Psychiatric - Chp 18
The psychiatric nurse is prepared to help a stressed client diagnosed with a personality disorder to manage his inability to control his ... a) Depression b) Anger c) Anxiety d) Shyness
b) Anger
Which of the following personality characteristics is most likely to predispose an individual to medication abuse? a) Desire to inflict pain upon oneself b) Histrionic personality disorder c) Passive-aggressive personality disorder d) Low self-esteem
d) Low self-esteem
A 27-year-old client who has been diagnosed with passive-aggressive personality disorder has a pattern of being late for counseling appointments or cancelling at the last minute. As a result, the counselor has set a limit with the client specifying that she will forfeit her appointment if she is more than 5 minutes late for an appointment. Today, the client has come to the counselor's office more than 10 minutes late, at which point the counselor has reminded her of this limit. Which of the following responses would be most consistent with this client's diagnosis? a) "Oh my gosh, I'm so sorry but it totally wasn't my fault because traffic was a complete nightmare." b) "I apologize completely and this time I really promise that it will never happen again." c) "You're still getting paid for this appointment so what difference does it make?" d) "Whatever. No skin off my back."
a) "Oh my gosh, I'm so sorry but it totally wasn't my fault because traffic was a complete nightmare."
A nurse is assessing a client diagnosed with obsessive-compulsive personality disorder (OCPD). Which of the following would the nurse expect to find? Select all that apply. a) Adherence to a highly structured life b) Ease in ability to complete tasks. c) Need for perfection d) Open to new ideas e) Overly moralistic
a) Adherence to a highly structured life c) Need for perfection e) Overly moralistic
Assessment reveals that a client with antisocial personality disorder has a difficult temperament. Which of the following would the nurse identify as being a key behavior? Select all that apply. a) Aggression b) Adaptability c) Impulsivity d) Inattention e) Hyperactivity
a) Aggression c) Impulsivity d) Inattention e) Hyperactivity
A nurse suspects that a child has oppositional defiant disorder. When reviewing the child's history, which of the following would support this suspicion? Select all that apply. a) Angry outbursts b) Cruelty to animals c) Disobedience d) Blaming others for problems e) Destruction of property
a) Angry outbursts c) Disobedience d) Blaming others for problems
The nurse is interviewing a client with a history of violence. He boasts that he "put a kid in a wheelchair" once when he was younger and has maimed others. He states, "Who cares? Life's tough." Violence and insensitivity are associated with which of the following personality disorders? a) Antisocial personality disorder b) Histrionic personality disorder c) Schizoid personality disorder d) Borderline personality disorder
a) Antisocial personality disorder
Avoidant, dependent, and obsessive-compulsive personality disorders are characterized by which of the following? a) Anxious or overcontrolled behaviors b) Odd or eccentric behaviors c) Manic or withdrawn behaviors d) Dramatic or erratic behaviors
a) Anxious or overcontrolled behaviors
The mental health nurse whose client population has substantial number of Asian and Arab clients ensures effective nursing care best by being ... a) Aware of the how each client's personality has been affected by his or her cultures values and beliefs. b) Careful to treat both populations with respect to their culturally driven health care preferences c) Careful to be culturally sensitive when assessing the clients and planning therapeutic nursing care d) Aware of the importance culture has on the development of an individual emotionally
a) Aware of the how each client's personality has been affected by his or her cultures values and beliefs.
Suicide risk is highest among clients who have been diagnosed with which of the following? a) Borderline personality disorder b) Schizoid personality disorder c) Obsessive-compulsive personality disorder d) Paranoid personality disorder
a) Borderline personality disorder
Clients with borderline personality disorder (BPD) will often engage in self-harming behaviors just as they are about to achieve a goal. Some examples of self-harming behaviors are which of the following? Select all that apply. a) Burning finger tips b) Dislocating shoulder when playing baseball c) Pulling on one's hair d) Cutting own wrists e) Breaking arm when accidentally falling off the curb
a) Burning finger tips c) Pulling on one's hair d) Cutting own wrists
A nurse is preparing for a discussion on dependent personality disorder. Which of the following terms would the nurse use when describing clients with this disorder? Select all that apply. a) Conciliatory b) Competitive c) Self-assurance d) Placating e) Compliant
a) Conciliatory d) Placating e) Compliant
The way in which personality disorders are different from personality traits is best described as follows: a) Disorders cause impairment in social and occupational functioning, whereas traits do not. b) Disorders are usually more long-term than are traits. c) Traits usually cause the person a great deal of difficulty but only sporadically. d) Disorders are usually evident earlier in the person's development than are traits.
a) Disorders cause impairment in social and occupational functioning, whereas traits do not.
