Exam (elaborations)
N450 Assessment -3 (liz-s) (1)
- Course
- Institution
N450 Assessment -3 (liz-s) (1)
[Show more]
Seller
Follow
modockochieng06
Content preview
N450 Assessment #3 (liz's)Most common characteristics occurring in personality disorders - ANS->Impairment in
interpersonal relationship functions
>Dysfunctions in cognition
>Affect
>Impulse control
Borderline Personality Disorder (BPD) - ANS-*Very unstable* - Cluster B.
Often in a state of crisis w/ frequent mood swings. Hospitalization is often required as a result of
self-injury attempts.
Can be described as "thriving on chaos" which they usually create in interpersonal relationships.
Paranoid Personality Disorder - ANS-Cluster A. A pattern of *persuasive mistrust* and
*suspiciousness* of others and misinterpret others' motives as malevolent.
On guard, hypervigilant & ready for real or imagined threat. Appear tense & irritable. Extreme
oversensitivity. Trust no one. Attribute short-comings to others. Intense desire for vindication
may result in loss of control and violence.
Characteristics of Paranoid Personality Disorder - ANS->Constantly on guard
>Hypervigilant
>Ready for any real or imagined threat
>Tense and irritable
>"Hard exterior"
>Oversensitive
>Envious & hostile towards higher successful
Panic Disorder - ANS-Recurrent anxiety attacks with sudden onset & intense feeling
Nursing interventions for panic disorder - ANS->Minimize triggers
>Small, concise instructions
ST goal --> get through current attack
LT goal --> decrease panic attacks overtime
Agoraphobia - ANS-*Fear of being* in a place that may be *difficult (or embarrassing) to
escape* or in which help may not be available in the event of a panic attack.
Such as crowds or social gatherings in public places (stores, etc.)
,S/S of generalized anxiety disorder - ANS->Muscle tension
>Apprehension
>Hyperactivity >feeling on edge
Generalized Anxiety Disorder (GAD) - ANS-A disorder characterized by chronic (Lasts for *at
least 6 months*), unrealistic, and excessive anxiety and worry. This is severe enough to impair
normal social, occupational or other important areas of functioning.
Nursing interventions for GAD - ANS->Creating a structured environment
>Deep breathing
>Assess feelings of anxiety attacks
S/S of depression in children - ANS->Somatic complaints (stomachache/headache)
>Irritability
>Withdrawal
>Separation anxiety
S/S of depression in adolescents - ANS-*Similar to adults*
>Depressed mood (at least 2 weeks)
>Anger
>Poor concentration
>Fatigue
>Irritability
>Loss of interest
>Withdrawn
>Change in appetite
>Sleeping disturbances
Interventions for depression - ANS->Individual & family therapy
>Attainable goals
>Supportive environment
*Combo of psychological & pharmacologic therapy*
A client with OCD takes hours to get ready each morning due to indecisiveness. The nurse
takes which action?
A. Assist the client in getting dressed and performing hygiene
B. Establish a reward and punishment system to motivate the client
C. Limit the choices the client needs to make when getting ready
, D. Set a time limit for getting ready as a goal for the client to achieve - ANS-C. Limit the choices
the client needs to make when getting ready
Acute stress disorder - ANS-After exposure to traumatic event(s), experiences *9 or more* of
the 14 symptoms listed
If symptoms following a traumatic event last longer than 1 month? - ANS-Posttraumatic Stress
Disorder (PTSD)
Dissassociation - ANS-An unconscious defense mechanism in which there is separation of
identity, memory, and cognition from affect.
Denial - ANS-Unconscious failure to acknowledge an event, thought, or feeling that is too
painful for conscious awareness
Example of denial
Woman diagnosed with cancer tells her family all tests were negative - ANS-
Displacement - ANS-The transference of feelings to another person or object
Example of displacement
After being scolded by his supervisor at work, a man comes home and kicks the dog for barking.
- ANS-
Identification - ANS-Attempt to be like someone or emulate the personality, traits, or behaviors
of another person.
Example of identification
A teenage boy dresses and behaves like his favorite singer - ANS-
Intellectualization - ANS-Using reason to avoid emotional conflicts
Introjection - ANS-Incorporation of values or qualities of an admired person or group into one's
own ego structure
Example of introjection
A young man deals with a business client, in the same fashion his father deals with business
clients. - ANS-
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81531 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now