nr326 week 5 ppt practice questions

Which client is a nurse most likely to admit to an inpatient facility for self-destructive behaviors? A. A client diagnosed with antisocial personality disorder B. A client diagnosed with borderline personality disorder C. A client diagnosed with schizoid personality disorder D. A client diagnosed with paranoid personality disorder

B. a client diagnosed with borderline personality disorder

4. A nurse is caring for a group of clients within the DSM-5 Cluster B category of personality disorders. Which factors should the nurse consider when planning client care? Select all that apply A. These clients have personality traits that are deeply ingrained and difficult to modify. B. These clients need medications to treat the underlying physiological pathology. C. These clients use manipulation, making the implementation of treatment problematic D. These clients have poor impulse control that hinders compliance with a plan of care. E. These clients commonly have secondary diagnoses of substance abuse and depression.

A,C,D,E

An individual, with a history of antisocial personality disorder, was arrested for driving under the influence of alcohol and causing a serious car accident. Which comment on this behavior would be expected? A. "It's not my fault." B. "I'm too ashamed to talk about it." C. "I just don't remember doing it." D. "I'm really sorry about all the people I've hurt."

A. its not my fault

Behavior of antisocial personality to exhibit? A. lack of remorse B. self-mutaliation C. Delusional behavior D. splitting

A. lack of remorse

A client diagnosed with a personality disorder is cold, aloof, and avoids others on the unit. The nurse recognizes that this behavior is symptomatic of which personality disorder? A. Schizoid personality disorder B. Dependent personality disorder C. Borderline personality disorder D. Antisocial personality disorder

A. schizoid personality disorder

Manifestation of borderline personality disorder? A. self-mutilation B. submission C. exploitations of others D. reclusive behavior

A. self-mutualization

A RN is observing a pt with histrionic personality disorder. Which of the following behaviors should the RN expect? A. the client whispers in the providers ear B. The client refuses to provide her telephone number C. the client has diminished facial expressions D. the client asks if she is doing the right thing 3 times during the appointment

A. the client whispers in the providers ear

When assessing a client diagnosed with narcissistic personality disorder, the nurse expects to identify which characteristic behavior? A. Odd beliefs and magical thinking B. Grandiose sense of self importance C. Pattern of intense and chaotic relationships D. Submissive and clinging behaviors

B. Grandiose sense of self-importance

Which is characteristic of the diagnosis of anorexia nervosa? A. Obsession with weight gain B. Body image disturbance C. Disregard for the feelings of others D. Healthy family relationships

B. body image disturbance

The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team calls for a family meeting. Which is the appropriate nursing reply? A. "Tell me why this family meeting is causing you to be defensive. All clients are required to participate in two family sessions." B. "Family intervention and support are important in your child's recovery." C. "Family dynamics are not linked to eating disorders. The meeting is to provide your child with family support." D. "Clients diagnosed with anorexia nervosa are part of the family system, and any alteration in family processes needs to be addressed." ANS: B

B. family intervention and support are important in your childs recovery

Care for a pt with borderline personality disorder exhibits a pattern of of playing staff against one another. A. have the same staff member work with client on long-term basis B. Sit down and listen to clients feelings about other staff C. Explore with the client the use of clinging and distant behavior D. Arrange for client to share complaints

C. explore

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe? A. Predictability B. Controlled anger C. Little tolerance for being alone D. Stable and satisfactory relationships

C. little tolerance for being alone

RN caring for patient with borderline personality disorder engaging in self-mutilation. Which treatment should the RN take? A. restrict participation in group therapy B. Establish consequences C. maintain close observation D. provide unstructured environment

C. maintain close observation

Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client's home environment should a nurse associate with the development of this disorder? A. The home environment maintains loose personal boundaries. B. The home environment places an overemphasis on food. C. The home environment is overprotective and demands perfection. D. The home environment condones corporal punishment.

C. the home environment is overprotective and demands perfection

A nurse responsible for conducting group therapy on an eating disorder unit schedules the sessions immediately after meals. Which is the best rationale for scheduling group therapy at this time? A. To shift the clients' focus from food to psychotherapy B. To prevent the use of maladaptive defense mechanisms C. To promote the processing of anxiety associated with eating D. To focus on weight control mechanisms and food preparation

C. to promote the processing of anxiety associated with eating

A client diagnosed with borderline personality disorder is admitted to a psychiatric unit. Which behavior pattern would the nurse expect to observe? A. Social isolation B. Suspiciousness of others C. Bizarre speech patterns D. Generates conflict among the staff

D. generates conflict among staff

he nurse plans to confront a client about secondary gains related to extreme dependency on her spouse. Which nursing statement would be most appropriate? A. "Do you believe dependency issues have been a lifelong concern for you?" B. "Have you noticed any anxiety during times when your husband makes decisions?" C. "What do you know about individuals who depend on others for direction?" D. "How have the specifics of your relationship with your spouse benefited you?"

D. how have the specifics of your relationship with your spouse benefited you?

A client is 5'8'' tall and weighs 105 pounds. The client has been taking laxatives daily, and self-induces vomiting after eating. Which is the priority nursing diagnosis for this client? A. Ineffective denial B. Disturbed body image C. Low self-esteem D. Imbalanced nutrition: less than body requirements

D. imbalanced nutrition

A nurse is working with a client who exhibits extreme superstition, elaborative speech patterns, and erratic behavior. The RN should identify this behavior as which of the following personality disorder? A. Paranoid B. Histronic C. Antisocial D. Schizotypical

D. schizotypical

Which assessment finding would the nurse expect in clients diagnosed with bulimia? A. They are below normal weight. B. They binge when they experience hunger. C. They will be highly motivated to seek help. D. They are within their normal weight range.

D. they are within normal wt. range

Plan of care for borderline personality disorder. Which intervention includes to address limit-setting? A. Teach the client to use reaction formation for behavior control B. Recommend the the client to attend assertive training C. Establish and explain consequences D. Encourage socialization

c. establish and explain consequences