NUR 253 MENTAL HEALTH EXAM 3 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026
Different ways to diagnose/treat people - Answers • Admit to hospital
• Partially hospitalized
• In day treatment settings
Milieu management is a significant part of treatment - Answers o Goal is to manage pt affect in group
context
Community meetings
Coping skills group
Socialization groups
• When behaviors emerge - Answers o Calmly review therapeutic goals
o boundaries of treatment
o avoid rejection and rescuing
• Assess for suicide intentions
Dependent Personality Disorder - Answers thought to be a result of chronic physical illness,
punishment, indecent behavior or independent behavior in childhood, inherited trait of
submissiveness,
dependent personality disorder-• What is important when planning their care? - Answers o Empathy
o Independence
dependent personality disorder-characteristics - Answers o Clingy
o Submissive
o Fear of separation
o Difficulty making everyday decisions
o Dependent on other people to do things for them
o Need others to assume responsibility for the major areas in their life
o Do not express any kind of disagreement
o Difficulty in initiating projects or doing things on their own
o Helpless or uncomfortable being alone
Due to fears of being unable to care for themselves
Borderline Personality Disorder- - Answers Thought to be a result of early abandonment which results
in an unstable view of self and others
Borderline personality disorder-important in planning care - Answers • Importance of maintaining a
calm and matter of fact response
• Don't give in to the persuasion of these patients trying to manipulate
• Give rules, don't sugar coat, and be consistent
o Behavioral contracts
• Goal is to get these patients to verbalize when they want to hurt either themselves or others.
Borderline personality disorder-characteristics - Answers o Dramatic
o Instability in emotional regulation and interpersonal relationships
o Impulsiveness
Spending money
Binge eating
Sex
Substance abuse
Reckless driving
o Identity of self-image distortions
o Unstable mood and affect
Borderline personality disorder-Ineffective and harming self-soothing habits - Answers Cutting
Promiscuous sexual behavior
Numbing with substance abuse (most common)
Splitting (primary defense mechanism coping style): cannot incorporate positive and negative aspects
of one's self or others into one image. Idealize a person at start of a new relationship and hoping this
person can meet all their expectations. With the first frustration comes immediate hatred of the same
person.
Suicidal behaviors
• Will make gestures and threats
Feelings of emptiness
, Inappropriate and intense flashes of anger that are uncontrollable
Histrionic Personality Disorder- - Answers Earliest as 3-5 yrs of age with an overly intense attachment
to parent of opposite sex parent which results in fear of retaliation of same sex parent
Histrionic Personality Disorder- Know characteristics one might exhibit - Answers o Uncomfortable in
situations where self is not the center of attention
o Interactions with others is often characterized by inappropriate sexual seductive and provocative
behavior
o Consistently using physical appearance to draw attention to self
o Self-dramatic, theatrical
Exaggeration of expression and emotion
o Think relationships are more intimate than they actually are
o Excessive emotional and attention seeking
begins in early adulthood
Presents in variety of contexts
Narcissistic Personality Disorder - Answers result of childhood neglect and criticism. Did not learn that
other people can be the source of comfort and support so as adults they hide their feelings of
emptiness with exterior or invulnerability of self sufficiency
Narcissistic Personality Disorder-Know signs and symptoms of what a patient would appear like with
this disorder - Answers o No sympathy for others
o Excessive admiration of self
o Thoughts of entitlement
Everything is mine
I am the best
You owe it to me
I'm perfect
Admire me
Its all about me
o Obsessed with themselves
o Will take advantage of others in order to achieve personal goals
Make themselves look the best regardless of the cost
o No thought to the feelings of others
o Not fun to be around
Obsessive Compulsive Disorder- - Answers thought to be a result of excessive parental criticism,
control and shame
Obsessive Compulsive Disorder- s/s that one might exhibit - Answers o Rigid
o Stubborn
o Do not fluctuate from a routine
Need to close the door a certain amount of times before leaving the house
o Not flexible
Obsessive Compulsive Disorder-Important to them - Answers Detail
Rules
Schedules
Routines
Perfectionism
Work
Productivity
Reluctant to delegate tasks
• They want it done their way
Antisocial Personality Disorder - Answers genetically linked
Antisocial Personality Disorder-s/s of disorder - Answers o No remorse
o Do not care
o Deceitful
o Impulsive
o Irritable
o Aggressive
o Reckless
