Nur 253 Mental health Exam 3 2026 LATEST UPDATE
Different ways to diagnose/treat people – Correct Answer • Admit to hospital
• Partially hospitalized
• In day treatment settings
Milieu management is a significant part of treatment – Correct Answer o Goal is to manage
pt affect in group context
Community meetings
Coping skills group
Socialization groups
• When behaviors emerge – Correct Answer o Calmly review therapeutic goals
O boundaries of treatment
O avoid rejection and rescuing
• Assess for suicide intentions
Dependent Personality Disorder – Correct Answer 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? – Correct
Answer o Empathy
O Independence
Dependent personality disorder-characteristics – Correct Answer 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- - Correct Answer 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 – Correct Answer • 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 – Correct Answer 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 – Correct
Answer 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- - Correct Answer 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 – Correct Answer 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
Different ways to diagnose/treat people – Correct Answer • Admit to hospital
• Partially hospitalized
• In day treatment settings
Milieu management is a significant part of treatment – Correct Answer o Goal is to manage
pt affect in group context
Community meetings
Coping skills group
Socialization groups
• When behaviors emerge – Correct Answer o Calmly review therapeutic goals
O boundaries of treatment
O avoid rejection and rescuing
• Assess for suicide intentions
Dependent Personality Disorder – Correct Answer 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? – Correct
Answer o Empathy
O Independence
Dependent personality disorder-characteristics – Correct Answer 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- - Correct Answer 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 – Correct Answer • 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 – Correct Answer 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 – Correct
Answer 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- - Correct Answer 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 – Correct Answer 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
