Teach Questions Pysch

2. When working with a client with paranoid personality disorder, a nurse should: A. Approach the client in a business-like manner to work on establishing trust B. Approach the client first with social conversation to work on developing social relationships C. Include jokes when conversing with the client to work on reducing the client's serious behavior D. Arrive 15 minutes after the appointed time to work on eliminating hidden meanings.

) A-Avoid joking

4. A 45-year male client with no psychiatric history is admitted to an emergency department after physically assaulting his wife. The client is frightened by his loss of control. The client tells a nurse he is self-employed, recently expanded his company nationally, and has many well-known friends. The client's wife angrily states, "That's what is important to you; who you know and how it looks!" Despite the business's recent financial loss, the client continues his lavish lifestyle. The nurse determines that the client's behavior is typical of: A. Borderline personality disorder B. Schizoid personality disorder C. Narcissistic personality disorder D. Dependent personality disorder

) C-egocentric, are constantly seeking attention

10. Before his hospitalization, a client needed increasingly larger doses of barbiturates to achieve the same euphoric effect he initially realized from their use. From this information, the nurse develops a plan of care that takes into account that the client is most likely suffering from which of the following? Tolerance Addiction Abuse Dependence

-A-tolerance: need to increase dose, addiction: inability to abstain from drugs, abuse: excessive use of substances, dependence: must take to prevent withdrawal

1. Which behavior would a nurse expect a client diagnosed with paranoid personality disorder to exhibit? A. Able to trust those who treat the client well B. Sees the goodwill of others when none exists C. Acts the opposite of what the client may be thinking or feeling D. Analyzes the behavior of others to find hidden and threatening meanings

-D

4. When obtaining the history from a client entering rehabilitation for alcohol dependency the nurse questions the client about the amount of alcohol he consumes daily. The client responds, "I just have a few drinks with the guys after work". The nurse interprets this statement as the client using which of the following as a defense? Projection Minimization Denial Rationalization

-Minimization

3. The client is admitted to the hospital for alcohol detoxification. Which of the following interventions should the nurse use? Select all that apply. Take vital signs. Monitor intake and output. Place the client in restraints as a safety measure. Reinforce reality if the client is disoriented. Explain to the client that withdrawal symptoms are temporary.

-Take vital signs. -Reinforce reality if the client is disoriented. -Explain to the client that withdrawal symptoms are temporary.

1. The nurse is educating the parents of a client that their 22-year-old son has never had 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? "People with schizoid personality disorder, which your son has, tend to be lifelong loners." "People with antisocial personality, which your son has, tend to be lifelong loners." "People with dependent personality disorder, which your son has, tend to be lifelong loners." "People with histrionic personality disorder, which your son has, tend to be lifelong loners."

A

6. A nurse it talking with a client diagnosed with anti-social personality disorder about how to socialize during activities without being seductive. The nurse would focus the discussion on which of the following areas? Explaining the negative reaction of others toward his behavior. Suggesting he apologize to others for his behavior. Asking him to explain reasons for his seductive behavior. Discussing his relationship with his mother.

A

5. Which interventions should a nurse plan for an avoidant personality disorder? SELECT ALL THAT APPLY. A. Provide support and reassurance B. Explore positive self-aspects C. Reframing D. De-catastrophizing E. Identify negative responses from others

A, B, C, D

3. Which behaviors should a nurse expect when working with a client with histrionic personality disorder? SELECT ALL THAT APPLY. A. Exhibit discomfort in situations in which the client is not the center of attention B. Shows apathy in conversations until trust is established C. Lacks close friend or companions other than first-degree relatives D. Considers relationships to be more intimate than they actually are E. Harbors recurrent suspicions about the fidelity of their marital partner F. Uses physical appearance to gain attention

A,D,F

1.A coworker, new to chemical dependency, questions the use of thiamine (Vitamin B-1) for all being treated for an alcoholic problem. The nurse responds based on understanding that thiamine is used for the following reasons: a. It prevents the development of Wernicke's encephalopathy b. it decreases client's withdrawal symptoms c. It aids client in gaining their strength sooner d. It promotes elimination of alcohol from the body faster

A-from poor nutrition intake

. A client is brought to the emergency department by a friend who states "He's been using a lot of heroin until he ran out of money about 2 days ago." The nurse judges the client to be in opioid withdrawal if he exhibits which of the following? Select all that apply Rhinorrhea Diaphoresis Pilorection Formication Constipation

ABC-formication feels like bugs under the skin and is associated with 'coke bugs'

7. A nurse should anticipate that a client diagnosed with antisocial personality disorder may use the primary ego defense mechanism of A. Compensation B. Projection C. Sublimation D. Repression

Answer is B: projection: putting ones unacceptable thoughts onto other people -(compensation): covering up a real or conceived weakness, (sublimation): channeling unacceptable impulses into acceptable ones, (Repression): unconsciously burying a painful thought

7. Carol, a client with avoidant personality tells the nurse she has a good job but avoids social situations due to her anxiety. She has become very lonely. She would like to accept a job promotion and eventually have a husband and family, but she is stuck with her symptoms. Which of the following goals does the nurse determine as a priority? Carol will accept her job promotion Carol will experience increased self esteem Carol will become perceptive about social situations Carol will form a romantic relationship

B

8. The client with dependent personality disorder has decided to live independently in an apartment. Parents meet with the nurse. Which statement by the nurse would be the most helpful to foster independence? "You'll still be able to see your son and help him as much as you want." "All of you will gain from his independent living; he needs your support." "You'll need to monitor his medications and clinic appointments." "You will live nearby and be able to help with meals and laundry."

