Personality Disorders: Diagnosis and Treatment, Exams of Nursing

Download Personality Disorders: Diagnosis and Treatment and more Exams Nursing in PDF only on Docsity! NURS 216 CH 25 PERSONALITY DISORDERS QUIZ WITH ANSWERS VERIFIED 2023 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. Such behavior is consistent with which of the following personality disorders? -Dependent personality disorder 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? -18 years When the nurse is not informed of developmental and cultural issues related to the client's background, which of the following may be expected? -Normal patterns of behavior may be labeled as deviant, immoral, or insane. Cluster B includes people who appear dramatic, emotional, or erratic. Which personality disorder in this cluster is characterized by a pervasive pattern of grandiosity, need for admiration, and a lack of empathy? -Narcissistic Which of the following personality disorders would be placed in Cluster B? -Borderline Dialectical behavior therapy (DBT) combines behavior therapy with which type of therapy? -Cognitive therapy In response to a client's manipulative behavior, the nurse should provide ... -Consistent limits 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? -“No, only one cigarette is allowed per break time.” A client with a personality disorder is upset and calls the nurse a "stupid cow". Which of the following is the most effective initial response to this client's behavior? -Discuss displacement of anger and set limits The nurse is assigned to care for a client with dependent personality disorder. Which intervention should the nurse include in this client's care plan to promote independence? -Helping the client identify preferences, such as choosing which clothing item to wear A client is admitted with a diagnosis of schizotypal personality disorder. Which characteristic would this client exhibit during social situations? -Paranoid thoughts The DSM-IV-TR classifies personality disorders into “clusters” or categories based on the identifying features of the disorder. Which of the following personality disorders would be placed in Cluster B? -Borderline 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 meet the client's expectations in some way? -Splitting The use of pharmacotherapy in the treatment of personality disorders is optimized if this intervention is which of the following? -Used in addition to psychotherapy Personality disorder is listed on which axis of the DSM-IV-tR? -Axis II The way in which personality disorders are different from personality traits is best described as follows: -Disorders cause impairment in social and occupational functioning, whereas traits do not. A 35-year-old client with a diagnosis of antisocial personality disorder is being seen by a psychiatrist. He has been arrested three times for aggravated battery within the last year. Which disorder may have been seen in this client prior to age 18? -Conduct A client has a diagnosis of borderline personality disorder. She has become very attached to one of the nurses who has been caring for her. She remarks that the other nurses are mean and do not care about her. Which intervention would be most appropriate for the nursing staff to implement? -Rotate the nurses who are assigned to the client. The high rate of comorbidity of which mental health disorder associated with borderline personality disorder (BPD) lends support to the argument of moving this disorder into the realm of Axis I? -Mood disorder A client is admitted with a diagnosis of schizotypal personality disorder. Which characteristics would this client exhibit during social situations? -Paranoid thoughts A client who has a diagnosis of 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? -Ask the parents to keep a written schedule of activities for each day for the client Cluster A includes people whose behavior appears odd or eccentric. Which of the following personality disorders in this cluster is characterized by mistrust and suspiciousness of others? -Paranoid For clients with borderline personality disorder, there is a tendency to see the world as either good or bad. As a result, these clients use the primitive defense of which of the following? -Splitting When facilitating change in the behavior of a client diagnosed with a personality disorder, the nurse knows which intervention will have the greatest impact on success? -collaborating with the client when establishing treatment goals A 43 year old female client is observed walking and dancing around unit dressed in red high heels and provocative style of dress. The client is seen sitting on the lap of a male client on the unit, and they are laughing. Which of the following is the most therapeutic nursing intervention? -"I need for you to get off his lap, this behavior is not appropriate." Suicide risk is highest among clients who have been diagnosed with which of the following? -Borderline personality disorder 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? -"I get upset once in a while, too." The nurse formulates a nursing diagnosis of impaired social interaction related to disorganized thinking for a client with schizotypal personality disorder. What is the priority nursing intervention for this nursing diagnosis? Establishing a one-on-one relationship with the client When working with a client with a personality disorder, the nurse is least likely to observe impaired functioning of which in the following domains? -Cognition Clients with borderline personality disorder (BPD) usually exhibit which type of thinking? -All or nothing The nurse is working with a client with antisocial personality disorder. This client's desire to do everything for himself is based on which of the following? -Sense of mistrust of others A client who has a diagnosis of histrionic personality disorder is admitted to an inpatient mental health unit. The client leaves the unit briefly without notifying her nurse or other members of the health care team. The client's nurse uses confrontation to remind the client of the rules of coming and going from the unit. The client has responded, “But those rules are more for the schizophrenics and crazy people, right?” How should the nurse respond? -“Your