personality disorder questions

Question 1

which predisposing factor would be implicated in the etiology of paranoid personality disorder

Answer 1

the individual may have been subjected to parental antagonism and harassment

Question 2

The nurse is assessing a client diagnosed with the borderline personality disorder. According to Mahler’s theory of object relations, which describes the client’s unmet develppmental need

Answer 2

the need for awareness of separateness of self

Question 3

Using interpersonal theory which statement is true regarding development of paranoid personality disorder

Answer 3

clients diagnosed with paranoid personality disorder frequently have been family scapegoats and subjected to parental antagonism and harassment

Question 4

when confronted a client diagnosed with narcissistic personality disorder states “contrary to what everyone believes, I do not think that the whole world owes me a living”. This client is using what defense mechanism

Answer 4

denial

Question 5

a client diagnosed with borderline personality disorder coyly requests diazepam. When the physician refuses, the client becomes angry and demands to see another physician. What defense mechanism is the client using

Answer 5

splitting

Question 6

A diabetic client admitted to a medical floor for medication stabilization has a history of antisocial personality disorder. Which documented behaviors would support that Axis II diagnosis

Answer 6

“Began cursing when confronted with drug-seeking behaviors.”

Question 7

Irresponsible guiltless behavior is to a client diagnosed with Cluster B personality disorder as avoidant dependent behavior is to a client diagnosed with a

Answer 7

cluster C personality disorder

Question 8

A client tells the nurse, when I was a waiter I use to spit in the dinners of annoying customers. This statement would be associated with which personality trait

Answer 8

passive-aggressive personality trait

Question 9

a client diagnosed with a personality disorder insists that a gradmother through reincarnation has come back to life as a pet kitten. The thought process described as reflectie of which personality disorder

Answer 9

schizotypal personality disorder

Question 10

a client diagnosed with a personality disorder states you are the very best nurse on the unit and not at all like that mean nurse who never lets us stay up later than 9 pm. This statement would be associated with which personality disorder

Answer 10

borderline personality disorder

Question 11

a male client diagnosed with a personality disorder boasts to the nurse that he has to fight off female attention and is the highest paid in his company. These statements are reflective of which personality disorder.

Answer 11

narcissistic personality disorder

Question 12

A nurse encourages an angry client to attend group therapy. Knowing that the client has been diagnosed with a cluster B personality disorder, which client response might the nurse expect.

Answer 12

sarcastically states that group is only for crazy people with problems

Question 13

a client has been diagnosed with a cluster A personality disorder. Which client statement would reflext cluster A characteristics

Answer 13

my dinner has been poisoned

Question 14

personlaity disorders are grouped in clusters according to their behavioral characteristics. In which cluster are the disorders correctly matched with their behavioral characteristics

Answer 14

Cluster C; avoidant, dependent, obsessive-complusive disorders, anxious or fearful characteristic behaviors

Question 15

which behavior would the nurse expect to observe if a client is diagnosed with paranoid personality disorder

Answer 15

the client sits alone at lunch and states, everyone wants to hurt me

Question 16

according to the DSM-IV-TR, which diagnostic criterion describes a characteristic of schizotypal personality disorder

Answer 16

exhibits behavior or appearance that is odd, eccentric or peculiar

Question 17

according to the DSM-IV-TR which of the following diagnostic criteria describes the characteristics of borderline personality disorder? (select all that apply)

• Arrogant, haughty behaviors or attitudes
• frantic efforts to avoid real or imagined abandonment
• recurrent suicidal and self-mutilating behaviors
• unrealistic preoccupatioin with fears of being left to take care of self.
• chronic feelings of emptiness

Answer 17

• frantic efforts to avoid real or imagined abandonment
• recurrent suicidal and self-mutilating behaviors
• chronic feelings of emptiness

Question 18

According to the DSM-IV-TR which of the following diagnostic criteria describes the characteristics of avoidant personality disorder ( select all that apply)

• fearing shame and/or ridicule, does not form intimate relationships
• has difficulty making everyday decisions without reassurance from others
• is unwilling to be involved with people unless certain of being liked
• shows perfectionism that interferes with task completion
  
  • views self as socially inept, unappealing and inferior

Answer 18

• fearing shame and/or ridicule, does not form intimate relationships
• is unwilling to be involved with people unless certain of being liked
• views self as socially inept, unappealing and inferior

Question 19

when assessing a client diagnosed with histrionic personality disorder, the nurse might identify which characteristic behavior

Answer 19

attention-seeking flamboyance

Question 20

when assessing a client exhibiting passive-aggressive personality traits, which characteristic behavior might the nurse identify

Answer 20

The client seeks subtle retribution when feeling others have wronged him or her

Question 21

although there are differences among the three personality disorder clusters, there also are some traits common to all individuals diagnosed with personality disorders.. which of the following are common traits. (select all that apply)

• failure to accept the consequences of their own behavior
• self-injurious behaviors
• reluctance in taking personal risks
• cope by altering environment instead of self
  
  • lack of insight

Answer 21

• failure to accept the consequences of their own behavior
• cope by altering environment instead of self
• lack of insight

Question 22

a client diagnosed with antisocial personality disorder states “my kids are so busy at home and school, they don’t miss me or even know im gone” which nursing diagnosis applies to this client

Answer 22

ineffective denial

Question 23

a client diagnosed with borderline personality disorder superficially cut both wrists is disruptive ingroup, and is splittingstaff. Which nursing diagnosis would take priority

Answer 23

risk for self-mutilation R/T need for attention

Question 24

a client diagnosed with schizoid personality disorder chooses solitary activities, lacks close friends and appears indifferent to criticism. Which nursing diagnosis would be appropriate for this clients problem

Answer 24

social isolation R/T discomfort with human interaction AEB avoiding others

Question 25

a client exhibiting passive aggressive personality traits continuously complains to the marriage counselor about a nagging husband who criticizes her indecisiveness. which nursing diagnosis reflects this client’s problems

Answer 25

impaired social interaction R/T inability to express feelings openly.

