Exam 21: Social Responses and Personality Disorders

An admission note describes a patient as being "lively,excessively emotional,attention seeking,and superficial." The patient's history reveals stormy relationships with friends and lovers.The patient only seems comfortable when the focus of attention and becomes anxious when the focus changes.The nurse anticipates that the DSM-IV-TR diagnosis that is being considered is _____ personality disorder.

The frustration of caring for a patient who displays maladaptive social responses such as manipulation,impulsivity,and self-mutilation can be most effectively managed when staff members:

To assist in diagnosing a patient suspected of being impulsive,the nurse would have to see behavior that:

Which statement best describes persons with personality disorders?

A goal for a patient with impulsive behavior is "The patient will explore the causes and consequences of impulsive behavior." A strategy that will best assist the patient in achieving this goal is:

The nurse is caring for a patient diagnosed with borderline personality disorder who cut both forearms after learning that the psychiatrist was going on vacation.While changing the dressing daily,it would be advisable for the nurse to:

A nursing diagnosis appropriate to consider for a patient with antisocial personality disorder is:

Which behavior would be most characteristic of a person diagnosed with an antisocial personality disorder?

Milieu work with patients with personality disorders is most effective when it:

Before the community meeting,a patient with antisocial personality disorder was overheard coaching other patients to strongly object to the "no smoking" policy.Which response would be most characteristic of this patient when approached by staff members who wish to discuss the behavior?

The care plan for a patient with a personality disorder contains the following interventions: demonstrate accessibility,maintain confidentiality,and maintain consistent behavior by all nursing staff.The goal of these interventions is the:

Which comment about relationships would be most characteristic of a patient with antisocial personality disorder?

A nurse working with a patient diagnosed with borderline personality disorder will need to consider therapeutic strategies for which likely patient characteristics? (Select all that apply.)

A patient with a personality disorder tells a nurse,"What do you say we cancel the therapy today and watch a good movie?" Which reply by the nurse is most therapeutic?

A patient tells a nurse about being in a relationship with a significant other for more than 1 year and states,"the person is available when I need support,but neither of us tries to control the other." The nurse can correctly assess this relationship as:

A patient with borderline personality disorder tells the nurse,"When I met my boyfriend he was simply perfect.Now he is the worst person in the world.I tell him to leave and then I feel so empty and awful that I have to cut myself." The description of the boyfriend is strongly influenced by the patient's inclination to:

The majority of the treatment team maintains that a patient diagnosed with antisocial personality disorder needs external limits and careful observation,however two nurses state,"The patient is really a pleasant person.We shouldn't be so judgmental." The most likely reason for the difference in staff opinions is that the patient has been using which coping mechanisms?

Which behavior would be most characteristic of an individual with narcissistic personality disorder?

The relationships of patients with borderline and narcissistic personality disorders move through predictable stages.Initially there is idealization and overvaluation of the object and then disappointment when unrealistic needs are not met.The nurse can predict that the final stages will be:

A nurse has become the focus of projective identification by the patient.The greatest risk to the nurse-patient relationship is that the nurse will become: