Chapter 24, Personality Disorders, EAQ Halter Valcaroli

Chapter 24, Personality Disorders, EAQ Halter Valcaroli Halter Varcarolis' Foundations of Psychiatric-Mental Health Nursing - Sherpath for Mental Health Nursing, 8th Edition 1. Which statement about persons diagnosed with personality disorders is accurate? Characteristics of these disorders are most evident in social and interpersonal interactions. Rationale: The presence of a personality disorder interferes with, or complicates, social and interpersonal function. Individuals who meet criteria for these disorders have problems with empathy or intimacy within their relationships. Persons diagnosed with personality disorders tend not to perceive themselves as having a problem but instead believe their problems are caused by how others behave toward them. Although short-term hospitalization may sometimes be necessary when acute problems occur, extended hospitalizations tend to be counterproductive for this population. In the United States, there are no Federal Drug Administration-approved medications specifically for treating personality disorders; however, some health care providers prescribe selected psychotropic medications for offlabel use. 2. A patient diagnosed with antisocial personality disorder with impaired social interaction and defensive coping receives psychotherapy treatment. Which response of the patient indicates to the nurse the treatment has been effective? The patient plays a leading role in a group activity assigned by the nurse. A patient with antisocial personality disorder shows impaired social interaction and defensive coping. A patient who plays a leading role in a group activity indicates improvement of the symptoms, which may be the result of effective treatment. This is because the patient cooperates with others and interacts well. Psychotherapy aims to help patients take responsibility for their own actions in order to improve their conditions. The patient declaring the government to be responsible does not indicate effective treatment. A request to be excused from a therapy task doesn't indicate progress or effective treatment. Psychotherapy aims to make the patient interact with others and develop sensitivity toward others. Ridiculing another patient shows that the patient with antisocial personality disorder is not sensitive and does show empathy for others. 3. A patient diagnosed with a borderline personality disorder shows the nurse multiple new, shallow self-inflicted cuts. Select the nurse's therapeutic response. "I will care for your wounds, and then you should write down what you were thinking and feeling when this happened. We will discuss it later."