Question 26

a nurse is discharging a client diagnosed with narcissistic personality disorder. which employment opportunity is most likely to be recommended by the treatment team

Answer 26

prison warden

Question 27

which client situation requires the nurse to prioritize the implementation of limit setting

Answer 27

a client verbally provoking another patient who is paranoid

Question 28

a client newly admitted to an in-patient psychiatric unit is diagnosed with schizotypal personality disorder. The client states “I envision my future death by fire.” Which is the most appropriate nursing response

Answer 28

I can see your thoughts are bothersome. how can I help

Question 29

A suicidal client is diagnosed with borderline personality disorder. Which short-term outcome is most benficial for the client

Answer 29

the client with express feelings without inflicting self-injury by discharge.

Question 30

a client diagnosed with an avoidant personalit disorder has the nursing diagnosis of social isolation R/T severe malformation of the spine. AEB “I can’t be around people looking like this. Which short term outcome is appropriate for this clients problem

Answer 30

the client will be able to participate in one therapy group by end of shift

Question 31

a client diagnosed with an obsessive compulsive personality disorder has a nursing diagnosis of anxiety R/T interference with hand washing AEB “ill go crazy if you don’t let me do that. Which short term outcome is appropriate for this client

Answer 31

within 72 hours of admission, the client will notify staff when signs and symptoms of anxiety escalate

Question 32

A client diagnosed with antisocial personality disorder demands at midnight to speak to the ethics committee about the involuntary commitment process. which nursing statement is appropriate

Answer 32

I realize youre upset; however this is not the appropriate time to explore your concerns

Question 33

a client diagnosed with antisocial personalty disorder is observed smoking in a nonsmoking area. which initial nursing intervention is appropriate

Answer 33

confront the client about the behavior

Question 34

after being treated in the ED for self inflicted lacerations to wrists and arms, a client with a diagnosis of borderline personality disorder is admitted to the psychiatric unit. Which nursing intervention takes priority

Answer 34

observe client frequently

Question 35

a 15 year old client living in a residential facility has a nursing diagnosis of ineffective coping R/T abuse AEB defiant responses to adult rules. Which of the following interventions would address this nursing diagnosis appropriately? (Select all that apply)

• set limits on manipulative behavior
• refuse to engage in controversial and argumentative encounters
• obtain an order for tranquilizing medication
• encourage the discussion of angry feelings
  
  • remove all dangerous objects from the clients environment

Answer 35

• set limits on manipulative behavior
• refuse to engage in controversial and argumentative encounters
• encourage the discussion of angry feelings

Question 36

A client diagnosed with a borderline personality disorder is given a nursing diagnosis of disturbed personal identity R/T unmet dependency needs AEB the inability to be alone. Which nursing intervention would be appropriate

Answer 36

help the client identify values and beliefs

Question 37

a client diagnosed with a dependent personality disorder has a nursing diagnosis of social isolation R/T parental abandonment AEB fear of involvement with individuals not in the immediate family. Which nursing interventions would be appropriate.

Answer 37

role-model positive relationships

Question 38

a client diagnosed with paranoid personality disorder needs information regarding medications. Which nursing intervention would best assist this client in understanding prescribed medications

Answer 38

provide one on one teaching in the clients room

Question 39

a nursing student is studying the historical aspects of personality disorder. which entry on the examination indicates that learning has occurred

Answer 39

hippocrates in the 4th century B.C., identified four fundamental personality styles

Question 40

a nursing student is learning about narcissistic personality disorder. Which student statement indicates that learning has occured

Answer 40

these clients express a grandiose sense of self-importance

Question 41

a nursing instructor is teaching about personality disorder characteristics. which student statement indicates that learning has occurred

Answer 41

personality disorders cannot be cured or controlled successfully with medication

Question 42

a client is diagnosed with intermittent explosive disorder. The clinic nurse should anticipate potentially teaching about which of the following medications? (select all that apply)

• Sertraline
• paliperidone
• buspirone
• phenelzine
  
  • valproate sodium

Answer 42

paliperidone (invega)

valproate sodium

Question 43

nail biting, scratching, and hair pulling for extended periods of time in a private setting are symptoms associated with the diagnosis of

Answer 43

trichotillomania

Question 44

a client diagnosed with dependent personality disorder has a nursing diagnosis of altered sleep pattern R/T impending divorce. The client is prescribed oxazepam prn. Which is an appropriate outcome for this nursing diagnosis.

Answer 44

the client sleeps 4-6 hours a night by day 3

Question 45

a client diagnosed with paranoid personality disorder is prescribed risperidone. The client is noted to have restlessness and weakness in lower extremities and is drooling. Which nursing intervention would be most important.

Answer 45

give the ordered prn dose of trihexyphenidyl

Question 46

a client diagnosed with obsessive-compulsive personality disorder is admitted to a psychiatric unit in a highly agitated state. The physician prescribes a benzodiazepine. Which medication should the nurse expect to administer

Answer 46

clonazepam