A nurse is preparing a teaching plan for a client with antisocial disorder. Which of the following would the nurse most likely employ to promote successful education? a) Engaging the client in a discussion to direct the topic to the client. b) Establishing general goals for teaching c) Using a lecture approach to provide information d) Allowing the client to guide the teaching to other topics.
a) Engaging the client in a discussion to direct the topic to the client.
Clients with borderline personality disorder commonly exhibit which of the following symptoms? Select all that apply. a) Fear of abandonment b) Constant need for reassurance c) Extreme feelings of being loved and valued d) Pattern of getting along well with diverse groups of people e) History of unstable, insecure attachments
a) Fear of abandonment b) Constant need for reassurance e) History of unstable, insecure attachments
Which of the following personality disorders is diagnosed more often in women? a) Histrionic b) Antisocial c) Narcissistic d) Schizoid
a) Histrionic
Cluster B disorders are characterized by dramatic, emotional, or erratic behavior. Which of the following personality disorders would be a Cluster B disorder? a) Narcissistic personality disorder b) Schizoid personality disorder c) Obsessive-compulsive personality disorder d) Paranoid personality disorder
a) Narcissistic personality disorder
A nurse caring for a client with borderline personality disorder (BPD) consistently informs the client of the length of the relationship and routinely prepares the client for termination and the end of hospitalization. Which of the following is the nurse trying to prevent? a) Pain of abandonment b) Depression c) Mania d) Self-harm of the client
a) Pain of abandonment
Which personality disorder is characterized by an alteration between hostile self-assertion, such as stubbornness, and excessive dependence? a) Passive-aggressive b) Dependent c) Histrionic d) Narcissistic
a) Passive-aggressive
A nurse is assessing a client diagnosed with a narcissistic personality disorder. Which characteristic would the nurse expect to find? Select all that apply. a) Patronizing attitude b) Unrealistic grandiosity c) Extremely gullible d) Need for constant attention e) Snobbish appearance
a) Patronizing attitude b) Unrealistic grandiosity e) Snobbish appearance
When assessing a client with borderline personality disorder, which of the following behaviors would the nurse expect to find? Select all that apply. a) Repeated, frequent crisis episodes b) Intense personal awareness c) Deceptive competence d) Learned helplessness e) Self-directed anger
a) Repeated, frequent crisis episodes c) Deceptive competence d) Learned helplessness e) Self-directed anger
The nurse is admitting a client with histrionic personality disorder to the inpatient unit. The nurse would anticipate that this client may exhibit which behavior? a) Self-dramatization b) Perfection c) Manipulation d) Distrust
a) Self-dramatization
A client on an inpatient psychiatric unit has features of borderline personality disorder: She is frequently angry, has an unstable sense of herself, and is highly impulsive. She can be verbally abusive to staff, who feel manipulated by her behaviors. Which of the following interventions does the nurse determine as a priority? a) Setting limits b) Stress management techniques c) Social skills training d) Increased recreational therapy
a) Setting limits
Which of the following occurs when a client tends to adore and idealize other people even after a brief acquaintance but then quickly leaves them if these others do not met the client's expectations in some way? a) Splitting b) Thought stopping c) Positive self-talk d) Decatastrophizing
a) Splitting
The nurse is providing care for a client who has been diagnosed with antisocial personality disorder. Which of the following outcomes should the nurse prioritize when planning this client's care? a) The client will exhibit increased impulse control. b) The client will use the support system without becoming overly dependent on it. c) The client will establish an adequate balance of rest, sleep, and activity. d) The client will be free from self-inflicted harm.
a) The client will exhibit increased impulse control.
