Course 2F - The Quiz

TABLE 1 - DSM-IV-TR AXIS II DISORDERS: Research suggests that .....

The clinical diagnosis of personality disorders is primarily derived from ....

How many personality disorders are there in the DSM-IV-TR?

In comparison with the general population ... patients belonging to an HIV-risk-behavior group (such as injection drug users) may be more likely to have a personality disorder which is in

DIFFERENTIAL DIAGNOSIS FOR PERSONALITY DISORDERS: An HIV/AIDS patient initially presents with some maladaptive behaviors and traits of Personality Disorder, e.g., he's disruptive with unwarranted anger and hostility, or avoidant and excessively emotional, or guarded and avoidant. Which action below is NOT APPROPRIATE AT THE POINT OF INITIAL PRESENTATION?

For purposes of DIFFERENTIAL DIAGNOSIS _________________ by asking patients to explain in their own words what the clinician has told them.

MEDICAL, PSYCHIATRIC, AND SOCIAL DISORDERS THAT MAY PRESENT WITH MALADAPTIVE BEHAVIOR - and thereby APPEAR TO BE Personality Disorders - include which disorders below:

If the maladaptive personality traits and behaviors persist after other treatable disorders have been excluded or adequately addressed,

MANAGEMENT OF PATIENTS: Patients with Personality Disorders may exhibit a range of personality traits and behaviors that seriously interfere with their ability to interact effectively with clinicians and staff. Which action below is NOT appropriate in the management of such patients?

Per information in Section IV, which statement is NOT true?

Effective communication is the cornerstone of good patient care. For patients with personality disorders and associated maladaptive personality traits and behaviors, establishing adequate communication ....

Table 3: GENERAL GUIDELINES FOR EFFECTIVE COMMUNICATION AND ESTABLISHING A THERAPEUTIC PROVIDER-PATIENT RELATIONSHIP: Which is NOT one of the guidelines recommended in this section?

MORE ABOUT EFFECTIVE COMMUNICATION: Staff members can prevent the potential chaos that these patients may create by maintaining appropriate boundaries and providing structure. Which action below is NOT an example of maintaining boundaries and providing structure?

Patients are often unaware of the impact of their behavior on others and may react defensively with anger or withdrawal when confronted about the negative effect of their behavior. To lessen patients’ sense of feeling criticized ....

The importance of using a TEAM APPROACH with patients with personality disorders _________________

If all members of the treatment team are doing their jobs effectively, you will not see a situation in which the feelings evoked in one staff member contradict the experience of a different staff member, or where staff feel frustrated and isolated from each other.

True False

By definition, patients with personality disorders often evoke intense feelings that are difficult for the people around them to process. A procedure that allows staff to call on a colleague for substitution or supervision can enable team members to regroup and avoid feeling overwhelmed when stress is high.

True False

Some patients with severe personality disorders may have _________________ that could foster conflict among patients, clinicians, and other staff.

A team approach that relies on _________________ is essential to prevent conflict among patients, clinicians, and other staff.

TREATMENT PLANNING: Which statement is not true, per this section?

Looking at the approach to good treatment planning, select the best answer below: .

Patients who refuse psychiatric referral

APPROACH TO SPECIFIC PATIENT TYPES: Looking at 'Cluster A - Odd or Eccentric Patients' who tend to be 'guarded, suspicious, and argumentative'..... These patients are doubtful of others’ intentions and motives. They may be openly or covertly suspicious of interventions. To the extent that they are convinced that others intend to harm them, they may also be hostile or menacing. Clinicians should maintain a respectful, professional distance from patients. Which line of communication below represents this type of approach?

The _________________ patient may appreciate a clinician who is more formal and 'business-like'. Thus maintain a respectful, professional distance; acknowledge the patient’s perception of the world, without debate or agreement, and try to focus his/her attention on healthcare treatment.

With the _________________ patient, set limits on interactions with the patient to prevent excessive and unrealistic demands from him/her. Refer the patient, if needed, to programs that extend his/her social and healthcare support networks.

With the _________________ patient, recognize and support the patient’s strengths and achievements, and show interest in the patient’s opinions. Demonstrate competence without challenging the patient’s need to feel superior.

With the _________________ patient, set realistic limits on patient visits; never tolerate aggressive behavior or any other behavior that creates an unsafe environment. Consider a mental health consultation, which may help with development of an appropriate treatment plan.

With the _________________ patient, consider providing more frequent but briefer appointments; scheduling interactions with the patient may help minimize his/her excessive demands at inconvenient times. Forewarn him/her of change, such as vacations and other absences.

With the _________________ patient, demonstrate a supportive attitude toward the patient. Maintain professional boundaries to prevent the patient from provoking unhelpful responses.

TREATMENT OF PERSONALITY DISORDERS: The primary psychiatric treatment of personality disorders and maladaptive traits consists of psychotherapeutic and social interventions, sometimes used in combination with adjunctive pharmacotherapy. Which statement in this regard is NOT true?