NRSG 3400 Final Questions With Complete Solutions
personality - (ANSWER)traits that include behaviors, cognitive skills, variation in mood, attitudes; is
stable over time
personality style - (ANSWER)clusters of traits
cluster A - (ANSWER)type of personality disorder described as odd-eccentric; may become psychotic
during times of stress; common features include difficulty with interpersonal relationships, socially
isolated, often misread interactions with others, respond to explanation, interventions to decrease
anxiety; three types including paranoid personality disorder, schizoid personality disorder, schizotypal
personality disorder
paranoid personality disorder - (ANSWER)cluster A personality disorder characterized by someone that
analyzes and over analyzes situations and interactions with people; may be attuned to slights or
perceived insults from others; Ex. Supervisor or manager may become very anxious and experience
stress when someone new comes onto the unit and proposes a change to routine, the change would be
seen as an attempt to take their job
schizoid personality disorder - (ANSWER)cluster A personality disorder where there is difficulty with
interpersonal relations, aloof, not social, problems with impulse control
schizotypal personality disorder - (ANSWER)cluster A personality disorder where there is difficulty with
interpersonal relations, aloof, not social
cluster B - (ANSWER)type of personality disorder described as dramatic and emotions (impulsive)
borderline personality disorder - (ANSWER)cluster B personality disorder; problem areas include
regulating moods, developing a sense of self, maintaining interpersonal relationships, maintaining
reality based cognitive processes, impulsive or destructive behavior, appear more competent than they
are "put on a good front"; live from one crisis to another; symptoms begin in adolescence and they do
not move on from there
dialectical behavioral therapy (DBT) - (ANSWER)type of therapy that combines cognitive and behavioral
therapy strategies; requires monitoring and commitment by the patient; core interventions include
problem solving, exposure techniques, skill training, contingency management, and cognitive
modifications
,NRSG 3400 Final Questions With Complete Solutions
antisocial personality disorder - (ANSWER)cluster B personality disorder characterized by patients who
do not see norms and rules in society for protection of individuals; difficult time with boundaries
narcissistic personality disorder - (ANSWER)cluster B personality disorder characterized by patients who
experience grandiosity/entitlement, need to be admired and in control; becomes defensive/angry
impulsive when confronted or limits are set
histrionic personality disorder - (ANSWER)cluster B personality disorder characterized by patients who
are flamboyant and reactive patient that acts out the challenges and tensions within their relationships
obsessive compulsive personality disorder - (ANSWER)cluster C personality disorder characterized by
patients that lack of obsessions and compulsions like obsessive compulsive (anxiety disorder); displays
overall rigidity, perfectionism, and control; completely devoted to work; uncomfortable with
unrestricted leisure time; hobbies are approached seriously; need to control others; difficulty making
decisions and completing tasks because they become so involved in the detail; mood is tense and joyless
impulse control disorders - (ANSWER)cluster C personality disorder characterized by patients whose
hallmark symptom is irresistible impulsivity includes- intermittent explosive disorder, kleptomania,
pyromania, pathologic gambling, trichotillomania
development of eating behavior - (ANSWER)develops because of individual differences; family and
environmental factors including- perceptions of parental pressures to eat, parental restrictions on
eating, restriction of access to palatable foods
anorexia nervosa - (ANSWER)refusal to maintain body weight at or above normal weight for age and
height; intense fear of gaining weight or becoming fat, even though underweight; disturbance in the
way in which ones body weight or shape is experienced, undue influence of body weight or shape on
self-evaluation, or denial of the seriousness of the current low body weight
restricting type (AN) - (ANSWER)most often associated with anorexia, individual will restrict the type and
quantity of food that they eat
, NRSG 3400 Final Questions With Complete Solutions
binge-eating/purging type (AN) - (ANSWER)not often thought about, more often thought of as bulimia,
purging type of behavior is a compensatory mechanism to get rid of the food that they have been
binging on, may have a binge eating episode and then purge it out
ego-syntonic - (ANSWER)patients come to therapy because of family concerns
medications for AN - (ANSWER)SSRIs, anxiolytics, and atypical antipsychotics have been shown to be
effective for some anorexic patients
hospitalization factors (AN) - (ANSWER)HR in 40s, orthostatic by pulse and BP, BP <80/50, low K, low
phos, weight <75% of IBW, rapid rate of weight loss
bulimia nervosa - (ANSWER)eating disorder with recurrent episodes of binge eating
binge eating - (ANSWER)is evidenced by eating a quality of food in a discrete period of time that is more
than most people would eat in similar situations, a sense of lack of control over such eating habits
purging type (BN) - (ANSWER)the patient induces vomiting, takes laxatives, takes diuretics
non purging type (BN) - (ANSWER)binge eat and then over exercise
binge eating disorder - (ANSWER)recurrent binge eating without the regular use of compensatory
measures to counter the binge eating; the binge eating episodes are associated with three or more of
the following eating much more rapidly than normal, eating until feeling uncomfortably full, eating large
amounts of food when not physically hungry, eating alone because of being embarrassed by how much
one is eating, feeling disgusted with ones self, depressed, or very guilty after over eating
CBT - (ANSWER)used in treatment of BN, shown to decrease binge eating, reduce shape and weight
concerns, and improve general psychological functioning
BED vs BN - (ANSWER)More males are affected by BED, BED higher on body dissatisfaction scale, lower
on drive for thinness; binges differ: BN more frequently on higher carbohydrates and sugar, BED binge
