Exam 3 - NR 326, final exam, mental
health exam 1 combined notecards,
exam 2 mental health, FINAL EXAM-
MENTAL HEALTH (ATI)
Personality - answer deeply ingrained patterns of behavior
Personality Disorder: Characteristics - answer- inflexible, pervasive and damaging (do
same thing over and over)
- egocentrism (self gradification)
- need to feel in control
- dysfunctional relationships
- lack of empathy, remorse, anger and hostility
Personality Disorder: Onset - answer- diagnosed after 18 y/o
- common
- higher rates of suicide attempts
- criminal activity, alcoholism, drug abuse
- poor insight
- disorders are constant
Personality Disorder: Etiology Theories - answer- temperament (biological)
- difficulty moving through developmental stages
- cognitive distortions (see world differently)
- childhood trauma
Personality Disorder: Treatment - answer- based on disorder and severity
- psychotherapy
- medications for symptoms
- CBT
Cluster A Disorder - answer- odd or eccentric
- paranoid
- schizoid
- shizotypal
Paranoid Personality Disorder - answer- pervasive distrust and suspiciousness of others
- will not be in hospital
Schizoid Personality Disorder - answer- pattern of detachment from social relationships
,- like to be alone
- do not force to be with others
Schizotypal Personality Disorder - answer- Social and interpersonal deficits with
cognitive and perceptual distortions
- weird
- magical thinking, not schizophrenic
Cluster B - answer- dramatic, emotional or erratic
- antisocial
- borderline
- narcissistic
- historionic
Antisocial Personality Disorder - answer- disregard for and violation of the rights of
others
- sociopath
- skillful manipulator
- don't care how they make others feel
- fake emotions/guiltless
- low tolerance for frustration and easily provoked
- treatment will not work you want them discharged
Antisocial Personality Disorder: Predisposing Factors - answer- genetic
- adhd and conduct disorders
- chaotic home environment
- parental deprivation
- severe physical abuse as child
Antisocial Personality Disorder: Management Strategies - answer- set clear and realistic
limits
- ensure consistency among staff (assign one nurse)
- provide clear boundaries and consequences
Borderline Personality Disorder - answer- instability of interpersonal relationships, self-
image and affects
- suicidal
- 3x more common in women
- fear of abandonment, cutting is common
Borderline Personality Disorder: Patterns of Behavior - answer- clinging and distancing
- splitting
- manipulation
- self-mutilation
- impulsivity
,Splitting - answer- patient will try to pit each other against each other
- frequent communication among staff
- do not take behavior personally
Manipulation - answer- to control by using unfair means to serve one's purpose
- contact person
- call client out
- limit setting (one nurse)
Self Mutilation - answer- used to elicit rescue response
- nursing intervention is matter of fact approach, don't give them the attention they seek
Impulsive Behavior - answer- spending spree
- promiscuous sex
- reckless driving
- binge eating
- physical fights
- stop think activities
Dialectical Behavior Therapy - answer- only for borderline personality
- mindfulness
- distress tolerance
- interpersonal effectiveness
- emotion regulation
Histronic Personality Disorder - answer- excessive emotionality and attention seeking
- uncomfortable when not the center of attention
Narcissistic Personality Disorder - answer- pattern of grandiosity, need for admiration
- power struggle
- arrogant
Cluster C - answer- anxious or fearful
- dependent
- obsessive compulsive
- avoidant
Dependent Personality Disorder - answerexcessive need to be taken care of
ex: girls that are always in a new relationship because they are scared to be alone
Obsessive Compulsive Disorder Anxiety - answerpreoccupation with orderliness,
perfectionism and control
Avoidant Personality Disorder - answer- social inhibition, feelings of inadequacy
- want to be with others but fear being judged
, Substance Abuse Related Disorder: Predisposing Factors - answer- genetics
- biochemical
- modeling behavioral conditioning
- culture/customs
Alcohol Use Disorders - answer- classified as food
- cns depressant
- rapidly absorbed into the body, goes straight to the bloodstream
Alcohol Intoxication: Symptoms - answer- disinhibition of sexual or aggressive impulses
- mood lability
- impaired judgment
- impaired functioning
- slurred speech
- unsteady gait
- nystagmus
- flushed face
Factors that Influence Intoxication - answer- rate at which it is consumed
- empty stomach
- size of the person
- type of alcohol
Tolerance - answerthe need for increasingly larger doses of a substance in oder to
obtain the desired effects
0.05% - answer- 1-2 drinks
- changes in mood and behavior; impaired judgment
0.10% - answer- 5-6 drinks
- clumsiness in voluntary motor activity
0.20% - answer- 10-12 drinks
- staggering and ataxia; emotional lability
0.30% - answer- 13-18 drinks
- confusion, stupor
0.40% - answer- 20-24 drinks
- coma
0.50% - answer- 25-30 drinks
- death due to respiratory depression
health exam 1 combined notecards,
exam 2 mental health, FINAL EXAM-
MENTAL HEALTH (ATI)
Personality - answer deeply ingrained patterns of behavior
Personality Disorder: Characteristics - answer- inflexible, pervasive and damaging (do
same thing over and over)
- egocentrism (self gradification)
- need to feel in control
- dysfunctional relationships
- lack of empathy, remorse, anger and hostility
Personality Disorder: Onset - answer- diagnosed after 18 y/o
- common
- higher rates of suicide attempts
- criminal activity, alcoholism, drug abuse
- poor insight
- disorders are constant
Personality Disorder: Etiology Theories - answer- temperament (biological)
- difficulty moving through developmental stages
- cognitive distortions (see world differently)
- childhood trauma
Personality Disorder: Treatment - answer- based on disorder and severity
- psychotherapy
- medications for symptoms
- CBT
Cluster A Disorder - answer- odd or eccentric
- paranoid
- schizoid
- shizotypal
Paranoid Personality Disorder - answer- pervasive distrust and suspiciousness of others
- will not be in hospital
Schizoid Personality Disorder - answer- pattern of detachment from social relationships
,- like to be alone
- do not force to be with others
Schizotypal Personality Disorder - answer- Social and interpersonal deficits with
cognitive and perceptual distortions
- weird
- magical thinking, not schizophrenic
Cluster B - answer- dramatic, emotional or erratic
- antisocial
- borderline
- narcissistic
- historionic
Antisocial Personality Disorder - answer- disregard for and violation of the rights of
others
- sociopath
- skillful manipulator
- don't care how they make others feel
- fake emotions/guiltless
- low tolerance for frustration and easily provoked
- treatment will not work you want them discharged
Antisocial Personality Disorder: Predisposing Factors - answer- genetic
- adhd and conduct disorders
- chaotic home environment
- parental deprivation
- severe physical abuse as child
Antisocial Personality Disorder: Management Strategies - answer- set clear and realistic
limits
- ensure consistency among staff (assign one nurse)
- provide clear boundaries and consequences
Borderline Personality Disorder - answer- instability of interpersonal relationships, self-
image and affects
- suicidal
- 3x more common in women
- fear of abandonment, cutting is common
Borderline Personality Disorder: Patterns of Behavior - answer- clinging and distancing
- splitting
- manipulation
- self-mutilation
- impulsivity
,Splitting - answer- patient will try to pit each other against each other
- frequent communication among staff
- do not take behavior personally
Manipulation - answer- to control by using unfair means to serve one's purpose
- contact person
- call client out
- limit setting (one nurse)
Self Mutilation - answer- used to elicit rescue response
- nursing intervention is matter of fact approach, don't give them the attention they seek
Impulsive Behavior - answer- spending spree
- promiscuous sex
- reckless driving
- binge eating
- physical fights
- stop think activities
Dialectical Behavior Therapy - answer- only for borderline personality
- mindfulness
- distress tolerance
- interpersonal effectiveness
- emotion regulation
Histronic Personality Disorder - answer- excessive emotionality and attention seeking
- uncomfortable when not the center of attention
Narcissistic Personality Disorder - answer- pattern of grandiosity, need for admiration
- power struggle
- arrogant
Cluster C - answer- anxious or fearful
- dependent
- obsessive compulsive
- avoidant
Dependent Personality Disorder - answerexcessive need to be taken care of
ex: girls that are always in a new relationship because they are scared to be alone
Obsessive Compulsive Disorder Anxiety - answerpreoccupation with orderliness,
perfectionism and control
Avoidant Personality Disorder - answer- social inhibition, feelings of inadequacy
- want to be with others but fear being judged
, Substance Abuse Related Disorder: Predisposing Factors - answer- genetics
- biochemical
- modeling behavioral conditioning
- culture/customs
Alcohol Use Disorders - answer- classified as food
- cns depressant
- rapidly absorbed into the body, goes straight to the bloodstream
Alcohol Intoxication: Symptoms - answer- disinhibition of sexual or aggressive impulses
- mood lability
- impaired judgment
- impaired functioning
- slurred speech
- unsteady gait
- nystagmus
- flushed face
Factors that Influence Intoxication - answer- rate at which it is consumed
- empty stomach
- size of the person
- type of alcohol
Tolerance - answerthe need for increasingly larger doses of a substance in oder to
obtain the desired effects
0.05% - answer- 1-2 drinks
- changes in mood and behavior; impaired judgment
0.10% - answer- 5-6 drinks
- clumsiness in voluntary motor activity
0.20% - answer- 10-12 drinks
- staggering and ataxia; emotional lability
0.30% - answer- 13-18 drinks
- confusion, stupor
0.40% - answer- 20-24 drinks
- coma
0.50% - answer- 25-30 drinks
- death due to respiratory depression
