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NUR 2459 / NUR2459 Mental and Behavioral Health Nursing Exam 3 Study Guide | Rated A | Latest 2020 / 2021 | Rasmussen College

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NUR 2459 / NUR2459 Mental and Behavioral Health Nursing Exam 3 Study Guide | Rated A | Latest 2020 / 2021 | Rasmussen College Module 07 - Nursing Care for Clients with Personality Disorders and Eat... ing Disorders Describe personality disorder: • Borderline- anticipated behaviors, nursing interventions, treatment options Clinical picture • Severe impairments in functioning • Emotional lability • Impulsivity • Self-destructive behaviors • Antagonism • Splitting: Inability to view both positive and negative aspects of others as part of a whole • Epidemiology and comorbidity • 10% suicide and mortality rate • 85% of BPD patients have another mental illness • Etiology • High genetic association • Separation-individuation factors • Assessment • Semi-structured interview • Use of MMPI • Self-assessment • Nursing diagnoses • Self-mutilation • Risk for suicide • Risk for self- and/or other-directed violence • Impaired social interaction • Disturbed personal identity • Ineffective coping • Outcomes and planning • Nursing Outcomes Classification (NOC) scales for measuring improvement • Importance of the therapeutic relationship • Avoid manipulative behaviors • Guidelines for Nursing Care • Provide clear and consistent boundaries • Use clear, straightforward communication • Calmly review therapeutic goals • Teamwork and safety and consistency between staff • Respond matter-of-factly to superficial self-injuries • Pharmacological interventions • Psychotropics geared toward symptom relief • Psychotherapy • CBT • Dialectical behavior therapy (DBT) • Schema-focused therapy How should a nurse care for the self-inflicted wounds of a client with borderline personality disorder? ● The wounds should be treated in a matter-of-fact manner. Care should be taken not to give positive reinforcement to this behavior by offering sympathy or additional attention. [Show More]

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