The treatment plan for which of the following clients would most likely include a family treatment approach? a) Those with dependent personality disorders b) Those with paranoid personality disorders c) Those with schizotypal personality disorders d) Those with antisocial personality disorders
a) Those with dependent personality disorders
The nurse can usually assess the mood of a person who suffers from borderline personality disorder (BPD) by observing which of the following? Select all that apply. a) Blood pressure b) Appearance c) Adherence to medication therapy d) Activity level
b) Appearance d) Activity level
A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder? a) Depression b) Avoidant personality disorder c) Anxiety d) Substance abuse
b) Avoidant personality disorder
A mental health nurse is working with a client with antisocial personality disorder. The nurse has just reviewed the unit rule of one cigarette per break. While telling him about the unit rules, he asks, "Well, if I have not done anything bad all day, can I have two cigarettes instead of one?" The most therapeutic nursing response would be which of the following? a) "Well, that's a good question. I need to check with the team." b) "No, only one cigarette is allowed per break time." c) "It depends on whether or not we can make that exception that day." d) "This is a good example of trying to push your limits."
b) "No, only one cigarette is allowed per break time."
The nurse is caring for a client with antisocial personality disorder. Which statement is most appropriate for the nurse to make when explaining unit rules and expectations to the client? a) "I and other members of the health care team would like you to attend group therapy each day." b) "You'll be expected to attend group therapy each day." c) "Please try to attend group therapy each day." d) "You'll find your condition will improve much faster if you attend group therapy each day."
b) "You'll be expected to attend group therapy each day."
Treatment approaches for clients with personality disorders generally rely on which of the following modalities? a) Cognitive-behavioral therapy b) A combination of approaches c) Pharmacotherapy d) Individual therapy
b) A combination of approaches
People who are impulse-driven and have difficulty delaying gratification frequently participate in which of the following behaviors? Select all that apply. a) Fasting on religious holidays b) Binge eating c) Abusing alcohol d) Gambling e) Shopping beyond their means
b) Binge eating c) Abusing alcohol d) Gambling e) Shopping beyond their means
A 30-year-old woman who lives alone in an apartment has been involved in several conflicts with her next door neighbor over the volume of the woman's music. The woman is severely distraught about the stress and emotional burden brought on by these conflicts and has confided in her sister that she may have to "end it all" in order to escape from her "nightmare." The woman's behavior is consistent with which of the following? a) Paranoid personality disorder b) Borderline personality disorder c) Antisocial personality disorder d) Schizotypal personality disorder
b) Borderline personality disorder
A personality disorder is defined as a collection of personality traits that is what? a) Leading to withdrawn and antisocial behavior b) Causing behavioral dysfunction and inner distress c) Leading to aggression and violence d) Malleable and poorly defined
b) Causing behavioral dysfunction and inner distress
A nurse is explaining the differences between obsessive compulsive disorder (OCD) and obsessive compulsive personality disorder (OCPD) to a group of nursing students. Which of the following would the nurse most likely include? a) Clients with OCPD experience obsessions and compulsions to a lesser degree. b) Clients with OCPD are able to delay satisfaction. c) Clients with OCPD experience obsessions but not compulsions. d) Clients with OCD are preoccupied with orderliness and perfection.
b) Clients with OCPD are able to delay satisfaction.
Mandy is a 29-year-old woman who is having a great deal of difficulty with her job. She has been unable to make decisions on her own and feels overwhelmed when she needs to begin a new project. She often relies on one of her co-workers to help her with her decisions and projects. What condition is Mandy suffering from? a) Histrionic personality disorder b) Dependent personality disorder c) Schizotypal personality disorder d) Narcissistic personality disorder
b) Dependent personality disorder
When reviewing the history of a client with antisocial personality disorder, which of the following would the nurse expect to find? Select all that apply. a) Detailed plans for future actions b) Episodes involving scams for personal gain c) Consistent regular work history d) Repeated incidents involving assaults e) Lack of remorse for actions
b) Episodes involving scams for personal gain d) Repeated incidents involving assaults e) Lack of remorse for actions
The nurse in charge of an inpatient psychiatric unit finds herself frustrated and angry with a client who has borderline personality disorder. Which of the following steps should the nurse take? a) Confront the client firmly but compassionately about how the client's behavior makes her feel. b) Examine her own feelings to discover the source of her anger. c) Ignore the feelings and move on; clients with borderline personality disorder can be very difficult at times. d) Direct the client to another staff member when the client tries to interact.
b) Examine her own feelings to discover the source of her anger.
