Exam 13: Personality Disorders

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

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C

A patient with borderline personality disorder has self-inflicted wrist lacerations.The health care provider prescribes daily dressing changes.The nurse performing this care should:

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B

What is the priority nursing diagnosis for a patient with antisocial personality disorder who has made threats against staff,ripped art off the walls,and thrown objects?

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B

The history shows that a newly admitted patient has impulsivity.The nurse would expect behavior characterized by:

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A nurse set limits for a patient with a 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 mistaken.You're terrible." This outburst can be assessed as:

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A nurse in the emergency department tells an adult,"Your mother had a severe stroke." The adult tearfully says,"Who will take care of me now? My mother always told me what to do,what to wear,and what to eat.I need someone to reassure me when I get anxious." Which term best describes this behavior?

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A patient with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit.The cause of the self-mutilation is probably related to:

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

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What is an appropriate initial outcome for a patient with a personality disorder who frequently manipulates others? The patient will:

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

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Which intervention is appropriate for a patient with an antisocial personality disorder who frequently manipulates others?

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Which commonality would be most applicable to the patient with a personality disorder? The patient:

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A patient tells a nurse,"I sometimes get into trouble because I make quick decisions and act on them." A therapeutic response would be:

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

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A physical therapist recently convicted of multiple counts of Medicare fraud says to a nurse,"Sure I overbilled.Why not? Everyone takes advantage of the government.They have so many rules;no one can follow them." These statements show:

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

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

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A patient with borderline personality disorder and a history of self-mutilation has now begun dialectical behavior therapy on an outpatient basis.Counseling focuses on self-harm behavior management.Today the patient telephones to say,"I'm feeling empty and want to cut myself." The nurse should:

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A nurse reports to the interdisciplinary team that a patient with an antisocial personality disorder lies to other patients,verbally abuses a patient with dementia,and flatters the primary nurse.This patient is detached and superficial during counseling sessions.Which behavior most clearly warrants limit setting?

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

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