Ch. 24 prepU

a

A client diagnosed with schizoid personality disorder is described by family members as what? a. Eccentric and a loner b. Dramatic and emotional c. Nervous and fearful d. Tired and sad

d

A client is diagnosed with a personality disorder manifested by odd, eccentric behavior. Which personality disorder would be associated with this manifestation? a. Avoidant b. Dependent c. Obsessive-compulsive d. Paranoid

c

A client recovering from a medical condition expresses low self-esteem, has difficulty making decisions, minimizes their ability to carry through with interventions to promote recovery and seeks more support than would be expected from the nurse. The nurse determines the client has a personality disorder. What is the probable etiology of the disorder? a. The client received needed skills for autonomous behavior in childhood b. The client was required to meet the basic needs without parental support c. The client was overprotected as a child and independence was discouraged d. The client was likely abandoned or neglected in childhood by biologic parents

d

A client with antisocial personality disorder (ASPD) is admitted to hospital. The nurse identifies which nursing diagnosis as the priority? a. Ineffective coping b. Altered family processes c. Impaired social interaction d. Risk for other directed violence

b

A client with antisocial personality disorder uses manipulation to try leaving the unit with another client's family members after visiting hours. Which of the following interventions is best to deal with the manipulative behavior? a. Allow the client's nurse to determine how to deal with the client since the client has never attempted to escape before. b. Assist the client to identify patterns of behavior and consequences as determined by the team plan. c. Remind the client that he could be discharged for inappropriate behavior. d. Restrict the client from all unit activities to provide time for reflection on his behavior.

a

A nurse is conducting a mental status exam of a client with borderline personality disorder (BPD). The client verbalizes statements that demonstrate a view of things as absolute, with no perception of compromise. The nurse interprets this type of thinking, documenting it as which of the following? a. Dichotomous b. Abstract c. Irrational d. Disorganized

d

A nurse is working with an adolescent diagnosed with conduct disorder. The nurse is engaged in social skills training. If successful, which outcome would the nurse expect? a. Ability to identify alternative solutions to a problem b. Enhanced thinking about consequences of choices c. Ability to examine responses after an emotional conflict d. Recognition of how actions affect others

c

An adult female client presents to the mental health clinic and is assessed by the nurse. During the assessment, the nurse observes the client engage warmly with an appropriately variable affect and to be open to share their life story. The story included a pattern of failed intimate relationships, which the client attributes to a mild form of cerebral palsy. The client lives in the parental home. The client's father died when she was in high school and her mother passed away three months prior to the assessment. Interpersonally the client says she works hard to avoid conflict. References are made to being "unlovable" and that she is "engulfed in sadness" to the point of needing a disability income. This is due to the expressed fear of being "unable" to care for everyday needs independently. What disorder does the nurse suspect? a. Major depressive disorder b. Generalized anxiety disorder c. Dependent personality disorder d. Obsessional compulsive personality disorder

c

Clients with borderline personality disorder (BPD) are usually admitted to the inpatient setting because they exhibit what? a. Aggression b. Splitting c. Self-harm d. Impulsivity

c

Dialectical behavior therapy (DBT) combines behavior therapy with which type of therapy? a. Milieu therapy b. Psychotherapy c. Cognitive therapy d. Occupational therapy

d

Gambling, binge eating, and engaging in unsafe sex are examples of what? a. Identity diffusion b. Dissociation c. Affective instability d. Impulsivity

a

The nurse conducts an assessment to rule out antisocial personality disorder (ASPD) in a young adult. What aspect of the client's childhood is the priority assessment? a. Temperament b. Independent play c. Speech development d. Academic performance

a

The nurse in a medical setting provides care for a client with histrionic personality disorder concurrent with their medical challenges. During the initial assessment with the client, the nurse identifies an altered expression of sexuality. To guide further assessment, what factor does the nurse anticipate from the client? a. Demonstration of seductive behavior b. Having one long-term intimate partner c. Having success in establishing social intimacy d. Suppression of outward signs of sexual attraction

d

The nurse caring for a client with schizotypal personality disorder continues to assess for validations of the disorder during routine assessments of their interactions. Which client response affirms the nurse's assessment of schizotypal personality disorder? a. "I'm so excited to have you as my nurse today. Don't you love how I look today?" b. "I need a pass this afternoon. I have some banking to do so I can buy a sports car for the new company I'm starting." c. "You can leave me alone. I'm not finished figuring out how many amps the lights in the common room are drawing." d. "You and I have a real bond. I've been listening to all those nice things you've been telling me from the nursing station."

