NUR 383 Study Guide: Key Concepts
for Exam #4 Updated 2025 Complete
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Anxiety and discomfort - ANSWER ✓ Clients are frequently anxious and may be
mildly uncomfortable.
Pessimism and self-criticism - ANSWER ✓ They are often pessimistic and self-
critical; other people hurt their feelings easily.
Unrealistic fears - ANSWER ✓ They are excessively preoccupied with unrealistic
fears of being left alone to care for themselves.
Difficulty making decisions - ANSWER ✓ They have tremendous difficulty
making decisions, no matter how minor.
Obsessive compulsive personality disorder - ANSWER ✓ Characterized by a
pervasive pattern of preoccupation with perfectionism, mental and interpersonal
control, and orderliness at the expense of flexibility, openness, and efficiency.
Formal demeanor - ANSWER ✓ The demeanor of these clients is formal and
serious, and they answer questions with precision and much detail.
Need for perfection - ANSWER ✓ They often report feeling the need to be perfect
beginning in childhood.
Perfectionism in Childhood - ANSWER ✓ The need to be perfect often begins in
childhood, where individuals feel expected to win parental approval by being good
and doing the right thing.
, Emotional Range - ANSWER ✓ Individuals often have a constricted emotional
range, finding it difficult to express emotions, which may appear rigid, stiff, and
formal.
Control and Vulnerability - ANSWER ✓ Clients can be stubborn and reluctant to
relinquish control, making it difficult for them to be vulnerable by expressing
feelings.
Affect - ANSWER ✓ Affect is usually restricted, with individuals appearing
anxious and fretful or stiff and reluctant to reveal underlying emotions.
Limit Setting Technique - ANSWER ✓ An effective technique involving three
steps: stating the behavioral limit, identifying the consequences if the limit is
exceeded, and identifying the expected or desired behavior.
Confrontation Technique - ANSWER ✓ A technique designed to manage
manipulative or deceptive behavior by confronting the incongruence between
client statements and behavior.
Attention Withdrawal - ANSWER ✓ Withdrawing attention as much as possible if
the client acts out, provided the client's safety is not at risk.
Identifying Feelings - ANSWER ✓ Encouraging the client to identify feelings
related to self-destructive behaviors and to express these feelings directly.
No-Self-Harm Contract - ANSWER ✓ An agreement where the client promises
not to engage in self-injury and to report to the nurse when losing control.
Therapeutic Relationship Boundaries - ANSWER ✓ The nurse must clearly
establish the boundaries of the therapeutic relationship to ensure that neither the
client's nor the nurse's boundaries are violated.
Basic Communication Skills - ANSWER ✓ Teaching skills such as eye contact,
active listening, taking turns talking, validating communication, and using 'I'
statements.
Thought Stopping - ANSWER ✓ A technique where the client learns to replace
recurrent negative thoughts of worthlessness with more positive thinking.
, Decatastrophizing - ANSWER ✓ A technique that involves learning to assess
situations realistically rather than assuming a catastrophe will happen.
Chronic Boredom and Emptiness - ANSWER ✓ Common problems for clients,
including fear of abandonment and intolerance of being alone, leading to
unstructured time management issues.
Frantic Behaviors - ANSWER ✓ Clients may engage in frantic and desperate
behaviors, such as self-injury, to change their situation when feeling bored or
empty.
Managing Unstructured Time - ANSWER ✓ Minimizing unstructured time by
planning activities can help clients manage time alone effectively.
Perception of Strange Behaviors - ANSWER ✓ Individuals with personality
disorders do not see their behaviors as strange or unusual and are often treatment
resistant.
Gender Dysphoria - ANSWER ✓ strong and persistent sense of incongruence
between experienced or expressed gender and the gender assigned at birth, usually
anatomical and called natal. The incongruence is accompanied by the persistent
discomfort of their assigned sex or a sense of inappropriateness in the gender role
of that assigned sex.
Paraphilic disorders - ANSWER ✓ preferred sexual fantasies or behaviors that
involve nonhuman objects, suffering or humiliation of oneself or one's partner,
nonconsenting persons., behaviors are recurrent over a period of at least 6 months.
can cause distress in social, occupational, or other important areas of functioning.
Exhibitionistic disorder - ANSWER ✓ these people tend to show off, window
flashers.
Fetishistic disorder - ANSWER ✓ fetishes (foot).
