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N450 Assessment -3 (liz-s) (1)
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N450 Assessment #3 (liz's)Most common characteristics occurring in personality disorders - ANS->Impairment in
interpersonal relationship functions
>Dysfunctions in cognition
>Affect
>Impulse control
Borderline Personality Disorder (BPD) - ANS-*Very unstable* - Cluster B.
Often in a state of crisis w/ frequent mood swings. Hospitalization is often required as a result of
self-injury attempts.
Can be described as "thriving on chaos" which they usually create in interpersonal relationships.
Paranoid Personality Disorder - ANS-Cluster A. A pattern of *persuasive mistrust* and
*suspiciousness* of others and misinterpret others' motives as malevolent.
On guard, hypervigilant & ready for real or imagined threat. Appear tense & irritable. Extreme
oversensitivity. Trust no one. Attribute short-comings to others. Intense desire for vindication
may result in loss of control and violence.
Characteristics of Paranoid Personality Disorder - ANS->Constantly on guard
>Hypervigilant
>Ready for any real or imagined threat
>Tense and irritable
>"Hard exterior"
>Oversensitive
>Envious & hostile towards higher successful
Panic Disorder - ANS-Recurrent anxiety attacks with sudden onset & intense feeling
Nursing interventions for panic disorder - ANS->Minimize triggers
>Small, concise instructions
ST goal --> get through current attack
LT goal --> decrease panic attacks overtime
Agoraphobia - ANS-*Fear of being* in a place that may be *difficult (or embarrassing) to
escape* or in which help may not be available in the event of a panic attack.
Such as crowds or social gatherings in public places (stores, etc.)
,S/S of generalized anxiety disorder - ANS->Muscle tension
>Apprehension
>Hyperactivity >feeling on edge
Generalized Anxiety Disorder (GAD) - ANS-A disorder characterized by chronic (Lasts for *at
least 6 months*), unrealistic, and excessive anxiety and worry. This is severe enough to impair
normal social, occupational or other important areas of functioning.
Nursing interventions for GAD - ANS->Creating a structured environment
>Deep breathing
>Assess feelings of anxiety attacks
S/S of depression in children - ANS->Somatic complaints (stomachache/headache)
>Irritability
>Withdrawal
>Separation anxiety
S/S of depression in adolescents - ANS-*Similar to adults*
>Depressed mood (at least 2 weeks)
>Anger
>Poor concentration
>Fatigue
>Irritability
>Loss of interest
>Withdrawn
>Change in appetite
>Sleeping disturbances
Interventions for depression - ANS->Individual & family therapy
>Attainable goals
>Supportive environment
*Combo of psychological & pharmacologic therapy*
A client with OCD takes hours to get ready each morning due to indecisiveness. The nurse
takes which action?
A. Assist the client in getting dressed and performing hygiene
B. Establish a reward and punishment system to motivate the client
C. Limit the choices the client needs to make when getting ready
, D. Set a time limit for getting ready as a goal for the client to achieve - ANS-C. Limit the choices
the client needs to make when getting ready
Acute stress disorder - ANS-After exposure to traumatic event(s), experiences *9 or more* of
the 14 symptoms listed
If symptoms following a traumatic event last longer than 1 month? - ANS-Posttraumatic Stress
Disorder (PTSD)
Dissassociation - ANS-An unconscious defense mechanism in which there is separation of
identity, memory, and cognition from affect.
Denial - ANS-Unconscious failure to acknowledge an event, thought, or feeling that is too
painful for conscious awareness
Example of denial
Woman diagnosed with cancer tells her family all tests were negative - ANS-
Displacement - ANS-The transference of feelings to another person or object
Example of displacement
After being scolded by his supervisor at work, a man comes home and kicks the dog for barking.
- ANS-
Identification - ANS-Attempt to be like someone or emulate the personality, traits, or behaviors
of another person.
Example of identification
A teenage boy dresses and behaves like his favorite singer - ANS-
Intellectualization - ANS-Using reason to avoid emotional conflicts
Introjection - ANS-Incorporation of values or qualities of an admired person or group into one's
own ego structure
Example of introjection
A young man deals with a business client, in the same fashion his father deals with business
clients. - ANS-
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