Question 1

Which observation is supportive of a diagnosis of avoidant personality disorder?

Accepted Answer

A)  Talks about "my three failed marriages" 
B)  Cries loudly whenever requests are denied 
C)  Fears criticism from others, including staff 
D)  Shows no remorse when accidentally breaking another patient's bracelet 
A)  Talks about "my three failed marriages" 
B)  Cries loudly whenever requests are denied 
C)  Fears criticism from others, including staff 
D)  Shows no remorse when accidentally breaking another patient's bracelet

Question 2

Which behavior is supportive of a diagnosis of dependent personality disorder?

Accepted Answer

A)  Perceives personal behavior to be embarrassing 
B)  Believes they are incapable of functioning independently 
C)  Tends to exaggerate the potential dangers of ordinary situations 
D)  Demands excessive attention from others whenever in a group situation 
A)  Perceives personal behavior to be embarrassing 
B)  Believes they are incapable of functioning independently 
C)  Tends to exaggerate the potential dangers of ordinary situations 
D)  Demands excessive attention from others whenever in a group situation

Question 3

A patient with borderline personality disorder is having difficulty with memories of sexual abuse and reports vague,generalized pains,menstrual problems,and headaches that severely impact her ability to function independently.Which collaborative consult will have the greatest impact on the patient's health and wellness?

Accepted Answer

A)  Occupational therapist exploring ways to reduce stress 
B)  Neurologist to evaluate the patient's reports of headaches 
C)  Acupuncturist exploring ways to reduce the generalized pain 
D)  Gynecologist to assess the patient's dysmenorrheal symptoms 
A)  Occupational therapist exploring ways to reduce stress 
B)  Neurologist to evaluate the patient's reports of headaches 
C)  Acupuncturist exploring ways to reduce the generalized pain 
D)  Gynecologist to assess the patient's dysmenorrheal symptoms

Question 4

When a patient diagnosed with borderline personality disorder experiences the death of a beloved parent,which characteristic response will the nurse anticipate?

Accepted Answer

A)  Denies the death for a protracted period of time 
B)  Exhibits several different psychotic thought processes 
C)  Expresses extreme anger and rage by burning the parent's clothes 
D)  Becomes uncharacteristically helpful and attends to the funeral arrangements 
A)  Denies the death for a protracted period of time 
B)  Exhibits several different psychotic thought processes 
C)  Expresses extreme anger and rage by burning the parent's clothes 
D)  Becomes uncharacteristically helpful and attends to the funeral arrangements

Question 5

Which behavior supports the failure to successfully achieve the oral stage of Freud's psychosexual stages of development?

Accepted Answer

A)  An adult's excessive dependency on parents 
B)  A history of multiple, simultaneous sex partners 
C)  A need to ritualistically turn the lights off repeatedly 
D)  A lack of guilt when responsible for mistreating others 
A)  An adult's excessive dependency on parents 
B)  A history of multiple, simultaneous sex partners 
C)  A need to ritualistically turn the lights off repeatedly 
D)  A lack of guilt when responsible for mistreating others

Question 6

The nurse is careful to provide a quiet,comfortable,safe environment when conducting an assessment interview.What is the reason this is particularly important when working with a patient believed to be exhibiting characteristics of a personality disorder?

Accepted Answer

A)  These patients are generally experiencing chronic depression and are severely impaired socially. 
B)  A high stimulus environment will cause the patient to exhibit exacerbated behaviors that are loud and attention seeking. 
C)  The patient is easily intimidated and may become so withdrawn that the assessment will be difficult if not impossible to complete. 
D)  This disorder produces defensive, guarded, and impulsive behavior that is easily provoked into anger when the patient feels threatened. 
A)  These patients are generally experiencing chronic depression and are severely impaired socially. 
B)  A high stimulus environment will cause the patient to exhibit exacerbated behaviors that are loud and attention seeking. 
C)  The patient is easily intimidated and may become so withdrawn that the assessment will be difficult if not impossible to complete. 
D)  This disorder produces defensive, guarded, and impulsive behavior that is easily provoked into anger when the patient feels threatened.

Question 7

A patient with a borderline personality disorder tells the nurse,"My doctor tells me there's something wrong with the hard wiring of my brain,and that's why I'm so impulsive and get so many mood swings.He said he's going to prescribe some medication." Being aware of current practice guidelines,the nurse will prepare a teaching plan for:

Accepted Answer

A)  Lithium (Lithobid) 
B)  Fluoxetine (Prozac) 
C)  Lorazepam (Ativan) 
D)  Haloperidol (Haldol) 
A)  Lithium (Lithobid) 
B)  Fluoxetine (Prozac) 
C)  Lorazepam (Ativan) 
D)  Haloperidol (Haldol)

Question 8

When implementing Freud's theory of human psychosexual development,the nurse observes for behaviors that are characteristic of successful completion of stages that include (select all that apply):

Accepted Answer

A)  Anal, where self-confidence is formed 
B)  Oral, where the ability to trust is developed 
C)  Latency, where a person learns inner control 
D)  Adjustment, where developmental failures are re-addressed 
E)  Phallic, where the ability to interact with others is grounded 
A)  Anal, where self-confidence is formed 
B)  Oral, where the ability to trust is developed 
C)  Latency, where a person learns inner control 
D)  Adjustment, where developmental failures are re-addressed 
E)  Phallic, where the ability to interact with others is grounded

Question 9

Which self-reflective intervention is most appropriate for the nurse to engage in when managing care for patients who exhibit characteristics of personality disorders?

