Exam 20: Personality Disorders

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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?

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A

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?

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

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C

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

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

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

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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?

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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?

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

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A nurse plans care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviours will the nurse expect? Select all that apply.

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One month ago, a patient diagnosed with borderline personality disorder and a history of self-mutilation began dialectical behaviour therapy. Today, the patient phones to say, "I feel empty and want to hurt myself." What should the nurse do?

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For which patients diagnosed with personality disorders would a family history of similar problems be most likely? Select all that apply.

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What is the most challenging nursing intervention with patients diagnosed with personality disorders who use manipulation?

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The history shows that a newly admitted patient is impulsive. The nurse would expect behaviour to be characterized by which of the following?

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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?

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What is an appropriate initial outcome for a patient diagnosed with a personality disorder who has impulse control interferences?

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Which of the following nursing diagnoses is appropriate to consider for a patient diagnosed with any of the personality disorders?

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

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A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self-mutilation may have been due to which of the following?

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Which personality dimension is reflective of the behaviours of absorption, dissociation, eccentricity, openness to experience, and perceptual cognitive distortion?

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