Sandra is a 36-year-old woman who tends to be highly emotional. She strives to be the center of attention whenever other people are around. At work, she often flirts with her boss in an attempt for approval. What condition is Sandra suffering from? a) Narcissistic personality disorder b) Histrionic personality disorder c) Schizoid personality disorder d) Schizotypal personality disorder
b) Histrionic personality disorder
When developing the plan of care for a client with schizoid personality disorder, which of the following would the nurse identify as a goal? Select all that apply. a) Demonstrate mature problem solving skills b) Increase emotional responsiveness to others c) Reduce social isolation d) Develop a positive self-concept e) Enhance the experience of pleasure
b) Increase emotional responsiveness to others c) Reduce social isolation e) Enhance the experience of pleasure
After teaching a group of nursing students about different personality disorders, the instructor determines that the education was successful when the students identify which of the following as characteristic of schizotypal personality disorder? a) Flatness b) Increased eccentricity c) Normal mannerisms d) Neatly dressed appearance
b) Increased eccentricity
What are some examples of problems that clients with borderline personality disorder (BPD) encounter related to daily living? Select all that apply. a) Having low self-esteem b) Keeping a job c) Living within the law d) Maintaining intimate relationships
b) Keeping a job c) Living within the law d) Maintaining intimate relationships
A nurse is teaching parents of a child with a disruptive behavior disorder how to use "time out." The nurse determines the education was successful when the parents identify which of the following as the first step? a) Instituting the time out b) Labeling the behavior c) Identifying the consequence of the unacceptable behavior d) Giving the child a warning
b) Labeling the behavior
After reviewing the different types of personality disorders, a group of nursing students demonstrates understanding when they identify which of the following as being associated with emotional volatility? Select all that apply. a) Avoidant b) Narcissistic c) Dependent d) Histrionic e) Obsessive-compulsive
b) Narcissistic d) Histrionic
When describing the etiology of pyromania to group of nurses, which neurotransmitter would the nurse identify as being linked to this disorder. Select all that apply. a) Epinephrine b) Norepinephrine c) Serotonin d) Dopamine e) GABA
b) Norepinephrine c) Serotonin
The nurse working with clients who have borderline personality disorder (BPD) understands that they need help to both recognize genuine respect from others as well as reciprocate that respect for others. How can the nurse model self-respect? Select all that apply. a) Independently make all decisions. b) Observe personal limits. c) Be assertive. d) Clearly communicate expectations. e) Let the client make all the decisions.
b) Observe personal limits. c) Be assertive. d) Clearly communicate expectations.
Which of the following personality disorders is characterized by mistrust and suspiciousness of others? a) Dependent b) Paranoid c) Histrionic d) Narcissistic
b) Paranoid
Cheryl has borderline personality disorder and lives at home with her parents. She has been in the psychiatric unit for 2 weeks and is scheduled to be discharged tomorrow. Which of the following would be most therapeutic when Cheryl's parents come in to discuss discharge plans? a) Attempt to discuss placing Cheryl into an assisted living environment b) Provide empathy to the parents, educate them about borderline personality disorder, and discuss their concerns about caring for Cheryl when she gets home c) Ask the parents how they have coped with Cheryl's behaviors over the years d) Encourage the parents to discuss the possibility of Cheryl going into a day-care program when she goes home
b) Provide empathy to the parents, educate them about borderline personality disorder, and discuss their concerns about caring for Cheryl when she gets home
Susan has been admitted to the inpatient unit for treatment of borderline personality disorder. Prior to admission, she was found in her parents' bedroom, burning her arm with an iron. This injury required a brief stay in the hospital's burn unit prior to transfer to your psychiatric unit. Which of the following is your highest nursing care priority, based on the above information, for Susan during the first 24 hours of her admission? a) Suicidal assessment b) Safety and protection from self-harm c) Impulse control d) Working on Susan's self-esteem
b) Safety and protection from self-harm
A client in the emergency department has self-inflicted wounds on both arms. Assessment reveals that the client was diagnosed with borderline personality disorder 6 months ago, for which she has been receiving outpatient treatment. Today, she appears anxious and tells the nurse that her therapist recently announced a move to another city and that the client would need to find another therapist. What is the highest priority nursing diagnosis for this client? a) Stress b) Self-mutilation c) Loneliness d) Anxiety
b) Self-mutilation
A nurse is providing care to a client diagnosed with histrionic personality disorder. Which of the following would the nurse need to keep in mind? Select all that apply. a) The client is rarely influenced by others. b) The client's behavior continually centers the attention on themselves. c) The client is quick to trust others. d) The client's interests are focused on their own desires. e) The client's needs are highly flexible.
b) The client's behavior continually centers the attention on themselves. c) The client is quick to trust others. d) The client's interests are focused on their own desires.
