MH Module 7 quiz

Dependent personality disorder is grouped into which of the following clusters? Cluster A Cluster B Cluster C Cluster D

Cluster C

When working with a client with a PD the nurse would expect to assess: Select All That Apply: (choose 3) A. High levels of self awareness B. Impaired interpersonal relationships C. Inability to empathize with others D. Minimal insight E. Motivation to change F. Poor reality testing

B. Impaired interpersonal relationships C. Inability to empathize with others D. Minimal insight

A patient with borderline personality disorder says, "I get in trouble sometimes because I make quick decisions and act on them." Select the nurse's most appropriate response: A. "Let's consider the advantages of being able to stop and think before you act." B. "It sounds as though you've developed some insight into your situation." C. "I bet you have some interesting stories to share about overreacting." D. "It's good you're showing readiness for behavioral changes."

A. "Let's consider the advantages of being able to stop and think before you act."

Which personality disorders are generally associated with behaviors described as "odd" or "eccentric"? Select all that apply. A. Paranoid B. Schizoid C. Histrionic D. Obsessive-compulsive E. Avoidant

A. Paranoid B. Schizoid

A patient with narcissistic personality disorder is terminating treatment soon. A nurse considers the plan of care effective when the person exhibits which of the following outcomes? A. The patient can see others as individuals. B. The patient can make social contacts. C. The patient no longer expresses suicidal thoughts. D. The patient agrees to participate in assertiveness training.

A. The patient can see others as individuals.

When a patient with personality disorder begins demonstrating manipulative behavior. Select all nursing actions that are appropriate: A.Ask the patient to think about the consequences of such behavior B. Develop a consistent team approach to handling the patient's behaviors C. Help the patient express anxiety verbally, rather than with inappropriate behaviors D. Provide immediate feedback to the client concerning inappropriate behaviors E. Set limits in a clear and direct manner

A.Ask the patient to think about the consequences of such behavior B. Develop a consistent team approach to handling the patient's behaviors C. Help the patient express anxiety verbally, rather than with inappropriate behaviors D. Provide immediate feedback to the client concerning inappropriate behaviors E. Set limits in a clear and direct manner

Cluster B includes which of the following personality disorders? A. Dependent and obsessive-compulsive personality disorders B. Histrionic and narcissistic personality disorders C. Schizoid and schizotypal personality disorders D. Depersonalization disorder and dissociative identity disorder

B. Histrionic and narcissistic personality disorders

Select the nursing intervention for a patient with mania who is exhibiting manipulative behavior: Communicate expected behaviors to the patient Enforce rules and inform the patient that he or she will not be allowed to attend group therapy sessions Ensure the patient knows that he or she is not in charge of the unit Assist the patient in trying out alternative behaviors for obtaining needs

Assist the patient in trying out alternative behaviors for obtaining needs

Patients who display behaviors such as fighting, lying, and stealing and who were diagnosed with a conduct disorder before age 17 may have which of the following disorders? A. Borderline personality disorder B. Antisocial personality disorder C. Narcissistic personality disorder D. Histrionic personality disorder

B. Antisocial personality disorder

The nurse working with a client with antisocial personality disorder would expect which of the following behaviors? Select All That Apply: A. Compliance with rules and expectations B. Exploitation of other clients C. Seeking special privileges D. Use of rituals to decrease anxiety E. Withdrawal from social activities.

B. Exploitation of other clients C. Seeking special privileges

Personality disorders are defined as traits that cause behavioral dysfunction and inner distress. These personality traits tend to be: A. Highly responsive to treatment B. Fixed and rigid C. Within the expectations of the client's culture D. Caused by other disorders or illnesses

B. Fixed and rigid

A patient diagnosed with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should: A. Maintain a stern and authoritarian affect B. Provide care in a matter-of-fact manner C. Encourage the patient to express anger D. Be very rigid and challenging

B. Provide care in a matter-of-fact manner

A nurse sets limits while interacting with a patient demonstrating behaviors associated with borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was wrong. You're evil!" This outburst can be assessed as: A. Denial B. Splitting C. Defensive D. Reaction formation

B. Splitting

A female patient complains, "Most of the staff don't like me." She states that she can tell when someone is a caring person. The patient is uncertain of what she wants to do with her life and what to do about her "mixed-up feelings" concerning relationships. When told that you'll be on vacation next week, she becomes very angry. Two hours later the patient is found using a curling iron to burn her underarms and inner thighs, claiming, "It makes the numbness stop". Given this presentation, which personality disorder would you suspect? Obsessive-compulsive Borderline Antisocial Schizotypal

Borderline

Medical history shows that a newly admitted patient with borderline personality disorder is impulsive. The nurse would expect behavior characterized by: A. Adherence to a strict moral code B. Manipulative, controlling strategies C. Acting without thought on urges or desires D. Postponing gratification to an appropriate time

