Exam 19: Personality Disorders

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

A patient's spouse filed charges after repeatedly being battered. The patient sarcastically says, "I'm sorry for what I did. I need psychiatric help." Which statement by the patient supports antisocial personality disorder?

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

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. Which type of medication would the nurse expect to be prescribed?

A patient says, "I get in trouble sometimes because I make quick decisions and act on them." Select the nurse's most therapeutic response.

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

A nurse determines desired outcomes for a patient diagnosed with schizotypal personality disorder. Select the best outcome.

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?

When a patient diagnosed with a personality disorder uses manipulation to get needs met, the staff applies limit-setting interventions. What is the correct rationale for this action?

As a nurse prepares to administer medication to a patient diagnosed with 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?

What is the priority intervention for a nurse beginning to work with a patient diagnosed with a schizotypal personality disorder?

A new psychiatric technician says, "Schizophrenia . . . schizotypal! What's the difference?" The nurse's response should include which information?

Which characteristic of personality disorders makes it most necessary for staff to schedule frequent team meetings in order to address the patient's needs and maintain a therapeutic milieu?

Consider this comment to three different nurses by a patient diagnosed with antisocial personality disorder. "Another nurse said you don't do your job right." Collectively, these interactions can be assessed as which of the following?

Which personality traits are most likely to be documented regarding a patient demonstrating characteristics of an obsessive-compulsive personality disorder?

A patient diagnosed with borderline personality disorder was hospitalized several times after self-mutilating episodes. The patient remains impulsive. Which nursing diagnosis is the initial focus of this therapy?

A nurse reports to the treatment team that a patient diagnosed with antisocial personality disorder has displayed the behaviours below. This patient is detached and superficial during counselling sessions. Which behaviour by the patient most clearly warrants limit setting?

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 do which of the following?

For which patients diagnosed with personality disorders would a family history of similar problems be most likely?

For which behaviour would limit setting be most essential?