B

The nurse prepares to administer which of the following medications to a client with heroin overdose? Haloperidol (Haldol) Naloxone (Narcan) Lorazapam (Ativan) Fluoxetine (Prozac)

B

5. A client who is experiencing alcohol withdrawal exhibits tremors, diaphoresis and hyperactivity. Blood pressure is 190/87 and pulse is 92. Which of the following medications should the nurse expect to administer? Haloperidol (Haldol) Lorazapam (Ativan) Benztropine (Cogentin) Naloxone (Narcan)

B-Narcan is an opiod, a narcotic antagonist

5. A client with a diagnosis of narcissistic personality disorder tells the nurse he can get an executive position with the best company around anytime he wants. You learn that the client's highest level of education is a high school diploma and he has only held 2 part time jobs. The nurse interprets this to be an example of the following: Grandiose delusion Blatant lie Grandiose self-importance Sense of entitlement

C

6. Which approach should a nurse use when working with an individual with obsessive-compulsive disorder? A. A rigid autocratic manner B. Very direct and confrontational C. Calm and no confrontational D. Direct and hurried

C

8. A client who had been living with her family after her boyfriend of 4 weeks told her to leave is admitted to the sub- acute unit complaining of feeling empty and lonely, being unable to sleep and hardly eating for the past week. Her arms are scarred from frequent self-mutilization. The nurse interprets these finding as indicating which of the following personality disorders? A. Antisocial personality disorder B. Avoidant personality disorder C. Borderline personality disorder D. Compulsive personality disorder

C-have self-mutilating behavior

4. The client tells the nurse at the outpatient clinic that she doesn't need to attend groups because she's "not a regular like these other people here." The nurse should respond to the client by saying: "Because you're not a regular client, sit in the hall when the others are in group." "Your family wants you to attend, and they will be very disappointed if you don't." "I'll have to mark you absent from the clinic today and speak to the doctor about it." "You say you're not a regular here but you're experiencing what others are experiencing."

D

8. When teaching a client who is to receive methadone therapy for opioid addiction, the nurse should instruct the client that methadone is useful primarily for which of the following reasons? It is not an addictive substance. A maintenance dose is taken twice a day. The client will no longer be addicted to opioids. The client may work and live normally.

D

9. Which of the following should lead the nurse to suspect that a client is addicted to heroin? Hilarity Aggression Labile mood Hypoactivity

D

2. When planning care for a client diagnosed with schizotypal personality disorder, which of the following helps the client become involved with others? Participating solely in group activities. Being involved with primarily one-to-one activities. Leading a sing along in the afternoon. Attending an activity with the nurse.

D, (the client with schizoid personality needs kindness and gentle suggestion to improve social skills)

3. A client was admitted after making a suicidal gesture in a police car. He is diagnosed with anti-social personality disorder and has been stealing equipment from his work. He states, "It's not a big deal. My boss will not miss these pieces. " Which of the following is the most appropriate response by the nurse? "Have the police charged you with the thefts?" "Stealing is a crime regardless of the reason." "I bet your boss doesn't think he can afford the losses." "Are you having any guilt feelings at all?"

D, (the nurse should determine feelings of guilt since he is engaging in illegal activity

9. The client approaches staff with numerous requests to the point of disrupting the staff's work. The staff meet to decide a consistent therapeutic approach. Which of the following is the most effective? Telling the client to stay in his room until staff approach him. Limiting the client to the day room and dining area. Giving the client a list of permissible requests. Having the client address needs to the staff person assigned to him.

D, (this helps set limits to his attention seeking behavior)

9. The client with borderline personality disorder who is to be discharged soon threatens to "do something to herself" if discharged. Which of the following actions by the nurse would be most important? A. Request an immediate extension for the client' B. Ignore the client's state because it's a sign of manipulation C. As a family member to stay with the client temporary D. Discuss the meaning of the client's statement with her.

D-To determine if suicidal

2. An intoxicated client is admitted to the hospital for alcohol withdrawal. Which of the following should the nurse do to help the client become sober? Give the client black coffee to drink. Walk the client around the unit. Have the client take a cold shower. Provide the client with a quiet room to sleep in.

Provide the client with a quiet room to sleep in.