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Personality Disorders

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Question 1
Free
Multiple Choice

A therapist recently convicted of multiple counts of Medicare fraud says, "Sure I overbilled. Why not? Everyone takes advantage of the government, so I did too." These statements show:

Choose correct answer/s
A

shame.

B

suspiciousness.

C

superficial remorse.

D

lack of guilt feelings.

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Question 2
Free
Multiple Choice

Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently manipulates others?

Choose correct answer/s
A

Refer the patient's requests and questions to the case manager.

B

Explore the patient's feelings of fear and inferiority.

C

Provide negative reinforcement for acting-out behavior.

D

Ignore, rather than confront, inappropriate behavior.

Check answer
Question 3
Free
Multiple Choice

As a nurse prepares to administer an oral medication to a patient diagnosed with a borderline personality disorder, the patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response?

Choose correct answer/s
A

Reinforce this assertive action by the patient. Leave the medication on the table as requested.

B

Respond to the patient, "I'm worried that you might not take it. I will come back later."

C

Say to the patient, "I must watch you take the medication. Please take it now."

D

Ask the patient, "Why don't you want to take your medication now?"

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Question 4
Free
Multiple Choice

What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will:

Choose correct answer/s
A

identify when feeling angry.

B

use manipulation only to get legitimate needs met.

C

acknowledge manipulative behavior when it is called to his or her attention.

D

accept fulfillment of his or her requests within an hour rather than immediately.

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Question 5
Free
Multiple Choice

Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder: "You're a better nurse than the day shift nurse said you were"; "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:

Choose correct answer/s
A

seductive.

B

detached.

C

manipulative.

D

guilt producing.

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Question 6
Multiple Choice

A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting?

Choose correct answer/s
A
Flattering the nurse
B
Lying to other patients
C
Verbal abuse of another patient
D
Detached superficiality during counseling
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Question 7
Multiple Choice

A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. The psychiatrist suggests the use of a medication. Which type of medication should the nurse expect?

Choose correct answer/s
A
Selective serotonin reuptake inhibitor (SSRI)
B
Monoamine oxidase inhibitor (MAOI)
C
Benzodiazepine
D
Antipsychotic
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Question 8
Multiple Choice

A person's spouse filed charges of battery. The person has a long history of acting-out behaviors and several arrests. Which statement by the person suggests an antisocial personality disorder?

Choose correct answer/s
A
"I have a quick temper, but I can usually keep it under control."
B
"I've done some stupid things in my life, but I've learned a lesson."
C
"I'm feeling terrible about the way my behavior has hurt my family."
D
"I get tired of being nagged. My spouse deserved the beating."
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Question 9
Multiple Choice

What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?

Choose correct answer/s
A
Disturbed sensory perception-auditory
B
Risk for other-directed violence
C
Ineffective denial
D
Ineffective coping
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Question 10
Multiple Choice

A patient diagnosed with a personality disorder has used manipulation to get his or her needs met. The staff decides to apply limit setting interventions. What is the correct rationale for this action?

Choose correct answer/s
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 while internal controls are developed.
D
Anxiety is reduced when staff members assume responsibility for the patient's behavior.
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Question 11
Multiple Choice

A patient diagnosed with borderline personality disorder and a history of self-mutilation has now begun dialectical behavior therapy (DBT) on an outpatient basis. Counseling focuses on self-harm behavior management. Today the patient telephones to say, "I'm feeling empty and want to cut myself." The nurse should:

Choose correct answer/s
A
arrange for emergency inpatient hospitalization.
B
send the patient to the crisis intervention unit for 8 to 12 hours.
C
assist the patient to identify the trigger situation and choose a coping strategy.
D
advise the patient to take an antianxiety medication to decrease the anxiety level.
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Question 12
Multiple Choice

The most challenging nursing intervention for patients diagnosed with personality disorders who use manipulation to get their needs met is:

Choose correct answer/s
A
supporting behavioral change.
B
monitoring suicide attempts.
C
maintaining consistent limits.
D
using aversive therapy.
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Question 13
Multiple Choice

The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:

Choose correct answer/s
A
adherence to a strict moral code.
B
manipulative, controlling strategies.
C
postponing gratification to an appropriate time.
D
little time elapsed between thought and action.
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Question 14
Multiple Choice

A patient tells a nurse, "I sometimes get into trouble because I make quick decisions and act on them." A therapeutic response would be:

Choose correct answer/s
A
"Let's consider the advantages of being able to stop and think before acting."
B
"It sounds as though you've developed some insight into your situation."
C
"I'll bet you have some interesting stories to share about overreacting."
D
"It's good that you're showing readiness for behavioral change."
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Question 15
Multiple Choice

A patient diagnosed with borderline personality disorder has been hospitalized several times after self-inflicted lacerations. The patient remains impulsive. Dialectical behavior therapy starts on an outpatient basis. Which nursing diagnosis is the focus of this therapy?

Choose correct answer/s
A
Risk for self-mutilation
B
Impaired skin integrity
C
Risk for injury
D
Powerlessness
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Question 16
Multiple Choice

Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is effective?

Choose correct answer/s
A
"I think you are the best nurse on the unit."
B
"I'm never going to get high on drugs again."
C
"I hate my doctor for not giving me what I ask for."
D
"I felt empty and wanted to cut myself, so I called you."
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Question 17
Multiple Choice

When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include:

Choose correct answer/s
A
preoccupation with minute details; perfectionism.
B
charm, drama, seductiveness; seeking admiration.
C
difficulty being alone; indecisiveness, submissiveness.
D
grandiosity, attention seeking, and arrogance.
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Question 18
Multiple Choice

For which behavior would limit setting be most essential? The patient:

Choose correct answer/s
A
clings to the nurse and asks for advice about inconsequential matters.
B
is flirtatious and provocative with staff members of the opposite sex.
C
is hypervigilant and refuses to attend unit activities.
D
urges a suspicious patient to hit anyone who stares.
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Question 19
Multiple Choice

A nurse in the emergency department tells an adult, "Your mother had a serious stroke." The adult tearfully says, "Who will take care of me now? My mother always told me what to do, what to wear, and what to eat. I need someone to reassure me when I get anxious." Which term best describes this behavior?

Choose correct answer/s
A
Histrionic
B
Dependent
C
Narcissistic
D
Borderline
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Question 20
Multiple Choice

Others describe a worker as very shy and lacking in self-confidence. This worker stays in an office cubicle all day and never comes out for breaks or lunch. Which term best describes this behavior?

Choose correct answer/s
A
Avoidant
B
Dependent
C
Histrionic
D
Paranoid
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