The nurse-therapist is conducting a group therapy session in which one of the participants is a male 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 parents had excessively high performance expectations of him and failure was met with severe sanctions. b) The client's mother catered to his every need and the client used temper tantrums to successfully get his way. c) The client's father was a rigid disciplinarian who demanded complete subservience from both his son and the client's mother. d) The client's mother was in a constant state of crisis and depended heavily on her son for emotional support.
b) The client's mother catered to his every need and the client used temper tantrums to successfully get his way.
A technique used to help the client with borderline personality disorder (BPD) control the inappropriate expression of feelings by identifying what feelings and thoughts exist together and then engage in a distracting activity is known as what? a) Delay gratification b) Thought stopping c) Communication triad d) Affective instability
b) Thought stopping
The use of pharmacotherapy in the treatment of personality disorders is considered to be a) Only minimally effective due to severe side effects b) Used in addition to psychotherapy c) Well accepted by the clients d) The primary treatment modality
b) Used in addition to psychotherapy
A nursing instructor is teaching students about borderline personality disorder (BPD) and identifies a need for further instruction when a student makes which statement? a) "People with BPD are usually part of an already chaotic family." b) "When a family member of a client with BPD withdraws, it can lead to more fears on the part of the client." c) "Family members feel the need to disagree with the client with BPD to help make them resilient." d) "People with BPD can add to the chaos of an already chaotic family."
c) "Family members feel the need to disagree with the client with BPD to help make them resilient."
A client with paranoid personality disorder is admitted to a psychiatric facility. Which statement by the nurse would best establish rapport and encourage the client to confide in the nurse? a) "It bothers me when I think people are talking about me." b) "I know how you feel. I'd feel the same way in your situation." c) "I get upset once in a while, too." d) "It's normal not to trust anyone."
c) "I get upset once in a while, too."
The adult children of a woman with narcissistic personality disorder meet with the therapist as part of their mother's treatment. The nurse is not surprised when the daughter makes which of the following comments that describes behavior typical of the client with this disorder? a) "My mother never had any family or friends over to the house." b) "My mother was constantly threatening to commit suicide." c) "My mother never really seemed to see me as a person with my own thoughts and problems." d) "My mother was always timid and fearful."
c) "My mother never really seemed to see me as a person with my own thoughts and problems."
After teaching a group of nursing students about kleptomania, the instructor determines that the education was successful when the students state which of the following? a) Anxiolytics are the drug of choice for treatment. b) Information related to treatment is widespread. c) The disorder is difficult to detect and treat. d) Psychoanalytic approaches are frequently used.
c) The disorder is difficult to detect and treat.
The nurse is educating the parents of a client with a personality disorder. They are concerned that their 22-year-old son has never shown an interest in a romantic relationship, has no real hobbies or friends, and is happy being the only guard in a factory on the night shift. Which of the following potential comments by the nurse is accurate? a) "People with antisocial personality disorder, which your son has, tend to be lifelong loners." b) "People with histrionic personality disorder, which your son has, tend to be lifelong loners." c) "People with schizoid personality disorder, which your son has, tend to be lifelong loners." d) "People with dependent personality disorder, which your son has, tend to be lifelong loners."
c) "People with schizoid personality disorder, which your son has, tend to be lifelong loners."
A client who has a diagnosis of histrionic personality disorder has an established pattern of portraying herself as "the exception to the rule" in the course of her care and treatment. Today, the client has returned to the inpatient unit and has been confronted by the nurse with the fact that she neither got a pass nor told anyone that she was leaving. The client has responded, "But those rules are more for the schizophrenics and crazy people, right?" How should the nurse respond? a) "If you want an exemption, I can ask the psychiatrist but there are no guarantees." b) "What would make you think that? You're supposed to behave the same as anyone else here." c) "The rules apply to everybody equally and you're expected to follow them." d) "Even though there's no real safety risk in your case, I'd appreciate it if you tried to remember next time."
c) "The rules apply to everybody equally and you're expected to follow them."
