Deck 14: Personality Disorders
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Deck 14: Personality Disorders
1
Schizotypal personality disorder may be confused with what other psychiatric disorder?
1)Bipolar
2)Schizophrenia
3)Dual diagnosis
4)Paranoid personality
1)Bipolar
2)Schizophrenia
3)Dual diagnosis
4)Paranoid personality
2
2
Which characteristic is likely to be present in a patient with avoidant personality?
1)High self-esteem
2)Experiencing pleasure in life
3)Awkward in social situations
4)Very close relationships with family
1)High self-esteem
2)Experiencing pleasure in life
3)Awkward in social situations
4)Very close relationships with family
3
3
Which of the following statements best describes obsessive-compulsive personality disorder?
1)Dramatic, extroverted behaviors with strong emotions.
2)Disregard and violation of the rights of others.
3)A pattern of preoccupation with orderliness and perfectionism.
4)Pervasive, submissive, and clinging behavior.
1)Dramatic, extroverted behaviors with strong emotions.
2)Disregard and violation of the rights of others.
3)A pattern of preoccupation with orderliness and perfectionism.
4)Pervasive, submissive, and clinging behavior.
3
4
Your male patient tells you that he has women "throwing themselves" at him everywhere he goes. From this statement, what is the most likely personality disorder he is exhibiting?
1)Borderline
2)Narcissistic
3)Paranoid
4)Antisocial
1)Borderline
2)Narcissistic
3)Paranoid
4)Antisocial
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5
You find your patient with antisocial personality disorder smoking in the lounge where smoking is not allowed. Which response is best?
1)Make a general overhead announcement about no smoking.
2)Bring up the smoking issue at the next group session.
3)Tell the patient directly he is not to be smoking here.
4) Personality Disorders
4)Encourage the patient to identify why he has the need to smoke now.
1)Make a general overhead announcement about no smoking.
2)Bring up the smoking issue at the next group session.
3)Tell the patient directly he is not to be smoking here.
4) Personality Disorders
4)Encourage the patient to identify why he has the need to smoke now.
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6
Barbara is a new patient on your floor who is being assessed for several disorders, including suicide potential. You learn she attempts suicide every 6 to 12 months because she cannot tolerate living alone. She is unable to see two sides of a situation or an individual; they are either all good or all bad. You consider which of the following as a potential diagnosis for Barbara?
1)Borderline personality disorder
2)Multiple personality disorder
3)Narcissistic personality disorder
4)Antisocial personality disorder
1)Borderline personality disorder
2)Multiple personality disorder
3)Narcissistic personality disorder
4)Antisocial personality disorder
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7
Patients with antisocial personality disorder:
1)Generally must have immediate gratification.
2)Display a great deal of responsibility toward others.
3)Show a great deal of anxiety.
4)Have obsessive thoughts when in a social situation.
1)Generally must have immediate gratification.
2)Display a great deal of responsibility toward others.
3)Show a great deal of anxiety.
4)Have obsessive thoughts when in a social situation.
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8
You know your patient has a personality disorder. He tells you, "You are the best nurse. I am so glad you are here today and not that mean nurse who was here yesterday." Which personality disorder would be most associated with this statement?
1)Paranoid
2)Antisocial
3)Schizoid
4)Borderline
1)Paranoid
2)Antisocial
3)Schizoid
4)Borderline
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9
Nurses understand that a major cause of personality disorders is:
1)Neurochemical imbalance.
2)Genetics.
3)Dysfunctional family relationships.
4)Anoxia.
1)Neurochemical imbalance.
2)Genetics.
3)Dysfunctional family relationships.
4)Anoxia.
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10
Your male patient tells you that he has women "throwing themselves" at him everywhere he goes. The best nursing response to the patient is:
1)"Wow, that is impressive. Give me some tips."
2)"Tell me about a recent relationship."
3)"Let's focus on activities for today."
4)"Let's go to the dayroom and see what happens."
1)"Wow, that is impressive. Give me some tips."
2)"Tell me about a recent relationship."
3)"Let's focus on activities for today."
4)"Let's go to the dayroom and see what happens."
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11
A patient with borderline personality disorder approaches you and voices concern that she is being ignored and feels unimportant. The patient blames the nursing staff for these feelings because the nurses are "not paying attention" to her. Your best therapeutic response to this patient is:
1)"I will bring it up at our next meeting."
2)"It's all in your imagination."
3)"Tell me more about your feeling of being ignored."
4)"You need to share your feelings with the individual nurses you feel are ignoring you."
1)"I will bring it up at our next meeting."
2)"It's all in your imagination."
3)"Tell me more about your feeling of being ignored."
4)"You need to share your feelings with the individual nurses you feel are ignoring you."
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12
Personality disorders are organized into three clusters. Which cluster is the diagnosis of schizotypal disorder placed in?
1)Cluster A
2)Cluster 1
3)Cluster B
4)Cluster C
1)Cluster A
2)Cluster 1
3)Cluster B
4)Cluster C
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13
Tony is a 25-year-old male patient who is being treated at your hospital day-treatment center. Tony is very charming and seems popular. He has the ability to draw crowds around him, but you know he has been in trouble with the law several times since adolescence and lies constantly. You realize that Tony's behavior is most likely which personality disorder?
1)Paranoid personality disorder
2)Schizoid personality disorder
3)Dependent personality disorder
4)Antisocial personality disorder
1)Paranoid personality disorder
2)Schizoid personality disorder
3)Dependent personality disorder
4)Antisocial personality disorder
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14
Nurses know that when working with patients who have personality disorders, the most difficult task for these patients will probably be:
1)Following rules.
2)Getting along with others.
3)Hoarding their medications.
4)Participating in care plan meetings.
1)Following rules.
2)Getting along with others.
3)Hoarding their medications.
4)Participating in care plan meetings.
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15
Nancy has antisocial personality disorder. Which of the following is a goal of treatment for Nancy?
1)Comply with her medication regimen.
2)Participate in long-term therapy.
3)Become a group facilitator.
4)Eliminate her anxiety.
1)Comply with her medication regimen.
2)Participate in long-term therapy.
3)Become a group facilitator.
4)Eliminate her anxiety.
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