o Disregard to safety of self or others
Different ways to diagnose/treat people - Answers • Admit to hospital
• Partially hospitalized
• In day treatment settings
Milieu management is a significant part of treatment - Answers o Goal is to manage pt affect in group
context
Community meetings
Coping skills group
Socialization groups
• When behaviors emerge - Answers o Calmly review therapeutic goals
o boundaries of treatment
o avoid rejection and rescuing
• Assess for suicide intentions
Dependent Personality Disorder - Answers thought to be a result of chronic physical illness,
punishment, indecent behavior or independent behavior in childhood, inherited trait of
submissiveness,
dependent personality disorder-• What is important when planning their care? - Answers o Empathy
o Independence
dependent personality disorder-characteristics - Answers o Clingy
o Submissive
o Fear of separation
o Difficulty making everyday decisions
o Dependent on other people to do things for them
o Need others to assume responsibility for the major areas in their life
o Do not express any kind of disagreement
o Difficulty in initiating projects or doing things on their own
o Helpless or uncomfortable being alone
Due to fears of being unable to care for themselves
Borderline Personality Disorder- - Answers Thought to be a result of early abandonment which results
in an unstable view of self and others
Borderline personality disorder-important in planning care - Answers • Importance of maintaining a
calm and matter of fact response
• Don't give in to the persuasion of these patients trying to manipulate
• Give rules, don't sugar coat, and be consistent
o Behavioral contracts
• Goal is to get these patients to verbalize when they want to hurt either themselves or others.
Borderline personality disorder-characteristics - Answers o Dramatic
o Instability in emotional regulation and interpersonal relationships
o Impulsiveness
Spending money
Binge eating
Sex
Substance abuse
Reckless driving
o Identity of self-image distortions
o Unstable mood and affect
Borderline personality disorder-Ineffective and harming self-soothing habits - Answers Cutting
Promiscuous sexual behavior
Numbing with substance abuse (most common)
Splitting (primary defense mechanism coping style): cannot incorporate positive and negative aspects
of one's self or others into one image. Idealize a person at start of a new relationship and hoping this
person can meet all their expectations. With the first frustration comes immediate hatred of the same
person.
Suicidal behaviors
• Will make gestures and threats
Feelings of emptiness
, Inappropriate and intense flashes of anger that are uncontrollable
Histrionic Personality Disorder- - Answers Earliest as 3-5 yrs of age with an overly intense attachment
to parent of opposite sex parent which results in fear of retaliation of same sex parent
Histrionic Personality Disorder- Know characteristics one might exhibit - Answers o Uncomfortable in
situations where self is not the center of attention
o Interactions with others is often characterized by inappropriate sexual seductive and provocative
behavior
o Consistently using physical appearance to draw attention to self
o Self-dramatic, theatrical
Exaggeration of expression and emotion
o Think relationships are more intimate than they actually are
o Excessive emotional and attention seeking
begins in early adulthood
Presents in variety of contexts
Narcissistic Personality Disorder - Answers result of childhood neglect and criticism. Did not learn that
other people can be the source of comfort and support so as adults they hide their feelings of
emptiness with exterior or invulnerability of self sufficiency
Narcissistic Personality Disorder-Know signs and symptoms of what a patient would appear like with
this disorder - Answers o No sympathy for others
o Excessive admiration of self
o Thoughts of entitlement
Everything is mine
I am the best
You owe it to me
I'm perfect
Admire me
Its all about me
o Obsessed with themselves
o Will take advantage of others in order to achieve personal goals
Make themselves look the best regardless of the cost
o No thought to the feelings of others
o Not fun to be around
Obsessive Compulsive Disorder- - Answers thought to be a result of excessive parental criticism,
control and shame
Obsessive Compulsive Disorder- s/s that one might exhibit - Answers o Rigid
o Stubborn
o Do not fluctuate from a routine
Need to close the door a certain amount of times before leaving the house
o Not flexible
Obsessive Compulsive Disorder-Important to them - Answers Detail
Rules
Schedules
Routines
Perfectionism
Work
Productivity
Reluctant to delegate tasks
• They want it done their way
Antisocial Personality Disorder - Answers genetically linked
Antisocial Personality Disorder-s/s of disorder - Answers o No remorse
o Do not care
o Deceitful
o Impulsive
o Irritable
o Aggressive
o Reckless
o Disregard to safety of self or others