Frotteuristic disorder - ANSWER ✓ may occur in crowded places like train car,
person rubs against you.
for Exam #4 Updated 2025 Complete
Exam Questions with Elaborated
Correct Answers||A+ GRADED||100%
GUARANTEED PASS!!!<BRAND NEW
VERSION>
Anxiety and discomfort - ANSWER ✓ Clients are frequently anxious and may be
mildly uncomfortable.
Pessimism and self-criticism - ANSWER ✓ They are often pessimistic and self-
critical; other people hurt their feelings easily.
Unrealistic fears - ANSWER ✓ They are excessively preoccupied with unrealistic
fears of being left alone to care for themselves.
Difficulty making decisions - ANSWER ✓ They have tremendous difficulty
making decisions, no matter how minor.
Obsessive compulsive personality disorder - ANSWER ✓ Characterized by a
pervasive pattern of preoccupation with perfectionism, mental and interpersonal
control, and orderliness at the expense of flexibility, openness, and efficiency.
Formal demeanor - ANSWER ✓ The demeanor of these clients is formal and
serious, and they answer questions with precision and much detail.
Need for perfection - ANSWER ✓ They often report feeling the need to be perfect
beginning in childhood.
Perfectionism in Childhood - ANSWER ✓ The need to be perfect often begins in
childhood, where individuals feel expected to win parental approval by being good
and doing the right thing.
, Emotional Range - ANSWER ✓ Individuals often have a constricted emotional
range, finding it difficult to express emotions, which may appear rigid, stiff, and
formal.
Control and Vulnerability - ANSWER ✓ Clients can be stubborn and reluctant to
relinquish control, making it difficult for them to be vulnerable by expressing
feelings.
Affect - ANSWER ✓ Affect is usually restricted, with individuals appearing
anxious and fretful or stiff and reluctant to reveal underlying emotions.
Limit Setting Technique - ANSWER ✓ An effective technique involving three
steps: stating the behavioral limit, identifying the consequences if the limit is
exceeded, and identifying the expected or desired behavior.
Confrontation Technique - ANSWER ✓ A technique designed to manage
manipulative or deceptive behavior by confronting the incongruence between
client statements and behavior.
Attention Withdrawal - ANSWER ✓ Withdrawing attention as much as possible if
the client acts out, provided the client's safety is not at risk.
Identifying Feelings - ANSWER ✓ Encouraging the client to identify feelings
related to self-destructive behaviors and to express these feelings directly.
No-Self-Harm Contract - ANSWER ✓ An agreement where the client promises
not to engage in self-injury and to report to the nurse when losing control.
Therapeutic Relationship Boundaries - ANSWER ✓ The nurse must clearly
establish the boundaries of the therapeutic relationship to ensure that neither the
client's nor the nurse's boundaries are violated.
Basic Communication Skills - ANSWER ✓ Teaching skills such as eye contact,
active listening, taking turns talking, validating communication, and using 'I'
statements.
Thought Stopping - ANSWER ✓ A technique where the client learns to replace
recurrent negative thoughts of worthlessness with more positive thinking.
, Decatastrophizing - ANSWER ✓ A technique that involves learning to assess
situations realistically rather than assuming a catastrophe will happen.
Chronic Boredom and Emptiness - ANSWER ✓ Common problems for clients,
including fear of abandonment and intolerance of being alone, leading to
unstructured time management issues.
Frantic Behaviors - ANSWER ✓ Clients may engage in frantic and desperate
behaviors, such as self-injury, to change their situation when feeling bored or
empty.
Managing Unstructured Time - ANSWER ✓ Minimizing unstructured time by
planning activities can help clients manage time alone effectively.
Perception of Strange Behaviors - ANSWER ✓ Individuals with personality
disorders do not see their behaviors as strange or unusual and are often treatment
resistant.
Gender Dysphoria - ANSWER ✓ strong and persistent sense of incongruence
between experienced or expressed gender and the gender assigned at birth, usually
anatomical and called natal. The incongruence is accompanied by the persistent
discomfort of their assigned sex or a sense of inappropriateness in the gender role
of that assigned sex.
Paraphilic disorders - ANSWER ✓ preferred sexual fantasies or behaviors that
involve nonhuman objects, suffering or humiliation of oneself or one's partner,
nonconsenting persons., behaviors are recurrent over a period of at least 6 months.
can cause distress in social, occupational, or other important areas of functioning.
Exhibitionistic disorder - ANSWER ✓ these people tend to show off, window
flashers.
Fetishistic disorder - ANSWER ✓ fetishes (foot).
Frotteuristic disorder - ANSWER ✓ may occur in crowded places like train car,
person rubs against you.
