Question

The nurse would expect to encounter attention seeking and erratic behaviors when caring for a group of clients with which cluster of personality disorders? A. Paranoid, schizoid, schizotypal B. Antisocial, borderline, histrionic, narcissistic C. Avoidant, dependent, obsessive-compulsive D. Passive-aggressive, masochistic

Short answer

B. Antisocial, borderline, histrionic, narcissistic

Step-by-step solution

Identify the question

The question asks which cluster of personality disorders is typically associated with attention seeking and erratic behaviors.

Review personality disorder clusters

Recall the characteristics of each cluster of personality disorders. Cluster A includes paranoid, schizoid, and schizotypal, which are characterized by odd or eccentric behaviors. Cluster B consists of antisocial, borderline, histrionic, and narcissistic, which are known for dramatic, emotional, or erratic behaviors. Cluster C includes avoidant, dependent, and obsessive-compulsive, characterized by anxious or fearful behaviors. Cluster D includes passive-aggressive and masochistic, which are less commonly included in specific cluster classification and are characterized by more specific behavior patterns not generally characterized by attention seeking.

Determine the correct answer

By matching the characteristics to the clusters, conclude that Cluster B disorders are most commonly associated with attention seeking and erratic behaviors.

Key concepts

NCLEX-RN Exam Preparation

Studying for the NCLEX-RN exam is a critical step for future nurses, as it evaluates their readiness to practice nursing safely and effectively. To prepare for questions on mental health, it's important to understand the categorization of personality disorders, as well as the Nursing Process which is a core component of the test. The exam will challenge students to assess, diagnose, plan, implement, and evaluate psychological care.

Effective preparation strategies include reviewing mental health concepts, understanding how to apply them in patient care, and practicing with multiple-choice questions like those on the actual exam. Using study resources that provide detailed explanations of not just the 'what,' but also the 'why,' can greatly enhance a student's understanding of complex topics, such as personality disorders.

Cluster B Personality Disorders

Cluster B personality disorders are a group characterized by dramatic, emotional, or erratic behaviors, which can include the propensity for attention-seeking and impulsivity. Within this cluster, you'll find four specific disorders: Antisocial, Borderline, Histrionic, and Narcissistic.

For nursing students, it's essential to recognize these behaviors for proper psychological care. Antisocial individuals may exhibit a disregard for others, borderline patients might experience intense and unstable relationships, those with histrionic personality disorder often seek constant attention, and narcissistic individuals possess a significant need for admiration and lack empathy for others. Understanding these traits can help nurses anticipate the needs of their patients and respond effectively.

Nursing Psychological Care

Psychological care within nursing is a pivotal aspect of overall patient health. Nurses must offer compassionate support and use therapeutic communication techniques to interact with patients who have diverse mental health needs, especially those with personality disorders.

It involves developing individualized care plans, monitoring patient behaviors, managing medications, and collaborating with the mental health team. Effective psychological care requires empathy, patience, and the ability to maintain a safe environment for both the patient and healthcare staff. Nurses must also be aware of their own responses to challenging behaviors and practice self-care to remain effective in their role.

Mental Health Nursing Concepts

Mental health nursing is a specialty that demands a comprehensive understanding of various psychological theories and interventions. Core concepts include the biopsychosocial model, which acknowledges the interplay between biological, psychological, and social factors in mental health.

Other fundamental concepts involve knowledge of psychopharmacology, crisis intervention, and cognitive-behavioral techniques. In the context of personality disorders, nurses need to recognize patterns of thinking and behavior to provide appropriate care. This encompasses establishing boundaries, promoting self-awareness, and encouraging coping strategies that aid in the management of the disorder.