Exam 32: Personality Disorders

A client diagnosed with antisocial personality disorder comes to a nurses' station at 11:00 p.m.,requesting to phone a lawyer to discuss filing for a divorce.The unit rules state that no phone calls are permitted after 10:00 p.m.Which nursing reply is most appropriate?

A nurse tells a client that the nursing staff will start alternating weekend shifts.Which response should a nurse identify as characteristic of clients diagnosed with obsessive-compulsive personality disorder?

A client diagnosed with paranoid personality disorder becomes violent on a unit.Which nursing intervention is most appropriate?

A pessimistic client expresses low self-worth,has much difficulty making decisions,avoids positions of responsibility,and has a behavioral pattern of "suffering" in silence.Which underlying cause of this client's personality disorder should a nurse recognize?

A nurse is caring for a group of clients within the DSM-5 Cluster B category of personality disorders.Which factors should the nurse consider when planning client care? Select all that apply.

While improving,a client demands to have a phone installed in the intensive care unit (ICU)room.When a nurse states,"This is not allowed; it is a unit rule," the client angrily demands to see the doctor.Which approach should the nurse use in this situation?

A nursing instructor is teaching students about clients diagnosed with histrionic personality disorder and the quality of their relationships.Which student statement indicates that learning has occurred?

Which nursing diagnosis should be prioritized when providing care to a client diagnosed with paranoid personality disorder?

The nurse should recognize which factors that distinguish personality disorders from psychosis?

When a client on an acute care psychiatric unit demonstrates behaviors and verbalizations indicating a lack of guilt feelings,which nursing intervention would help the client to meet desired outcomes?

Which reaction to a compliment from another client should a nurse identify as a typical response from a client diagnosed with avoidant personality disorder?

A client exhibits dependency on staff and peers and expresses fear of abandonment.Using Mahler's theory of object relations,which should the nurse expect to note in this client's childhood?

Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder?

Which client situation should a nurse identify as reflective of the impulsive behavior that is commonly associated with borderline personality disorder?

Using a behavioral approach,which nursing intervention is most appropriate when caring for a client diagnosed with borderline personality disorder?

During an assessment interview,a client diagnosed with antisocial personality disorder spits,curses,and refuses to answer questions.Which is the most appropriate nursing statement to address this behavior?

A nurse would expect a client diagnosed with schizotypal personality disorder to exhibit which characteristic?

Looking at a slightly bleeding paper cut,the client screams,"Somebody help me,quick! I'm bleeding.Call 911!" A nurse should identify this behavior as characteristic of which personality disorder?

When planning care for a client diagnosed with borderline personality disorder,which self-harm behavior should a nurse expect the client to exhibit?

Which client statement would demonstrate a common characteristic of Cluster "B" personality disorder?