a

The nurse completes an assessment for a female client in an outpatient clinic. In addition to her medical issues, the client shares that she has a personality disorder. The client wears heavy makeup and demonstrates strong emotional intensity. Which personality disorder does the nurse identify based on the assessment findings? a. Histrionic personality disorder b. Schizotypal personality disorder c. Narcissistic personality disorder d. Obsessive compulsive personality disorder

c

The nurse is aware that for some personality disorders, denial of symptoms is common. Which therapeutic approach does the nurse choose to address this denial? a. Sympathy b. Judgment c. Compassion d. Self-disclosure

b

The nurse is interviewing a client with a history of violence. The client boasts that the client "put a kid in a wheelchair" once when the client was younger and has maimed others. The client states, "Who cares? Life's tough." Violence and insensitivity are associated with which personality disorder? a. Schizoid personality disorder b. Antisocial personality disorder c. Histrionic personality disorder d. Borderline personality disorder

b

The nurse plans care for a client with antisocial personality disorder (ASPD) and concurrent chronic pain. Which assessment finding is anticipated? a. Offering insight into ASPD symptoms b. Exaggeration of the physical symptoms c. Truthfulness in describing physical symptoms d. Inability to offer commendations to the nurse

a

The nurse-therapist is conducting a group therapy session in which one of the participants is an adult who has been diagnosed with narcissistic personality disorder. The nurse recognizes the significance of childhood experiences in the etiology of personality disorders, which for this client may have included what pattern? a. The client's parent catered to the client's every need and the client used temper tantrums to successfully get the client's way. b. The client's parents had excessively high performance expectations of the client and failure was met with severe sanctions. c. The client's parent was a rigid disciplinarian who demanded complete subservience from both the client and the client's other parent. d. The client's parent was in a constant state of crisis and depended heavily on the client for emotional support.

a

The school nurse is observing children in a classroom at the teacher's request. The teacher has concerns that one child is continuously disruptive. The nurse observes that the child sits alone without an obvious friend. The child goes to a group of classmates using building blocks. The child knocks down the tower and blames another child for the mishap. The teacher intervenes and the child is immediately argumentative with the teacher. The child has an angry outburst and kicks the blocks while walking away. Which disorder does the nurse identify from the child's behavior? a. Oppositional defiant disorder b. Antisocial personality disorder c. Obsessive compulsive disorder d. Attention deficit hyperactivity disorder

a

To be diagnosed with antisocial personality disorder (APD) as an adult, characteristics of which mental health disorder must be met? a. Conduct disorder b. Schizophrenia c. Obsessive-compulsive disorder d. Histrionic disorder

b

Which defense mechanism is used by people diagnosed with borderline personality disorder to protect their fragmented self-image? a. Compensation b. Projective identification c. Regression d. Repression

d

Which is the main reason why the periodic team meetings are important when caring for a client with antisocial personality? a. The team needs to consider updating treatment recommendations as the client improves. b. Rotating team members need to be apprised of the care planned for the client. c. Staff frustrations in caring for the client need to be processed. d. Team consistency is important to prevent manipulation by the client.

c

Which occurs when thinking, feeling, or behaviors occur outside a person's awareness? a. Affective instability b. Impulsivity c. Dissociation d. Dichotomous thinking

a

Which of the following behavioral patterns noted in clients diagnosed with borderline personality disorder (BPD) is associated with learned helplessness? a. Active passivity b. Emotional vulnerability c. Self-invalidation d. Apparent competence

c

Which of the following primary characteristics of borderline personality disorder is evidenced by erratic emotional responses to situations with intense sensitivity to criticism? a. Identity diffusion b. Dissociation c. Affective instability d. Self-harm