Accepted Answer

A)  Reinforcing the therapeutic boundaries between the nurse and patient as often as needed 
B)  Requesting a temporary transfer to a medical unit periodically to help minimize burn-out 
C)  Frequently self-assessing for biases and prejudices that result in patient care that is compromised 
D)  Arriving at a personal decision regarding the use of both chemical and physical restraints to assure milieu safety. 
A)  Reinforcing the therapeutic boundaries between the nurse and patient as often as needed 
B)  Requesting a temporary transfer to a medical unit periodically to help minimize burn-out 
C)  Frequently self-assessing for biases and prejudices that result in patient care that is compromised 
D)  Arriving at a personal decision regarding the use of both chemical and physical restraints to assure milieu safety.

Which observation is supportive of a diagnosis of avoidant personality disorder?

Which behavior is supportive of a diagnosis of dependent personality disorder?

When a patient diagnosed with borderline personality disorder experiences the death of a beloved parent,which characteristic response will the nurse anticipate?

Which behavior supports the failure to successfully achieve the oral stage of Freud's psychosexual stages of development?

The nurse is careful to provide a quiet,comfortable,safe environment when conducting an assessment interview.What is the reason this is particularly important when working with a patient believed to be exhibiting characteristics of a personality disorder?

When implementing Freud's theory of human psychosexual development,the nurse observes for behaviors that are characteristic of successful completion of stages that include (select all that apply):

Which self-reflective intervention is most appropriate for the nurse to engage in when managing care for patients who exhibit characteristics of personality disorders?

Psychiatric Nursing: Theory, Principles, and Trends

Nursing Practice in the Clinical Setting

The Nursing Process and Standards of Care

Therapeutic Communication: Interviews and Interventions

Adaptation to Stress

Neurobiology in Mental Health and Mental Disorder

Human Development Across the Life Span

Culture, Ethnicity, and Spirituality

Legal and Ethical Aspects in Clinical Practice

Anxiety and Anxiety Disorders

Somatoform, Factitious, and Dissociative Disorders

Mood Disorders: Depression, Bipolar, and Adjustment Disorders

Schizophrenia and Other Psychotic Disorders

Substance Related Disorders and Addictive Behaviors

Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders

Disorders of Infancy, Childhood, and Adolescence

Eating Disorders: Anorexia Nervosa and Bulimia Nervosa

Sleep Disorders: Dyssomnias and Parasomnias

Sexual Disorders: Sexual Dysfunctions and Paraphilias

Crisis: Theory and Intervention

Suicide: Prevention and Intervention

Violence: Anger, Abuse, and Aggression

Forensic Nursing

Psychopharmacology

Therapies: Theory and Clinical Practice

Complementary and Alternative Therapies

Grief: In Loss and Death

Mental and Emotional Responses to Medical Illness

Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

Filters

Exam 14: Personality Disorders

Which observation is supportive of a diagnosis of avoidant personality disorder?

Which behavior is supportive of a diagnosis of dependent personality disorder?

When a patient diagnosed with borderline personality disorder experiences the death of a beloved parent,which characteristic response will the nurse anticipate?

Which behavior supports the failure to successfully achieve the oral stage of Freud's psychosexual stages of development?

The nurse is careful to provide a quiet,comfortable,safe environment when conducting an assessment interview.What is the reason this is particularly important when working with a patient believed to be exhibiting characteristics of a personality disorder?

When implementing Freud's theory of human psychosexual development,the nurse observes for behaviors that are characteristic of successful completion of stages that include (select all that apply):

Which self-reflective intervention is most appropriate for the nurse to engage in when managing care for patients who exhibit characteristics of personality disorders?

Psychiatric Nursing: Theory, Principles, and Trends

Nursing Practice in the Clinical Setting

The Nursing Process and Standards of Care

Therapeutic Communication: Interviews and Interventions

Adaptation to Stress

Neurobiology in Mental Health and Mental Disorder

Human Development Across the Life Span

Culture, Ethnicity, and Spirituality

Legal and Ethical Aspects in Clinical Practice

Anxiety and Anxiety Disorders

Somatoform, Factitious, and Dissociative Disorders

Mood Disorders: Depression, Bipolar, and Adjustment Disorders

Schizophrenia and Other Psychotic Disorders

Substance Related Disorders and Addictive Behaviors

Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders

Disorders of Infancy, Childhood, and Adolescence

Eating Disorders: Anorexia Nervosa and Bulimia Nervosa

Sleep Disorders: Dyssomnias and Parasomnias

Sexual Disorders: Sexual Dysfunctions and Paraphilias

Crisis: Theory and Intervention

Suicide: Prevention and Intervention

Violence: Anger, Abuse, and Aggression

Forensic Nursing

Psychopharmacology

Therapies: Theory and Clinical Practice

Complementary and Alternative Therapies

Grief: In Loss and Death

Mental and Emotional Responses to Medical Illness

Community Mental Health Nursing for Patients with Severe and Persistent Mental Illness

Filters