The etiology of personality disorders is thought to be which of the following? a) Related to substance abuse b) Genetic c) A combination of psychosocial and biologic variables d) Related to childhood abuse, neglect, and trauma
c) A combination of psychosocial and biologic variables
A client is admitted to the psychiatric unit with a diagnosis of borderline personality disorder. The nurse expects the assessment to reveal a) Attention-seeking behaviors b) Disregard for the rights of others c) Acute discomfort in relationships d) Preoccupation with orderliness
c) Acute discomfort in relationships
A client is diagnosed with paranoid personality disorder. Which of the following would the nurse expect to assess? Select all that apply. a) Warm and full of humor b) Outwardly passive c) Anger as a emotional response d) Tendency to be rigid and controlling e) Distancing self from others
c) Anger as a emotional response d) Tendency to be rigid and controlling e) Distancing self from others
The nurse is in the process of planning the care of a psychiatric-mental health client and has specified the following outcome: The client will be free from self-inflicted harm. What is this client's most likely diagnosis? a) Antisocial personality disorder b) Schizoid personality disorder c) Borderline personality disorder d) Dependent personality disorder
c) Borderline personality disorder
The nurse is counseling a 28-year-old client, Carol, with avoidant personality disorder. Carol has a good job and can superficially participate in social situations; however, she avoids them to the extent possible and frequently is anxious and lonely. Carol would like to accept a job promotion and eventually have a husband and family, but she can't because of the symptoms associated with avoidant personality disorder. Which of the following therapeutic goals does the nurse establish as a priority? a) Carol will become more perceptive about social situations. b) Carol will form a romantic relationship. c) Carol will experience increased self-esteem. d) Carol will be able to accept her job promotion.
c) Carol will experience increased self-esteem.
A nurse is assessing a client with borderline personality disorder. During the assessment the nurse notes that the client is using projective identification. Which of the following would support this interpretation? a) Client is unable to control emotional reactions in social situations b) Client misinterprets environmental stimuli c) Client attributes own feelings falsely to others. d) Client lacks a definitive sense of self
c) Client attributes own feelings falsely to others.
Which personality disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy? a) Dependent b) Histrionic c) Narcissistic d) Obsessive-compulsive
c) Narcissistic
Mark is a 25-year-old man who is suspicious of his friends and wife. He constantly accuses his wife of cheating on him even though she has always been faithful to him. He accuses his friends of making statements that are insulting to his character. What condition might Mark be suffering from? a) Antisocial personality disorder b) Schizotypal personality disorder c) Paranoid personality disorder d) Schizoid personality disorder
c) Paranoid personality disorder
A client is admitted with a diagnosis of schizotypal personality disorder. Which characteristic would this client exhibit during social situations? a) Trusting behaviors b) Perfectionism c) Paranoid thoughts d) Dependency needs
c) Paranoid thoughts
A nurse is working with a group of school-age children diagnosed with disruptive behavior disorders. Based on the nurse's understanding of these disorders, which of the following would the nurse identify as the most effective psychosocial intervention for this group? a) Social skills training b) Problem solving therapy c) Parent education d) Family therapy
c) Parent education
The sum of each person's unique biopsychosocial characteristics is known as which of the following? a) A psychological profile b) Physical appearance c) Personality d) Genetic traits
c) Personality
Which of the following statements accurately reflects the prognosis for a client with a personality disorder? a) The prognosis for personality disorders is poor, even with very long-term therapy. b) Clients with personality disorders have a fairly good prognosis even without therapy. c) Prognosis varies based on the degree of functional impairment and the client's motivation to change. d) Clients make the most improvement with short-term insight-oriented therapy.
c) Prognosis varies based on the degree of functional impairment and the client's motivation to change.
Behavior and characteristics of individuals with personality disorders are best described as a) provocative. b) obnoxious and irritating. c) rigid and inflexible. d) controlling.
c) rigid and inflexible.
