Question 1

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

Accepted Answer

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. 
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.

Question 2

A nurse set limits while interacting with a patient demonstrating behaviors associated with borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was wrong. You're evil." This outburst can be assessed as

Accepted Answer

A)  denial. 
B)  splitting. 
C)  defensive. 
D)  reaction formation. 
A)  denial. 
B)  splitting. 
C)  defensive. 
D)  reaction formation.

Question 3

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

Accepted Answer

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 hit because I am tired of being nagged. My spouse deserves the beating." 
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 hit because I am tired of being nagged. My spouse deserves the beating."

Question 4

A health care provider recently convicted of Medicare fraud says to a nurse, "Sure I overbilled. Everyone takes advantage of the government. There are too many rules to follow and I deserve the money." These statements show

Accepted Answer

A)  shame. 
B)  suspiciousness. 
C)  superficial remorse. 
D)  lack of guilt feelings. 
A)  shame. 
B)  suspiciousness. 
C)  superficial remorse. 
D)  lack of guilt feelings.

Question 5

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

Accepted Answer

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 bet you have some interesting stories to share about overreacting." 
D)  "It's good that you're showing readiness for behavioral change." 
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 bet you have some interesting stories to share about overreacting." 
D)  "It's good that you're showing readiness for behavioral change."

Question 6

A nursing diagnosis appropriate to consider for a patient diagnosed with any of the personality disorders is

Accepted Answer

A)  nonadherence. 
B)  impaired social interaction. 
C)  disturbed personal identity. 
D)  diversional activity deficit. 
A)  nonadherence. 
B)  impaired social interaction. 
C)  disturbed personal identity. 
D)  diversional activity deficit.

Question 7

A patient diagnosed with borderline personality disorder was hospitalized several times after multiple episodes of head banging and carving on both wrists. The patient remains impulsive. Which nursing diagnosis is the initial focus of this patient's care?

Accepted Answer

A)  Self-mutilation 
B)  Impaired skin integrity 
C)  Risk for injury 
D)  Powerlessness 
A)  Self-mutilation 
B)  Impaired skin integrity 
C)  Risk for injury 
D)  Powerlessness

Question 8

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

Accepted Answer

A)  "I think you are the best nurse on the unit." 
B)  "I'm never going to get high on drugs again." 
C)  "I felt empty and wanted to hurt myself, so I called you." 
D)  "I hate my mother. I called her today, and she wasn't home." 
A)  "I think you are the best nurse on the unit." 
B)  "I'm never going to get high on drugs again." 
C)  "I felt empty and wanted to hurt myself, so I called you." 
D)  "I hate my mother. I called her today, and she wasn't home."

Question 9

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

Accepted Answer

A)  an inherited disorder that manifests itself as an incapacity to tolerate stress. 
B)  use of projective identification and splitting to bring anxiety to manageable levels. 
C)  a constitutional inability to regulate affect, predisposing to psychic disorganization. 
D)  fear of abandonment associated with progress toward autonomy and independence. 
A)  an inherited disorder that manifests itself as an incapacity to tolerate stress. 
B)  use of projective identification and splitting to bring anxiety to manageable levels. 
C)  a constitutional inability to regulate affect, predisposing to psychic disorganization. 
D)  fear of abandonment associated with progress toward autonomy and independence.

Question 10

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

Accepted Answer

A)  Respect the patient's need for periods of social isolation. 
B)  Prevent the patient from violating the nurse's rights. 
C)  Teach the patient how to select clothing for outings. 
D)  Engage the patient in community activities. 
A)  Respect the patient's need for periods of social isolation. 
B)  Prevent the patient from violating the nurse's rights. 
C)  Teach the patient how to select clothing for outings. 
D)  Engage the patient in community activities.

Question 11

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 behavior?

Accepted Answer

A)  Narcissistic 
B)  Histrionic 
C)  Avoidant 
D)  Paranoid 
A)  Narcissistic 
B)  Histrionic 
C)  Avoidant 
D)  Paranoid

Question 12

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

Accepted Answer

A)  Flattering the nurse 
B)  Lying to other patients 
C)  Verbal abuse of another patient 
D)  Detached superficiality during counseling 
A)  Flattering the nurse 
B)  Lying to other patients 
C)  Verbal abuse of another patient 
D)  Detached superficiality during counseling

Exam 24: Personality Disorders

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

A nurse set limits while interacting with a patient demonstrating behaviors associated with borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was wrong. You're evil." This outburst can be assessed as

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

A health care provider recently convicted of Medicare fraud says to a nurse, "Sure I overbilled. Everyone takes advantage of the government. There are too many rules to follow and I deserve the money." These statements show

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

A nursing diagnosis appropriate to consider for a patient diagnosed with any of the personality disorders is

A patient diagnosed with borderline personality disorder was hospitalized several times after multiple episodes of head banging and carving on both wrists. The patient remains impulsive. Which nursing diagnosis is the initial focus of this patient's care?

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

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

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

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 behavior?

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

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