NUR 356 Mental Health final exam
What is Cluster A personality disorder diagnosed by? – answer Odd, bizarre, and
eccentric behaviors
Manipulative and a disregard for social norms are consistent with what personality
disorder? - answer Antisocial personality disorder
Submissive and clingy behavior and fear of separation are consistent with what cluster
C personality disorder? - answer Dependent personality disorder
For a client displaying self-injury and violence, what would be a priority action for the
nurse caring for a client with a personality disorder? - answer immediate follow up by
nurse to ensure safety
*safety is the #1 priority
What medications are used to cure personality disorders? - answer none, there are no
medications to cure personality disorders
Binge Eating Disorder (BED) - answersignificant binge-eating episodes, followed by
distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive
exercise that marks bulimia nervosa
Rusell's Sign - answerScars or calluses on hands from inducing vomiting
Who should be included in an assessment of a 3-year-old with autism spectrum
disorder? - answerTheir parents should be included in the assessment (they aren't able
to understand education and can't verbalize concerns)
What is a priority for managing care of a child who has autism spectrum disorder? -
answerConsistency (the child's routine and special toys
should not change, even keeping the same staff)
What is an appropriate short-term goal for a patient with antisocial disorder? -
answerThe client who verbalizes understanding of treatment setting rules and
regulations and the consequences or violation
Altered hormones, various BMIs, fear of gaining weight and distorted body image are
associated with what eating disorder? - answeranorexia nervosa
What is an appropriate long term goal for a patient with antisocial personality disorder? -
answerpatient will accept accountability for their actions (breaking rule/laws)
, How do people with paranoid personality disorder defend themselves? - answerby
attacking first
What is a nursing priority for a patient with oppositional defiant disorder who becomes a
threat to themselves or others? - answersafety is the main concern
dependent personality disorder is in what cluster group? - answerCluster C
What are some characteristics of a patient with paranoid personality disorder? -
answersuspicious, takes everything as a threat, and has trust issues
How should a nurse communicate with a patient with a paranoid personality disorder? -
answerIn a non-threatening way
What do patients with OCD need in order to remain calm? - answerControl over their
environment
What is a characteristic that is associated with patients with OCD? - answerTheir
personal possessions are neatly stacked and organized
What should a nurse do if a patient with OCD's belongings are disorganized and in
disarray? - answerbecome aware of the patient's distress and immediately follow up
with the patient
What is an appropriate goal for a patient with antisocial personality disorder? -
answerpatient will be able to verbalize hostel feelings so they can learn how to handle
their issues in a productive way
Why should a nurse question if a bulimic patient asks for a second lunch less than one
hour after eating? - answerBecause they may be purging their food after eating
What is a common characteristic of bulimia nervosa patients? - answerthey are often
have a normal weight
What is some patient education to assist a patient with bulimia nervosa to help them
with their recovery? - answereducate them on ways to manage their life outside of food
intake
How long does it take for a patient to achieve maximal effects of Prozac (fluoxetine)? -
answerup to 2 months of taking the medication consistently
What is the main fear in patients with anorexia? - answerextreme fear of gaining weight
or becoming obese
What requires an immediate follow up for a patient with anorexia nervosa? - answerIf
they have bradycardia
What is Cluster A personality disorder diagnosed by? – answer Odd, bizarre, and
eccentric behaviors
Manipulative and a disregard for social norms are consistent with what personality
disorder? - answer Antisocial personality disorder
Submissive and clingy behavior and fear of separation are consistent with what cluster
C personality disorder? - answer Dependent personality disorder
For a client displaying self-injury and violence, what would be a priority action for the
nurse caring for a client with a personality disorder? - answer immediate follow up by
nurse to ensure safety
*safety is the #1 priority
What medications are used to cure personality disorders? - answer none, there are no
medications to cure personality disorders
Binge Eating Disorder (BED) - answersignificant binge-eating episodes, followed by
distress, disgust, or guilt, but without the compensatory purging, fasting, or excessive
exercise that marks bulimia nervosa
Rusell's Sign - answerScars or calluses on hands from inducing vomiting
Who should be included in an assessment of a 3-year-old with autism spectrum
disorder? - answerTheir parents should be included in the assessment (they aren't able
to understand education and can't verbalize concerns)
What is a priority for managing care of a child who has autism spectrum disorder? -
answerConsistency (the child's routine and special toys
should not change, even keeping the same staff)
What is an appropriate short-term goal for a patient with antisocial disorder? -
answerThe client who verbalizes understanding of treatment setting rules and
regulations and the consequences or violation
Altered hormones, various BMIs, fear of gaining weight and distorted body image are
associated with what eating disorder? - answeranorexia nervosa
What is an appropriate long term goal for a patient with antisocial personality disorder? -
answerpatient will accept accountability for their actions (breaking rule/laws)
, How do people with paranoid personality disorder defend themselves? - answerby
attacking first
What is a nursing priority for a patient with oppositional defiant disorder who becomes a
threat to themselves or others? - answersafety is the main concern
dependent personality disorder is in what cluster group? - answerCluster C
What are some characteristics of a patient with paranoid personality disorder? -
answersuspicious, takes everything as a threat, and has trust issues
How should a nurse communicate with a patient with a paranoid personality disorder? -
answerIn a non-threatening way
What do patients with OCD need in order to remain calm? - answerControl over their
environment
What is a characteristic that is associated with patients with OCD? - answerTheir
personal possessions are neatly stacked and organized
What should a nurse do if a patient with OCD's belongings are disorganized and in
disarray? - answerbecome aware of the patient's distress and immediately follow up
with the patient
What is an appropriate goal for a patient with antisocial personality disorder? -
answerpatient will be able to verbalize hostel feelings so they can learn how to handle
their issues in a productive way
Why should a nurse question if a bulimic patient asks for a second lunch less than one
hour after eating? - answerBecause they may be purging their food after eating
What is a common characteristic of bulimia nervosa patients? - answerthey are often
have a normal weight
What is some patient education to assist a patient with bulimia nervosa to help them
with their recovery? - answereducate them on ways to manage their life outside of food
intake
How long does it take for a patient to achieve maximal effects of Prozac (fluoxetine)? -
answerup to 2 months of taking the medication consistently
What is the main fear in patients with anorexia? - answerextreme fear of gaining weight
or becoming obese
What requires an immediate follow up for a patient with anorexia nervosa? - answerIf
they have bradycardia
