NUR2755 COMPREHENSIVE TEST BANK
COMPLETE QUESTIONS AND ANSWERS
PRACTICE SOLUTION VERIFIED
◉ Cluster A characteristics (lecture): Answer: Secretive, suspicious,
antisocial, unable to trust, indecisive, poverty of thought, quick anger,
social anxiety, blunted affect, eccentric, craves solitude,
argumentative, odd speech, impaired or nonexistent relationships,
occupational difficulties
◉ Cluster B characteristics (lecture): Answer: Flamboyant, dramatic,
attention seeking, individualistic, egocentric, no long term plans,
often identity disturbances, intense, labile, no sense of guilt, anxiety,
depression
◉ Cluster C characteristics (lecture): Answer:
◉ Cluster A nursing assessment (lecture): Answer: Paranoid: look for
anxiety, distrust, asociality, paranoia, conspiracy unwillingness to
forgive and projection of feelings
◉ Cluster A nursing interventions (lecture): Answer: Make sure not
suicidal or homicidal
Adhere to schedules, be neutral but kind, not overly friendly
,Respect need for isolation, build rapport, assess for symptoms that
patient is reluctant to discuss
Be aware of and intervene appropriately with suspicious feelings (be
consistent in stories)
◉ Cluster B nursing assessment (lecture): Answer: Histrionic: bold
and dramatic, limited ability to develop meaningful relationships,
attention seeking, excessive emotions, lack of insight
Narcissistic: exaggerated feelings of self importance, lack of empathy,
weak self esteem, hypersensitivity
◉ Cluster B interventions (lecture): Answer: Remain neutral, ignore
inappropriate behaviors, teach and role model appropriate behaviors,
avoid power struggles, CBT, role model empathy
◉ Cluster B antisocial assessment (lecture): Answer: Look for
antagonistic/disinhibited behavior, profound lack of empathy, absence
of remorse or guilt, dishonesty, defensive coping, risk of violence
against others
◉ Cluster B antisocial interventions (lecture): Answer: Assess for
safety, Control impulses to abuse self/others, improve coping, social
interaction education
Keep away from triggers, have consistent boundaries, realistic choices
,◉ Borderline Personality Disorder assessment (lecture): Answer:
Severe impairments in functioning, emotional lability, impulsivity,
self-destructive behavior, antagonism, splitting
Risk for: suicide, self harm, violence, impaired social interaction,
disturbed personal identity, ineffective coping
◉ BPD interventions (lecture): Answer: Safety, Build trust, clear and
consistent boundaries, straightforward communication, review
therapeutic goals, CBT, DBT
◉ Cluster C Nursing Assessment (lecture): Answer: Avoidant: Low
self esteem, shyness that increases with age, feelings of inferiority,
preoccupation with rejection, humiliation, failure
Dependent: High need to be taken care of, submissiveness, fear of
separation/abandonment, intense anxiety when left alone
Obsessive compulsive: rigid, inflexible standards, perfectionism,
constant rehearsal of social interaction
◉ Cluster C interventions (lecture): Answer: Avoidant: friendly,
accepting, reassuring, validating, group therapy, enhance social skills,
assertiveness training
Dependent: set limits without making them feel punished, be aware of
strong countertransference
Obsessive compulsive: guard against power struggles, remember
difficulty with unexpected changes, group and behavioral therapy
, ◉ Documenting behaviors (lecture): Answer: Objectively document
time, date, circumstances, interventions, etc
◉ Things to avoid when providing personality disorder care (lecture):
Answer: Discuss yourself or other staff members in detail, promise to
keep secret, accepting gifts, doing special favors
◉ Interventions for impulsive behavior (lecture): Answer: Identify
and discuss what precedes impulsive acts
Explore effects on self and others
Recognize cues
Identify triggers
Discuss alternative behaviors
Teach or refer patients for coping skills training
◉ Anorexia vs bulimia (lecture): Answer: Bulimia: often not visibly
ill (physically or emotionally), dental erosion/caries, enlarged parotid
glands. Difficulty with impulsion/compulsion, binge eating, self
induced vomiting, possible dysmorphia/ problems with self-concept
Anorexia: predominately restriction of food, 50% relapse rate w/in
first year, often lifelong
◉ Bulimia nursing interventions (lecture): Answer: Accepting,
nonjudgmental approach, never ask "why?", have a comprehensive
understanding of the experience of the person with bulimia,
acknowledge obstacles as they arise