A nursing instructor is teaching about using behavioral interventions when caring for clients with borderline personality disorder. Which statement by a student indicates a need for further instruction? a) "In some instances, negative responses can be viewed as positive reinforcement." b) "Sometimes it is best to confront a client about irritating behaviors." c) "Sometimes it is best to just ignore a client's irritating behaviors." d) "Grossly disrespectful behaviors are better ignored."
d) "Grossly disrespectful behaviors are better ignored."
A nurse is preparing a presentation for a group of staff nurses on personality disorders. When describing antisocial personality disorders, the nurse would explain that for a person to be diagnosed with the disorder, the person must be at least which age? a) 15 years b) 21 years c) 25 years d) 18 years
d) 18 years
Which of the following diagnoses is associated with a pervasive disregard for and violation of the rights of others? a) Borderline personality b) Passive-aggressive personality c) Schizoid personality d) Antisocial personality
d) Antisocial personality
Which of the following is the priority nursing intervention for a client diagnosed with depressive personality disorder? a) Foster self-reliance b) Use a matter-of-fact approach c) Limit setting d) Assess self-harm risk
d) Assess self-harm risk
Which personality disorder is most commonly found in clinical settings? a) Antisocial personality b) Narcissistic c) Histrionic personality d) Borderline personality
d) Borderline personality
A client is admitted to the mental health unit after his wife brings him to the emergency department. Upon arrival the wife explained that her husband had been crying all weekend and stating that he wanted to die. Upon further assessment the wife reports that her husband always has difficulty controlling his anger, and frequently worries that she will leave him. Recently, he has been getting drunk every night, which he never used to do. What diagnosis should the nurse suspect applies to this patient? a) Bipolar disorder b) Mania c) Depression d) Borderline personality disorder
d) Borderline personality disorder
The nurse is counseling a 35-year-old man with a personality disorder. He states that his problems are not his fault and that he is a victim of circumstances and "fate." The nurse recognizes that clients who tend to view themselves as victims and assume little responsibility for their problems may have which of the following personality disorders? a) Antisocial personality disorder b) Histrionic personality disorder c) Narcissistic personality disorder d) Borderline personality disorder
d) Borderline personality disorder
A 70-year-old client comes to the clinic with her daughter for group therapy. The client wants the daughter to do everything with her, is afraid to be left alone, and is having difficulty making any decisions for herself. Interventions for this client would center around the diagnosis of which personality disorder? a) Narcissistic b) Schizoid c) Antisocial d) Dependent
d) Dependent
The nurse is conducting an admission assessment of a 41-year-old woman. Each time that the nurse asks the woman a question, she either defers to her husband to answer the question or provides a noncommittal answer that her husband then clarifies. Such behavior is consistent with which of the following personality disorders? a) Borderline personality disorder b) Antisocial personality disorder c) Histrionic personality disorder d) Dependent personality disorder
d) Dependent personality disorder
The psychiatric nurse documents that according to the cognitive development theory, a 20-year-old client who refuses to compromise and consistently demands her own way is exhibiting ... a) The lack of adult logic b) The lack of schemata c) Concrete thinking d) Egocentric behavior
d) Egocentric behavior
Which of the following nursing diagnoses would be least likely to be made when working with a client with personality disorder? a) Risk for Suicide secondary to psychiatric illness b) Ineffective Coping related to maladaptive personality traits c) Noncompliance related to personality disorder d) Ineffective Communication related to lack of orientation to reality
d) Ineffective Communication related to lack of orientation to reality
When the nurse is not informed of developmental and cultural issues related to the client's background, which of the following may be expected? a) The nurse should rely on personal values and standards. b) The nurse should request a change of assignment. c) The meaning of the client's behavior can be derived from conventional wisdom. d) Normal patterns of behavior may be labeled as deviant, immoral, or insane.
d) Normal patterns of behavior may be labeled as deviant, immoral, or insane.
A woman brings her 28-year-old husband into treatment. She states that he makes her produce receipts for all the household items and food that she buys and makes lists and rules for her to follow each week. He refuses to discard old items even though they have no value. She states that they have a "comfortable" income, and she can no longer accept his rigid and controlling behaviors. Based on these data, the nurse suspects that the husband has which of the following? a) Narcissistic personality disorder b) Avoidant personality disorder c) Paranoid personality disorder d) Obsessive-compulsive personality disorder
d) Obsessive-compulsive personality disorder