Quiz 4 Mental Health

A college student is brought to the mental health clinic by the parents. The diagnosis is borderline personality disorder. Which factors in the client's history support this diagnosis? Select all that apply. 1. Impulsiveness 2. Lability of mood 3. Ritualistic behavior 4. Psychomotor retardation 5. Self-destructive behavior

1. Impulsiveness 2. Lability of mood 5. Self-destructive behavior

A client with a personality disorder tells a nurse, " I want to tell you something, but you must promise to keep it a secret." Which response could lead to splitting among the staff? 1. "I am part of a team that shares important information about clients." 2. "Your comments will be kept confidential because I am your advocate." 3. "I cannot promise to keep what you say confidential from the rest of the staff." 4. "Trust me to do what is in your best interests with the information, which includes discussing it with the team."

2. "Your comments will be kept confidential because I am your advocate."

The nursing staff is discussing the best way to develop a relationship with a new client who has antisocial personality disorder. What characteristic of clients with antisocial personality should the nurses consider when formulating a plan of care? 1. Engages in many rituals 2. Feels independent from others 3. Exhibits lack of empathy for others 4. Possesses limited communication skills

3. Exhibits lack of empathy for others

A client has the diagnosis of histrionic personality disorder. Which behavior should the nurse expect when assessing this client? 1. Boastful and egotistical 2. Rigid and perfectionistic 3. Extroverted and dramatic 4. Aggressive and manipulative

3. Extroverted and dramatic

The clients on a mental health unit go on a supervised day trip to a baseball game. When returning to the bus, a client with a narcissistic personality disorder insists on leaving the group to get an autograph from a player. What is the most appropriate response by the nurse? 1. Hold the client by the arm to prevent leaving the group. 2. Instruct the client with a loud voice to get in the bus so the group can go home. 3. Inform the client in a matter-of-fact tone that everyone must remain with the group. 4. Tell the client that the baseball player will not be permitted to give anyone an autograph.

3. Inform the client in a matter-of-fact tone that everyone must remain with the group.

A nurse begins a relationship with a client with the diagnosis of schizotypal personality disorder. What is the best initial nursing action? 1. Set limits on manipulative behavior. 2. Encourage participation in group therapy. 3. Respects the client's need for social isolation. 4. Recognize that seductive behavior is expected.

3. Respects the client's need for social isolation.

A client with borderline personality disorder receives the wrong meal tray for lunch and angrily states, "The next time I see the dietician, I am going to throw this tray at her!" What is the nurse's most appropriate response? 1. Suggest that the client calm down and explain that sometimes trays get mixed up. 2. Inform the client that the behavior is inappropriate and send the client out of the dining room. 3. Tell the client it is frustrating not to get the correct tray, but throwing the tray at the dietician is unacceptable behavior. 4. Inform the client that throwing the tray at the dietician will make matters worse and may result in being placed in seclusion.

3. Tell the client it is frustrating not to get the correct tray, but throwing the tray at the dietician is unacceptable behavior.

A nurse is caring for a client with antisocial personality disorder. What client characteristic should the nurse consider when formulating a plan of care? 1. Suffers from extreme anxiety 2. Rapidly learns by experience if punished 3. Usually is unable to postpone gratification 4. Has a great sense of responsibility toward others

3. Usually is unable to postpone gratification

A hospitalized client who was diagnosed with a borderline personality disorder consistently breaks the unit's rules. How will confronting the client about this behavior help the client? 1. Controls anger 2. Reduces anxiety 3. Sets realistic goals 4. Becomes more self-aware

4. Becomes more self-aware

An adult is diagnosed with schizotypal personality disorder. How should a nurse describe the client's behavior? 1. Rigid and controlling 2. Submissive and immature 3. Arrogant and attention seeking 4. Introverted and emotionally withdrawn

4. Introverted and emotionally withdrawn

Which nursing intervention is most important for a client who has the diagnosis of antisocial personality disorder? 1. Teach and role-model assertiveness. 2. Use a gentle and reassuring approach. 3. Provide clear boundaries and consequences. 4. Present an empathetic and democratic approach.

4. Present an empathetic and democratic approach.

A nurse is working in the orientation phase of a therapeutic relationship with a client who has borderline personality disorder. What will be most difficult for the client at this stage of the relationship? 1. Controlling anxiety 2. Terminating the session on time 3. Accepting the psychiatric diagnosis 4. Setting mutual goals for the relationship

4. Setting mutual goals for the relationship