COMPLETE QUESTIONS AND ANSWERS
PRACTICE SOLUTION VERIFIED
◉ Cluster A characteristics (lecture): Answer: Secretive, suspicious,
antisocial, unable to trust, indecisive, poverty of thought, quick anger,
social anxiety, blunted affect, eccentric, craves solitude,
argumentative, odd speech, impaired or nonexistent relationships,
occupational difficulties
◉ Cluster B characteristics (lecture): Answer: Flamboyant, dramatic,
attention seeking, individualistic, egocentric, no long term plans,
often identity disturbances, intense, labile, no sense of guilt, anxiety,
depression
◉ Cluster C characteristics (lecture): Answer:
◉ Cluster A nursing assessment (lecture): Answer: Paranoid: look for
anxiety, distrust, asociality, paranoia, conspiracy unwillingness to
forgive and projection of feelings
◉ Cluster A nursing interventions (lecture): Answer: Make sure not
suicidal or homicidal
Adhere to schedules, be neutral but kind, not overly friendly
,Respect need for isolation, build rapport, assess for symptoms that
patient is reluctant to discuss
Be aware of and intervene appropriately with suspicious feelings (be
consistent in stories)
◉ Cluster B nursing assessment (lecture): Answer: Histrionic: bold
and dramatic, limited ability to develop meaningful relationships,
attention seeking, excessive emotions, lack of insight
Narcissistic: exaggerated feelings of self importance, lack of empathy,
weak self esteem, hypersensitivity
◉ Cluster B interventions (lecture): Answer: Remain neutral, ignore
inappropriate behaviors, teach and role model appropriate behaviors,
avoid power struggles, CBT, role model empathy
◉ Cluster B antisocial assessment (lecture): Answer: Look for
antagonistic/disinhibited behavior, profound lack of empathy, absence
of remorse or guilt, dishonesty, defensive coping, risk of violence
against others
◉ Cluster B antisocial interventions (lecture): Answer: Assess for
safety, Control impulses to abuse self/others, improve coping, social
interaction education
Keep away from triggers, have consistent boundaries, realistic choices
,◉ Borderline Personality Disorder assessment (lecture): Answer:
Severe impairments in functioning, emotional lability, impulsivity,
self-destructive behavior, antagonism, splitting
Risk for: suicide, self harm, violence, impaired social interaction,
disturbed personal identity, ineffective coping
◉ BPD interventions (lecture): Answer: Safety, Build trust, clear and
consistent boundaries, straightforward communication, review
therapeutic goals, CBT, DBT
◉ Cluster C Nursing Assessment (lecture): Answer: Avoidant: Low
self esteem, shyness that increases with age, feelings of inferiority,
preoccupation with rejection, humiliation, failure
Dependent: High need to be taken care of, submissiveness, fear of
separation/abandonment, intense anxiety when left alone
Obsessive compulsive: rigid, inflexible standards, perfectionism,
constant rehearsal of social interaction
◉ Cluster C interventions (lecture): Answer: Avoidant: friendly,
accepting, reassuring, validating, group therapy, enhance social skills,
assertiveness training
Dependent: set limits without making them feel punished, be aware of
strong countertransference
Obsessive compulsive: guard against power struggles, remember
difficulty with unexpected changes, group and behavioral therapy
, ◉ Documenting behaviors (lecture): Answer: Objectively document
time, date, circumstances, interventions, etc
◉ Things to avoid when providing personality disorder care (lecture):
Answer: Discuss yourself or other staff members in detail, promise to
keep secret, accepting gifts, doing special favors
◉ Interventions for impulsive behavior (lecture): Answer: Identify
and discuss what precedes impulsive acts
Explore effects on self and others
Recognize cues
Identify triggers
Discuss alternative behaviors
Teach or refer patients for coping skills training
◉ Anorexia vs bulimia (lecture): Answer: Bulimia: often not visibly
ill (physically or emotionally), dental erosion/caries, enlarged parotid
glands. Difficulty with impulsion/compulsion, binge eating, self
induced vomiting, possible dysmorphia/ problems with self-concept
Anorexia: predominately restriction of food, 50% relapse rate w/in
first year, often lifelong
◉ Bulimia nursing interventions (lecture): Answer: Accepting,
nonjudgmental approach, never ask "why?", have a comprehensive
understanding of the experience of the person with bulimia,
acknowledge obstacles as they arise