C. Acting without thought on urges or desires Postponing gratification to an appropriate time

One month ago, a patient diagnosed with borderline personality disorder and a history of self-injury began dialectic behavior therapy. Today the patient phones a nurse to say, "I feel empty and want to hurt myself." The nurse should: A. Arrange for emergency inpatient hospitalization B. Send the patient to the crisis intervention unit for 8 to 12 hours C. Assist the patient in identifying coping strategies for triggering situations D. Advise the patient to take an anti-anxiety medication to decrease the anxiety level

C. Assist the patient in identifying coping strategies for triggering situations

When a patient diagnosed with borderline personality uses manipulation to get needs met, the nurse applies limit-setting interventions. Which is the correct rationale for this action? A. It provides an outlet for feelings of anger and frustration. B. It respects the patient's wishes, so assertiveness will develop. C. External controls are necessary due to failure of internal control. D. Anxiety is reduced when a nurse assumes responsibility for the patient's behaviors.

C. External controls are necessary due to failure of internal control.

A patient diagnosed with an antisocial personality disorder has commented to three different nurses: "You're a better nurse than the day shift nurse said you are." "Another nurse said you don't do your job right." "You think you're perfect, but I've seen you make three mistakes." Collectively, these interactions can be assessed as: A. Seductive B. Detached C. Manipulative D. Guilt-producing

C. Manipulative

A nurse interviewing a patient diagnosed with schizoid personality disorder states that the person has a flat affect and is not communicative. The nurse accurately attributes this behavior to which of the following causes? A. The comorbid major depression associated with schizoid personality disorder B. The hostility associated with schizoid personalities C. The severely limited social interest associated with schizoid personality disorder D. The paranoid delusions associated with schizoid personality disorder

C. The severely limited social interest associated with schizoid personality disorder

A college has referred a 21-year-old student for psychiatric evaluation. He reports, "I have no friends at school" and "Other students call me 'a loner'. Recently the person has been observed giving lectures to pigeons on campus. He is diagnosed as schizotypal, which differs from schizophrenia since schizotypal patients: Can be made aware of their delusions Are far more delusional than schizophrenics Have a greater need for socialization Do not usually respond to antipsychotic medications

Can be made aware of their delusions

Odd, eccentric, cold, withdrawn, and irrational describe symptoms associated with which cluster of personality disorders? Cluster A Cluster B Cluster C Cluster D

Cluster A

When assessing a patient diagnosed with a borderline personality disorder, which statement by the person warrants immediate attention? A. "My mother died ten years ago." B. "I haven't needed medication in weeks." C. "My dad never loved me." D. "I'd really like to hurt her for hurting me."

D. "I'd really like to hurt her for hurting me."

While preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include: A. Preoccupation with minute details and perfectionism B. Charm, drama, seductiveness, and admiration-seeking C. Difficulty being alone, indecisiveness, and submissiveness D. Grandiosity, attention-seeking, and arrogance

D. Grandiosity, attention-seeking, and arrogance

A therapist recently convicted of multiple counts of Medicare fraud says, "Sure, I overbilled. Why not? Everyone else takes advantage of the government, so I did too." These statements reveal: A. Shame B. Suspiciousness C. Superficial remorse D. Lack of guilt feelings

D. Lack of guilt feelings

Personality disorders often co-occur with mood and eating disorders. A young female is undergoing treatment at an eating disorders clinic, and a nurse suspects the person may also have a Cluster B personality due to the patient's: Desire to avoid eating Dramatic response to frustration Excessive exercise routine Morose personality traits

Dramatic response to frustration

A nursing diagnosis of "self-mutilation" is identified for a female with a borderline personality disorder, since she has multiple self-inflicted cuts on her forearms and inner thighs. What is the most important patient outcome for this nursing diagnosis? Identify triggers to self-mutilation A decrease in the frequency and intensity of cutting Strategies for increasing the patient's socialization on her unit are planned Two strategies to increase the patient's self-care are developed

Identify triggers to self-mutilation

A psych technician says, "I get annoyed with patients who self-mutilate over things other people would ignore. I think they just do it to get attention". Select the nurses best response: A. Many people feel the way you do. If you cannot come to terms with the issue we can transfer you. B. Self-mutilation is a serious problem. Many people with this personality disorder may complete suicide. C. We have to consider each case individually. Some are manipulative and others are serious. D. You seem to be having difficulty empathizing and remaining non-judgmental.

Self-mutilation is a serious problem. Many people with this personality disorder may complete suicide.

A patient with borderline personality disorder has a nursing diagnosis of risk for self-directed violence, based on the person's history of self-mutilation (e.g., burning arms with cigarettes). Which patient would indicate a positive outcome of intervention? The patient denies feelings of wanting to harm anyone. The patient expresses feelings of anger towards others. The patient requests cigarettes at appropriate times. The patient informs the nurse about wanting to burn him-self or her-self.

The patient informs the nurse about wanting to burn him-self or her-self.