personality - (ANSWER)traits that include behaviors, cognitive skills, variation in mood, attitudes; is
stable over time
personality style - (ANSWER)clusters of traits
cluster A - (ANSWER)type of personality disorder described as odd-eccentric; may become psychotic
during times of stress; common features include difficulty with interpersonal relationships, socially
isolated, often misread interactions with others, respond to explanation, interventions to decrease
anxiety; three types including paranoid personality disorder, schizoid personality disorder, schizotypal
personality disorder
paranoid personality disorder - (ANSWER)cluster A personality disorder characterized by someone that
analyzes and over analyzes situations and interactions with people; may be attuned to slights or
perceived insults from others; Ex. Supervisor or manager may become very anxious and experience
stress when someone new comes onto the unit and proposes a change to routine, the change would be
seen as an attempt to take their job
schizoid personality disorder - (ANSWER)cluster A personality disorder where there is difficulty with
interpersonal relations, aloof, not social, problems with impulse control
schizotypal personality disorder - (ANSWER)cluster A personality disorder where there is difficulty with
interpersonal relations, aloof, not social
cluster B - (ANSWER)type of personality disorder described as dramatic and emotions (impulsive)
borderline personality disorder - (ANSWER)cluster B personality disorder; problem areas include
regulating moods, developing a sense of self, maintaining interpersonal relationships, maintaining
reality based cognitive processes, impulsive or destructive behavior, appear more competent than they
are "put on a good front"; live from one crisis to another; symptoms begin in adolescence and they do
not move on from there
dialectical behavioral therapy (DBT) - (ANSWER)type of therapy that combines cognitive and behavioral
therapy strategies; requires monitoring and commitment by the patient; core interventions include
problem solving, exposure techniques, skill training, contingency management, and cognitive
modifications
,NRSG 3400 Final Questions With Complete Solutions
antisocial personality disorder - (ANSWER)cluster B personality disorder characterized by patients who
do not see norms and rules in society for protection of individuals; difficult time with boundaries
narcissistic personality disorder - (ANSWER)cluster B personality disorder characterized by patients who
experience grandiosity/entitlement, need to be admired and in control; becomes defensive/angry
impulsive when confronted or limits are set
histrionic personality disorder - (ANSWER)cluster B personality disorder characterized by patients who
are flamboyant and reactive patient that acts out the challenges and tensions within their relationships
obsessive compulsive personality disorder - (ANSWER)cluster C personality disorder characterized by
patients that lack of obsessions and compulsions like obsessive compulsive (anxiety disorder); displays
overall rigidity, perfectionism, and control; completely devoted to work; uncomfortable with
unrestricted leisure time; hobbies are approached seriously; need to control others; difficulty making
decisions and completing tasks because they become so involved in the detail; mood is tense and joyless
impulse control disorders - (ANSWER)cluster C personality disorder characterized by patients whose
hallmark symptom is irresistible impulsivity includes- intermittent explosive disorder, kleptomania,
pyromania, pathologic gambling, trichotillomania
development of eating behavior - (ANSWER)develops because of individual differences; family and
environmental factors including- perceptions of parental pressures to eat, parental restrictions on
eating, restriction of access to palatable foods
anorexia nervosa - (ANSWER)refusal to maintain body weight at or above normal weight for age and
height; intense fear of gaining weight or becoming fat, even though underweight; disturbance in the
way in which ones body weight or shape is experienced, undue influence of body weight or shape on
self-evaluation, or denial of the seriousness of the current low body weight
restricting type (AN) - (ANSWER)most often associated with anorexia, individual will restrict the type and
quantity of food that they eat
, NRSG 3400 Final Questions With Complete Solutions
binge-eating/purging type (AN) - (ANSWER)not often thought about, more often thought of as bulimia,
purging type of behavior is a compensatory mechanism to get rid of the food that they have been
binging on, may have a binge eating episode and then purge it out
ego-syntonic - (ANSWER)patients come to therapy because of family concerns
medications for AN - (ANSWER)SSRIs, anxiolytics, and atypical antipsychotics have been shown to be
effective for some anorexic patients
hospitalization factors (AN) - (ANSWER)HR in 40s, orthostatic by pulse and BP, BP <80/50, low K, low
phos, weight <75% of IBW, rapid rate of weight loss
bulimia nervosa - (ANSWER)eating disorder with recurrent episodes of binge eating
binge eating - (ANSWER)is evidenced by eating a quality of food in a discrete period of time that is more
than most people would eat in similar situations, a sense of lack of control over such eating habits
purging type (BN) - (ANSWER)the patient induces vomiting, takes laxatives, takes diuretics
non purging type (BN) - (ANSWER)binge eat and then over exercise
binge eating disorder - (ANSWER)recurrent binge eating without the regular use of compensatory
measures to counter the binge eating; the binge eating episodes are associated with three or more of
the following eating much more rapidly than normal, eating until feeling uncomfortably full, eating large
amounts of food when not physically hungry, eating alone because of being embarrassed by how much
one is eating, feeling disgusted with ones self, depressed, or very guilty after over eating
CBT - (ANSWER)used in treatment of BN, shown to decrease binge eating, reduce shape and weight
concerns, and improve general psychological functioning
BED vs BN - (ANSWER)More males are affected by BED, BED higher on body dissatisfaction scale, lower
on drive for thinness; binges differ: BN more frequently on higher carbohydrates and sugar, BED binge
