N450 Assessment 3 Personality disorders-Questions with Correct
Answers/Verified/ Latest Update 2024/2025
Cluster A - ✔️✔️Odd/Eccentric- results in person becoming alienated from others
Cluster B - ✔️✔️Dramatic/emotional/erratic- these clients seek out relationships but can not
maintain them because of their excessive demands & instability. Their main goal is to use others to
meet their own needs.
Cluster B- Antisocial - ✔️✔️individual does not want to conform to social rules/norms and are
reckless to being safe with self and others. They are manipulative and deceitfulness (repeatedly
lying), lack ability to learn from experience, and are selfish and don't feel any remorse.
Cluster B- Borderline Personality Disorder - ✔️✔️Individual has a difficulty regulating emotion
(affective instability) and has extreme fears of abandonment leading to dysfunctional relationships
which often leads to individual engaging in self-injury/harm (SI). They have intense and short lived
relationships because they can not tolerate intimacy due to the extreme feelings of idealization and
devaluation. They have identity disturbances, are impulsive and carry chronic feelings of emptiness.
Cluster B- Histrionic - ✔️✔️Individual has exaggerated liability (characterized by emotions that are
easily aroused or freely expressed, and that tend to alter quickly and spontaneously; emotionally
unstable) and shallow expression of emotions. They need constant approval, seductiveness, and
have concerns about owns attractiveness. They are attention seeking and are discomforted when
not the center of attention. Overvaluation of relationships.
Cluster B- Narcissistic - ✔️✔️Characteristics: exploitive, grandiose, disparaging, filled with rage, very
sensitive to rejection, criticism, cannot show empathy, handles aging poorly
,Cluster C - ✔️✔️Anxious and fearful behavior- they generally feel insecure or inadequate. They
depend on others for reassurance or they isolate themselves for fear of rejection.
Cluster C: Avoidant Personality Disorder - ✔️✔️A pattern of social inhibition, feelings inadequacy,
and hypersensitivity to negative evaluation by four more: avoids occupational activities due to fear
of criticism, disapproval, or rejection; generally unwilling to get involved with others unless certain
of being like; restrained in intimate relationship due to fear or shame you; preoccupied with
concerns of rejection and criticism and social situations; inhibited in new situations due to a sense of
inadequacy; views self as social inept or inferior; reluctant to take risks or trying to things because of
potential embarrassment.
Cluster C: Dependent Personality Disorder - ✔️✔️Characterized by a pervasive and excessive need
to be taken care of that results in submissive and clinging behaviors, difficulty making decisions, and
fears of separation as evidenced by five or more: difficulty making decisions without advice and
reassurance from others; needs others to assume responsibility for most major areas; have difficulty
expressing disagreement due to fear of loss of approval; difficulty doing things on their own;
excessive attempts to obtain support from others; Uncomfortable when alone due to not being self-
sufficient; urgently seeks a new relationship when a close relationship ends; preoccupied with fears
of being left alone
Cluster C: Obsessive-Compulsive - ✔️✔️Are perfectionist, detail oriented; Has need for control; are
inflexible and rigid; preoccupied with details; highly critical of self and others. They Have a belief in
an absolute correct solution and experience indecision.
Personality disorder causes - ✔️✔️67-86% etiology of sexual abuse
46-71% etiology of physical abuse
Working with clients with personality disorders needs to be perceived as a ________ rather than a
burden. - ✔️✔️Challenge- this allows the nurse to sharpen skills in patience, self awareness,
creativity and non judgment
Nurse needs to beware of ________ when assessing a PD client - ✔️✔️Beware of counter
transference reactions
Ex. - refers to the nurse's behavioral and emotional response to the client- responses may be related
to unresolved feelings toward significant others from the nurse's past- may be generated in
response to transference feelings on the part of the client
, - nurse over identifies with the client's feelings as they remind him or her of problems from the
nurse's past or present
- the nurse promotes and encourages client's dependence
- nurse defends the clients behavior to other staff members
- nurse is bored and apathetic in sessions with the client
- the nurse's anger engenders feelings of disgust toward the client
During a team meeting the RN who is experiencing a countertransference reaction to a patient
would state:
a. "He reminds me so much of my sweet uncle."
b. "That patient asked me out to dinner."
c. "I think the team needs to discuss how best to manage the patient's manipulative behaviors."
d. "I believe it's okay to cry." - ✔️✔️a
rationale: Countertransference usually consists of feelings related to persons other than the patient
but transferred to the patient. This range of both positive and negative feelings may interfere with
the ability to be therapeutic. Reporting a patient's attempt at arranging a social interaction or the
need to manage a patient's maladaptive behavior are appropriate occurrences to report to the team
but do not demonstrate countertransference. Crying is not associated with countertransference.
The nurse practicing with therapeutic intentions versus social ones will:
a. offer to visit the patient following discharge.
b. assess the patient's needs following discharge.
c. ignore the patient's requests for a date while on the unit.
d. feel sadness and cry in response to the patient's depression. - ✔️✔️b,
rationale:
The establishment and maintenance of objectivity and goal-directedness is crucial in therapeutic
relationships. Assessing patient needs in preparation for discharge demonstrates therapeutic
intentions. Offering to visit the patient following discharge is an example of blurring boundaries and
the risk of unprofessional conduct that may come as a result. Inappropriate social requests should
not be ignored but should be discussed with the team for decision-making purposes. Crying and
feeling sad in response to a patient's condition may suggest a potential for a boundary violation as
an example of countertransference.
A newly admitted patient continually touches the nursing staff members and makes sexual
innuendoes when interactions are attempted. The initial therapeutic manner of managing such
behavior is to:
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