Examl 2:l NSGl 322/l NSG322l (Latestl 2025/l
2026l Update)l Behaviorall Healthl Nursingl Completel Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l narcissisticl PD
Answer:
onsetl isl hardl tol determinel becausel narcissisml inl commonlyl foundl inl kidsl
CHALLENGES
-entitlement,l grandiose,l attentionl seeking,l arrogantl -hypersensitivel tol critisim,l lowl selfl esteeml -nol sympathy -fearl ofl abandonment
GUIDELINES
-dol notl engagel inl powerl struggles:l thesel ppll tendl tol bel antagonists
-dontl challengel them,l dontl correctl wrongl statements -rolel modell empathy -maintainl limitsl andl boundariesl
TREATMENT
-cbt:l reframel faultyl thinking
-groupl therapy:l sharel wl others,l seel theirl qualitiesl inl others,l andl learnl empathy -medsl likel lithiuml forl moodl swings,l ifl theyl arel depressedl givel antidepressantsl
**canl runl inl familiesl bcl parentsl wl narcissisml attributel unrealisticl talentl tol theirl kids
Q:l histrionicl PD
Answer:
earlyl adulthoodl
CHARECTERISTICS
-flamboyant,l impulsive,l dramatic,l exaggerated -lowl selfl esteem,l notl assertive -strugglel wl relationships -flirtatious,l seductivel 1 / 4
GUIDELINES
-stayl professional:l theyl actl seductive
-rolel modell beingl assertivel andl encouragel theml tol usel thosel techniquesl tol expressl emotions -monitorl forl SI:l sometimesl theirl suicidall gesturesl mayl actuallyl resultl inl death
TREATMENT
-helpl theml clarifyl andl expressl emotionsl inl anl appropriatel way -groupl therapyl mayl bel al probleml bcl theyl arel disruptivel -medsl tol treatl symptoms -antidepressantsl forl depression -antipsychoticsl forl illusion -antianxietyl forl anxiety
Q:l borderlinel personalityl disorder
Answer:
**safety oftenl resultsl froml pastl traumal (neglect,l abuse,l sexuall abuse),l genetic,l decreasedl serotonin,l disruptionl ofl normall separation-individuationl bwl parentl andl child
CHARACTERISTICS
-emotionall dysregulation!!
-emotionall lability!!:l moodl swings
-chaoticl intensel relationships,l theyl wantl stablel ones,l fearl ofl abandonmentl
-splitting!!:l seel thingsl asl goodl orl bad,l nol inl between
-impulsivity!!,l emotionall dysregulation,l hypersensitivity -selfl destructivel behaviors -chronicl suicidalityl -sarcasml
GUIDELINES
-dontl takel splittingl orl manipulationl personally -enforcel strictl boundaries,l remainl consistent -assessl forl SI -frequentl teaml collaborationl andl documentation -recognizel theirl fearl ofl abandonmentl andl choosel wordsl carefullyl TREATMENTl -CBT,l DBT!!!l (mindfulness,l reframel emotions)
-meds:l tol helpl withl moodl swingsl (SSRI,l anticonvulsants,l lithium)l
>naltrexone:l reducel impulsivel andl harmfull actions
>antipsychotics:l forl periodsl ofl psychosisl orl ragel
EXTRAl INFO -tendsl tol decreasel wl age -alcoholl abusel isl oftenl seenl withl thisl 2 / 4
-lessl serotonin COMORBIDITIESl
-psychiatric:l mdd,l anxietyl disorder,l sleepl disorder,l bipolar
-physical:l diabetes,l highl BP,l fibromyalgia,l arthritis,l chronicl painl isl highlyl associated!!-substancel abusel
SAFETY
-70%l attemptl suicide,l 10%l completel it -arel mostl likelyl tol dol thisl during/afterl anl eventl thatl theyl seel asl devastatingl orl traumaticl -tol othersl itl seemsl theyl arel actingl outl ofl proportionl butl wel canl learnl tol predictl thesel behaviorsl especiallyl ifl theyl arel doingl DBT
Q:l antisociall personalityl disorder
Answer:
peaksl inl latel teens,l earlyl 20s.l usuallyl subsidesl inl 40s CHARACTERISTICSl -disregardl forl peoplesl safety,l property,l thel law >criminall activity,l oftenl getl diagnosedl bcl theyl arel incarceratedl -lackl ofl empathy -manipulation,l deceitl -impulsive,l aggressivel
-disinhibition:l lackl ofl consequencel
GUIDELINES
-assessl forl aggressionl andl violence -enforcel thel rulesl andl limits -frequentl teaml collab -assessl yourself,l stayl neutral,l watchl outl forl manipulation
TREATMENT
-psychotherapy:l theyl arel ablel tol forml bondsl wl psychiatrists
>DBT:l emotions
>CBT:l IDl andl changel sociopathicl thinking
>BT:l throughl rewardl andl punishment
>mentalizationl BT:l recognizel theirl andl othersl mentall states=-
-meds:
>lithium:l moodl stabilizer
>SSRI:l fluoxetinel andl sertraline
>methylphenidatel ifl theyl havel ADHD >benzosl forl anxiety -givel theml al journal:l wel wantl tol divertl theirl angerl inl healthyl waysl
SAFETY
-thisl isl thel biggestl thing,l monitorl forl aggression 3 / 4
-thel biggestl RFl inl dangerousl behaviorsl isl historyl ofl thesel behaviorsl bcl wel findl comfortl inl whatl wel know -talkl tol others,l especiallyl thosel wl experiencel workingl wl thesel clients **somel ofl thesel clientsl arel motivatedl tol changel andl canl accomplishl shortl terml goals
Q:l clusterl c
Answer:
anxious,l cautious,l fearful -havel comfortl zones -change=overwhelming
Q:l avoidant
Answer:
onsetl inl infancyl andl childhood,l increasedl shynessl intol adolescentl yearsl andl earlyl adulthood
CHALLENGES
-sociall situations
-havel fewl relationships:l fearl ofl rejection
-tryingl newl things -canl functionl inl al protectivel environmentl
GUIDELINES
-friendlyl andl reassuringl professionall approach,l notl social -demonstratel assertivel techniquesl andl allowl theml tol practice >dontl pushl theml tol dol anythingl bcl failingl willl leadl tol worsel selfl worth -considerl theirl levell ofl fearl
TREATMENT
-groupl andl indivl therapyl aimedl tol promotel trustl ofl others,l acceptingl thatl itl isl okayl whenl thingsl fail,l andl beingl assertive -antianxietyl meds
-atenolol:l decreasel ANSl hyperactivity
-SSRI:l citalopram
-SNRI:l venlafaxine
Q:l dependent
Answer:
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