NSG 526 EXAM 3 2025: REAL VERIFIED QUESTIONS & CORRECT ANSWERS| PACK OF EXCELLENCE., Exams of Nursing

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NSG 526 EXAM 3 2025: REAL VERIFIED

QUESTIONS & CORRECT ANSWERS| PACK

OF EXCELLENCE| THE ULTIMATE KEY TO

YOUR SUCCESS.

Individuals with BPD develop dysfunctional beliefs and maladaptive schemas leading them to misinterpret environmental stimuli continuously, which in turn leads to ---------- and inflexible behavior patterns in response to new situations and people Because those with BPD have been conditioned to anticipate rejection and disappointment in the past, they become entrenched in a pattern of fear and anxiety regarding encountering new people or situations. They have fears that ------- is going to strike any minute. Early in life, clients with BPD develop maladaptive schemas or dysfunctional ways of interpreting people and events. The work of cognitive therapists is to -------- --- these distortions in thinking patterns and replace them with realistic ones. - correct answer - rigid disaster challenge (remember CBT) The biosocial viewpoint proposed by Marsha --------- and colleagues sees BORDERLINE-BPD as a multifaceted problem, a combination of a person's innate emotional vulnerability and his or her inability to control that emotion

in social interactions (emotional dysregulation) and the environment (Linehan, 1993). The emotional dysregulation and aggressive impulsivity entail both social learning and ---------- regulation. Much of the neurobiological research is directed at neurotransmitter functions involving s----------, n--------- d--------, a--------, gamma-aminobutyric acid (GABA), and v---------- (Joyce et al., 2006; Gollan, Lee, & Coccaro, 2005). In fact, restoring balance in these systems permits more consistent neural firing between the ---------- system and the ----------and prefrontal cortex. When these pathways are functional, the person has greater capacity to think about his or her emotions and modulate beh - correct answer - Linehan biologic regulation serotonin, norepinephrine, dopamine, acetylcholine, gamma-aminobutyric acid (GABA), and vasopressin limbic/frontal Borderline They appear more competent than they actually are and often set --------- expectations for themselves. - correct answer - unrealistically high

Personality disorders were originally classified as Axis II diagnoses in the DSM-IV-TR. Axis II classification was intended to focus attention on ---------

• I patterns that might be overlooked in the light of the more pronounced disorders of Axis I. - correct answer - behavior To receive a diagnosis of a personality disorder, an individual must demonstrate the criteria behaviors persistently and to such an extent that they impair the ability to function socially and ----------- In some people, the underlying feelings and behaviors may be intermittent and interfere interpersonally without impairment. Instead of having a personality disorder, the individual is said to have --------- of the disorder. - correct answer - occupationally. traits To receive a diagnosis of a personality disorder, an individual must demonstrate the criteria behaviors persistently and to such an extent that they impair the ability to function socially and occupationally. In some people, the underlying feelings and behaviors may be intermittent and interfere interpersonally without impairment. Instead of having a personality disorder, the individual is said to have traits of the disorder. Personality traits are defined as "prominent aspects of the personality that are exhibited in a wide range of important social and personal contexts" (APA, 2022, p. 735). Personality traits can also be noted without a -----------
• correct answer - without a formal diagnosis.

Mix and match DSM-5 TR and the Clinical Picture of Cluster A Disorders DSM-5 TR and the Clinical Picture of Cluster B Disorders DSM-5 TR and the Clinical Picture of Cluster C Disorders with (Anxious, Fearful) (Odd or Eccentric) (Dramatic, Emotional, Erratic) - correct answer - DSM-5 TR and the Clinical Picture of Cluster A Disorders (Odd or Eccentric) DSM-5 TR and the Clinical Picture of Cluster B Disorders (Dramatic, Emotional, Erratic) DSM-5 TR and the Clinical Picture of Cluster C Disorders (Anxious, Fearful) Paranoid, Schizoid, and Schizotypal personality disorders are

Anxious, Fearful Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive personality disorders Which one Characteristics: suspicious of others; fear others will exploit, harm, or deceive them; fear of -------- in others (fear personal information will be used against them); misread compliments as -----------; hypervigilant; prone to counterattack; hostile; and aloof. Psychotic episodes may occur in times of -------. Nurses should give ------------- explanations of tests, history taking, and procedures, side effects of drugs, changes in treatment plan, and possible further procedures, to counteract client fear. - correct answer - Paranoid (cluster A) confiding manipulation stress straightforward (as with all of cluster A)

Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive personality disorders Which one Characteristics: --------- close relationships, is socially -----------, has poor occupational functioning, and appears cold, -------, and detached. Social awareness is lacking and relationships generate ----- and confusion in the client. Nurses should strive for s------- and clarity to help decrease client anxiety. - correct answer - Schizoid (cluster A) avoids isolated aloof fear simplification (as with all of cluster A)

Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive personality disorders Which one: Characteristics: has superficial ---------, violates ---------- of others, exploits others, lies, cheats, lacks guilt or remorse, is ----------, acts out, and lacks empathy. As clients these individuals are extremely manipulative and ------- ------ Nurses must establish and adhere to a plan of care, and maintain clear ------------ if they are to minimize client manipulation and acting out. - correct answer - Antisocial (cluster B) charm rights impulsive manipulative and aggressive. boundaries

Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive personality disorders Which one: Characteristics: unstable, intense relationships; --------- disturbances; impulsivity; self----------; rapid mood shifts; chronic e--------; intense fear of abandonment; splitting; and anger. A major defense is splitting (alternating between idealizing and devaluing). Self-mutilation and suicide-prone behavior are often-used impulsive self-destructive behaviors. ----------- is intense and pervasive and help with ---------- management is an important intervention. Relationship building, safety, and -------- setting are other foci.

• correct answer - Borderline (cluster B) identity self-mutilation emptiness Anger/Anger limit setting

self-aggrandizing (promoting oneself as being powerful or important) admiration parameters Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive personality disorders Which one: Characteristics: grandiosity, fantasies of power or brilliance, need to be a--- ----, sense of entitlement, arrogant, patronizing, rude, overestimates self and underestimates others. This behavior covers a fragile ego. In health care setting demand the ------- of everything. When client is corrected, when boundaries are defined, or when limits are set on client's behavior, client feels --------------, degraded, and empty. To lower anxiety the client may launch a ---------

The nurse should gently help the client identify attempts to seek and become ---------, exhibit grandiose behavior, and sense of entitlement. - correct answer - Narcissistic (cluster B) admired best humiliated counterattack. perfect Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive personality disorders Which one:

Obsessive-compulsive personality disorders Which one: Characteristics: inability to make daily decisions without advice and reassurance, need of others to be responsible for important areas of life, anxious and helpless when alone, and submissive. Solicit care taking by --- -------. Fear abandonment if they are too competent. Experience anxiety and may have co-existing ------------ - correct answer - Dependent (cluster C) clinging co-existing depression. Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive personality disorders Which one:

Characteristics: preoccupied with rules, perfectionist, too busy to have ------ ---, rigid control, and s----------- relationships. Complains about others' i-------------- and gives others directions. - correct answer - Obsessive-compulsive personality disorders (cluster C) friends superficial inefficiencies In the DSM-IV-TR, Borderline (BPD) is defined as "a pervasive pattern of -- -------- of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early --------- and is present in a variety of begins by early ------------ and is present in a variety of diagnostic characteristics of BPD. - correct answer - instability adulthood adulthood More than three fourths (77%) of the clients with diagnoses of BORDERLINE (BPD) are young --------- (mean age, mid-20s; Friedel, 2004a). Another reason is that childhood -----------, strongest risk factors for BPD

It has also been hypothesized that an increase in ----------- may be responsible for transient psychotic states - correct answer - limbic/frontal

• decreased serotonin
• increase α hypothesized that increase in DOPAMINE borderline personality These dysfunctions could be caused by a number of events, including trauma, e--------, and A----------. People with BPD manifest psychotic-like symptoms, including p---------- thinking, dissociation, depersonalization, and de-------. These symptoms seem to be associated with intense ------------ - correct answer - epilepsy ADHD paranoid derealization. anxiety. The psychoanalytic views of borderline-BPD focus on two important psychoanalytic concepts:

s------------ individuation and p----------- identification - correct answer - separation projective A person with BPD has not achieved the normal and healthy developmental stage of separation-individuation, during which a child develops a sense of s--------, a permanent sense of s----------others (object constancy), and integration of seeing both bad and good components of self (Jorgensen, 2006). Those with BPD lack the ability to separate from the primary caregiver and develop a separate and distinct personality or self------------- Psychoanalytic theory suggests that these separation difficulties occur because the primary caregivers' behaviors have been in--------- or insensitive to the needs of the child - correct answer - self significant others identity inconsistent Projective identification is believed to play an important role in the development of BORDERLINE-BPD and is a defense mechanism by which people with BPD protect their fragile self-image. For example, when overwhelmed by anxiety or anger at being disregarded by another, they defend against the intensity of these feelings by unconsciously b----------- others for what happens to them. They project their feelings onto a significant other with the unconscious hope that the other knows how to d--- ----- with it. Projective identification becomes a defensive way of interacting