NUR 314 Exam 4 Assessment
Questions All Solved Correct 2025-
2026 Edition.
De-escalation Techniques for anger, aggression, and violence Box 27-2 and 27-4 - Answer -
know triggers and anticipate with early interventions: plan ahead; team collaboration; seek out
early and regularly
-self-discipline: do not take personally--focus on client, not yourself! Know YOUR triggers
-verbal communications: calm, confident, show no fear, controlled voice tone, volume, and
inflection; be assertive not aggressive
-non-verbal: keep a relaxed posture; hands/arms; understand personal space and body
placement: closest to door; leg length away; same level
-offer validation of feelings or observation of feelings
-make empathetic comments
-respectful, non-threatening, non-judgmental, matter of fact: they aren't processing well: slow,
short sentences, not too many demands; repetition
-give control WHEN you can
-implement all techniques learned with anxiety
-state expectations: "I expect that you will stay in control"
Paranoid Personality Disorder - Answer -distrustful and suspicious; interprets actions as
deliberately demeaning, harmful or threatening; expects to be exploited; acts with
"counterattack;" unforgiving, blaming, and controlling
-Etiology: victim of rage or humiliation as child leading to inadequacy; project on to others
-Treatment: Individual psychotherapy; antianxiety and antipsychotic drugs may help
anxiety/agitation/delusions
Schizoid Personality Disorders - Answer -lifelong pattern of social withdrawal; indifferent to
social relationships and live in constricted environment--functions best in solitary activities
-difficult to express emotion; "observer rather than a participant in life; genetically,
predisposition to shyness
-Etiology: "often raised in cold, neglectful atmosphere"
-can be a precursor to schizophrenia or delusional disorder.. and increased prevalence in
families with a history of schizophrenia or schizotypal personality disorder
, -intense irritability and anger-lack of control- violence
-unstable interpersonal relationships: easily feel bored and MT
-splitting: inability to integrate contradictory experiences "all or none" thinking: "all good" or
"all bad" turning people against each other
Self-awareness for Personality disorders - Answer -PDs are among the most challenging and
complex groups of disorders... evoke interpersonal conflict; capacity to 'get under your skin'
-Clinical supervision and additional education are helpful and supportive to staff on the front
lines of care. Awareness and monitoring of one's own stress responses to patient behavior
facilitates more effective and therapeutic intervention.
-Be alert to countertransference
Nursing Interventions Paranoid Personality Disorders - Answer -structured milieu
-passive friendliness... don't be overly friendly...kind but neutral
-be clear, straightforward in communication; coordinate with others
-anticipate change will be difficult; plan for and prepare
Nursing Interventions Schizoid Personality Disorders - Answer -structured milieu
-build trust with short, frequent approaches
-accept behaviors; don't try to change
-clear, straightforward, matter-of-fact
-thorough assessments as patient may not be forthcoming
Nursing Interventions Schizotypical Personality Disorder - Answer -structured milieu
-build trust with short, frequent approaches
-respect need for social isolation; don't try to change
-interventions for paranoia and anxiety
-thorough medical and psychological assessments
Nursing Interventions for Histrionic Personality Disorder - Answer -structured milieu
-short frequent approaches to build trust
-keep boundaries as patient may push them; use peer mentor
Questions All Solved Correct 2025-
2026 Edition.
De-escalation Techniques for anger, aggression, and violence Box 27-2 and 27-4 - Answer -
know triggers and anticipate with early interventions: plan ahead; team collaboration; seek out
early and regularly
-self-discipline: do not take personally--focus on client, not yourself! Know YOUR triggers
-verbal communications: calm, confident, show no fear, controlled voice tone, volume, and
inflection; be assertive not aggressive
-non-verbal: keep a relaxed posture; hands/arms; understand personal space and body
placement: closest to door; leg length away; same level
-offer validation of feelings or observation of feelings
-make empathetic comments
-respectful, non-threatening, non-judgmental, matter of fact: they aren't processing well: slow,
short sentences, not too many demands; repetition
-give control WHEN you can
-implement all techniques learned with anxiety
-state expectations: "I expect that you will stay in control"
Paranoid Personality Disorder - Answer -distrustful and suspicious; interprets actions as
deliberately demeaning, harmful or threatening; expects to be exploited; acts with
"counterattack;" unforgiving, blaming, and controlling
-Etiology: victim of rage or humiliation as child leading to inadequacy; project on to others
-Treatment: Individual psychotherapy; antianxiety and antipsychotic drugs may help
anxiety/agitation/delusions
Schizoid Personality Disorders - Answer -lifelong pattern of social withdrawal; indifferent to
social relationships and live in constricted environment--functions best in solitary activities
-difficult to express emotion; "observer rather than a participant in life; genetically,
predisposition to shyness
-Etiology: "often raised in cold, neglectful atmosphere"
-can be a precursor to schizophrenia or delusional disorder.. and increased prevalence in
families with a history of schizophrenia or schizotypal personality disorder
, -intense irritability and anger-lack of control- violence
-unstable interpersonal relationships: easily feel bored and MT
-splitting: inability to integrate contradictory experiences "all or none" thinking: "all good" or
"all bad" turning people against each other
Self-awareness for Personality disorders - Answer -PDs are among the most challenging and
complex groups of disorders... evoke interpersonal conflict; capacity to 'get under your skin'
-Clinical supervision and additional education are helpful and supportive to staff on the front
lines of care. Awareness and monitoring of one's own stress responses to patient behavior
facilitates more effective and therapeutic intervention.
-Be alert to countertransference
Nursing Interventions Paranoid Personality Disorders - Answer -structured milieu
-passive friendliness... don't be overly friendly...kind but neutral
-be clear, straightforward in communication; coordinate with others
-anticipate change will be difficult; plan for and prepare
Nursing Interventions Schizoid Personality Disorders - Answer -structured milieu
-build trust with short, frequent approaches
-accept behaviors; don't try to change
-clear, straightforward, matter-of-fact
-thorough assessments as patient may not be forthcoming
Nursing Interventions Schizotypical Personality Disorder - Answer -structured milieu
-build trust with short, frequent approaches
-respect need for social isolation; don't try to change
-interventions for paranoia and anxiety
-thorough medical and psychological assessments
Nursing Interventions for Histrionic Personality Disorder - Answer -structured milieu
-short frequent approaches to build trust
-keep boundaries as patient may push them; use peer mentor