safety is the priority while you are admitted to this unit. Please ensure you notify your nurse prior to leaving” A client diagnosed with schizoid personality disorder is described by family members as which of the following? -Eccentric and a loner Personality disorders are diagnosed when personality traits become inflexible and maladapative and significantly interfere with how a person functions in society or cause the person emotional distress. Which personality disorder is most commonly found in clinical settings? -Borderline personality Into which personality disorder category are individuals whose behavior appears odd or eccentric? -Cluster A 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? -The client will exhibit increased impulse control. Which of the following personality disorders is diagnosed more often in women? -Histrionic 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? -Increased eccentricity -Increased eccentricity Which of the following would be the priority nursing diagnosis for a client diagnosed with borderline personality disorder (BPD)? -Risk for Self-mutilation Emotional regulation skills are taught to those diagnosed with Borderline Personality Disorder to manage which of the following? -Impulsive behaviors Which cluster of disorders corresponds to symptoms of being dramatic and emotional? -Cluster B Into which personality disorder category are individuals placed whose behavior appears odd or eccentric? -Cluster A 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? -The client's mother catered to his every need and the client used temper tantrums to successfully get his way. During an initial assessment, a client reports the following behaviors: social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. The nurse suspects which of the following personality disorders? -Avoidant 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? -Engaging the client in a discussion to direct the topic to the client. Which of the following diagnoses is associated with a pervasive disregard for and violation of the rights of others? -Antisocial personality Which cluster of personality disorders includes people who appear dramatic, emotional, or erratic? -Cluster B Which of the following personality disorders is most often treated within the inpatient psychiatric setting? -Borderline Behavior and characteristics of individuals with personality disorders are best described with which of the following? -rigid and inflexible. The most serious consequence of behaviors seen in borderline personality disorder includes which of the following? -Self injury Emotional regulation skills are taught to those diagnosed with Borderline Personality Disorder to manage which of the following? -Impulsive behaviors When documenting observations of the behaviors exhibited by a client diagnosed with borderline personality disorder (BPD), the nurse can correctly use which of the following terms? -Impulsive, self-destructive, unstable A 30 year old female client who has not paid her rent in four months is being evicted from her apartment. The client is brought to hospital after she uses a kitchen knife to cut her wrist in response to the stress of the eviction. The woman's behavior is consistent with which of the following? -Borderline personality disorder Which of the following clusters of personality disorders is represented by individuals who appear anxious or fearful? -Cluster C When providing care to a client who consistently attempts to manipulate the staff, the nurse can best maintain the therapeutic millieu by doing which of the following? -Instructing the staff to enforce all unit rules consistently 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? -Client attributes own feelings falsely to others. Which of the following clusters of personality disorders is represented by individuals who appear anxious or fearful and includes avoidant, dependent, and obsessive-compulsive personality disorders? -Cluster C 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? -Engaging the client in a discussion to direct the topic to the client. The psychiatric nurse recognizes that the client diagnosed with Narcissistic Personality Disorder (NPD) will be reluctant to give up her fantasies of self- importance for which of the following reasons? Are defensive mechanisms that keep her from feeling depressed A client with borderline personality disorder who has transient psychotic episodes involving auditory hallucinations is being discharged to home. Which of the following instructions by the nurse is appropriate for helping the client deal with these episodes? Call the clinic and ask to speak to someone. Identity confusion occurs in patients diagnosed with borderline personality disorder. Which of the following are identity factors that are commonly disturbed in borderline personality disorder? Select all that apply. • Role absorption • Painful incoherence • Inconsistency 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. • Repeated incidents involving assaults • Lack of remorse for actions • Episodes involving scams for personal gain 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. • The client's interests are focused on their own desires. • The client's behavior continually centers the attention on themselves. • The client is quick to trust others. 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. • Enhance the experience of pleasure • Reduce social isolation • Increase emotional responsiveness to others The aim of pharmacological treatment used in borderline personality disorder (BPD) is to control which of the following? Select all that apply. • Emotional dysregulation • Impulsive aggression • Cognitive disturbances • Anxiety 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. • Aggression • Inattention • Hyperactivity • Impulsivity 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. • Serotonin • Norepinephrine 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. • Compliant • Conciliatory • Placating A client is diagnosed with paranoid personality disorder. Which of the following would the nurse expect to assess? Select all that apply. • Anger as a emotional response • Distancing self from others • Tendency to be rigid and controlling