteristic of individuals with narcissistic personality