A nurse determines desired outcomes for a patient diagnosed with ...

[mcmcdaniel]

A nurse determines desired outcomes for a patient diagnosed with schizotypal personality disorder. Select the best outcome. The patient will:
 
  a. adhere willingly to unit norms.
  b. report decreased incidence of self-mutilative thoughts.
  c. demonstrate fewer attempts at splitting or manipulating staff.
  d. demonstrate ability to introduce self to a stranger in a social situation.

Question 2

Which characteristic of personality disorders makes it most necessary for staff to schedule frequent team meetings in order to address the patient's needs and maintain a therapeutic milieu?
 
  a. Ability to achieve true intimacy
  b. Flexibility and adaptability to stress
  c. Ability to provoke interpersonal conflict
  d. Inability to develop trusting relationships

[Hdosisshsbshs]

Answer to Question 1

ANS: D
Schizotypal individuals have poor social skills. Social situations are uncomfortable for them. It is desirable for the individual to develop the ability to meet and socialize with others. Individuals with schizotypal PD usually have no issues with adherence to unit norms, nor are they self-mutilative or manipulative.

Answer to Question 2

ANS: C
Frequent team meetings are held to counteract the effects of the patient's attempts to split staff and set them against one another, causing interpersonal conflict. Patients with personality disorders are inflexible and demonstrate maladaptive responses to stress. They are usually unable to develop true intimacy with others and are unable to develop trusting relationships. Although problems with trust may exist, it is not the characteristic that requires frequent staff meetings. See relationship to audience response question.