Question 1

Which statements represent positive outcomes for clients diagnosed with Narcissistic Personality Disorder? Select all that apply.

Accepted Answer

Positive outcomes for clients with Narcissistic Personality Disorder would focus on increasing empathy, acknowledging personal limitations and recognizing the strengths of others. Choices A, B, and C all represent progress in these areas. Choices D and E may be indicative of the client's focus remaining on themselves and their achievements rather than empathy and personal growth.

Question 2

A client diagnosed with cluster C traits sits alone and ignores other's attempts to converse.When asked to join a group,the client states,"No,thanks." In this situation,which initial nursing diagnosis should the nurse assign?

Accepted Answer

The client's behavior of ignoring others' attempts to converse and refusing to join a group may indicate social isolation, which can be related to low self-esteem commonly seen in individuals with cluster C traits. The other options are not appropriate based on the given information.

Question 3

The nurse plans to confront a client about secondary gains related to extreme dependency on her spouse.Which nursing statement would be most appropriate?

Accepted Answer

The most appropriate statement is D because it directly addresses the concept of secondary gains by asking the client to reflect on the benefits they receive from their extreme dependency on their spouse. This question encourages the client to consider how their behavior might be rewarding in some way, which is a key aspect of understanding and addressing secondary gains.

Question 4

Natalia is admitted to an inpatient psychiatric unit with the diagnosis of Paranoid Personality Disorder.Which statement made by Natalia to the nurse enforces Natalia's diagnosis? Select all that apply.

Accepted Answer

Paranoid Personality Disorder is characterized by distrust and suspicion of others' motives. Statements A, B, and C reflect this distrust and suspicion. A suggests blaming others for personal issues, B implies a belief that others (teachers) have held her back due to lack of belief in her, and C indicates suspicion about a roommate's motives. D and E do not specifically reflect paranoia; D shows a positive view of group therapy, and E reflects defiance rather than paranoia.

Question 5

The nurse is caring for a group of clients within the DSM-5 cluster B category of personality disorders.Which factors should the nurse consider when planning client care? Select all that apply.

Accepted Answer

Clients with personality disorders in the DSM-5 cluster B category have deeply ingrained personality traits that are difficult to modify. They often use manipulation to avoid taking responsibility for their actions or to get what they want, which can make implementation of treatment problematic. They may struggle with poor impulse control, which can hinder their ability to comply with a plan of care. It is also common for individuals with personality disorders in this category to have co-occurring diagnoses of substance abuse and depression. Medications may be used to treat co-occurring conditions, but they are not necessarily used to treat the underlying pathology of the personality disorder.

Question 6

The nurse should recognize which factors that distinguish personality disorders from psychosis?

Accepted Answer

Major disturbances of thought, such as hallucinations and delusions, are absent in personality disorders, while they are present in psychosis. Therefore, the absence of these symptoms is a distinguishing factor between the two disorders. None of the other options presented accurately distinguish between personality disorders and psychosis.

Question 7

The nurse would expect a client diagnosed with Schizotypal Personality Disorder to exhibit which characteristic?

Accepted Answer

Schizotypal Personality Disorder is characterized by odd beliefs, magical thinking, inappropriate or constricted affect, suspiciousness or paranoid ideation, and incorrect interpretations of external events. The other options do not reflect the characteristic of this disorder.

Question 8

Jillian is a patient on a psychiatric unit for medication management related to her diagnosis of BPD.The nurse evaluates Jillian's care plan and confirms Jillian has reached her outcome goals when she makes which statement? Select all that apply.

Accepted Answer

A, B, and C reflect progress in Jillian's treatment for Borderline Personality Disorder (BPD). A shows idealization with some recognition of reality, B demonstrates insight into the origins of her emotions, and C indicates the development of healthier coping mechanisms. D, however, reflects splitting and avoidance, which are maladaptive coping mechanisms in BPD.

Question 9

Nina is an artist who dresses in long,colorful kaftans and wears sequin and rhinestone hats.Her makeup is dramatic and her long,false fingernails are always painted a bright color.Every time Nina attends a social event,she waltzes into the room and shouts "Hello people! I have arrived." Which behavior is congruent with Nina's diagnosis? Select all that apply.

Accepted Answer

The answer of Nina is an artist who dresses in...

Question 10

Monica was diagnosed with Obsessive-Compulsive Disorder several years ago and visits the outpatient mental health clinic for medication evaluation.As the nurse updates Monica's health record with new assessment data,she reviews Monica's family history.The nurse knows that Monica most likely grew up in which family environment? Select all that apply.

Accepted Answer

Individuals with Obsessive-Compulsive Disorder (OCD) often grow up in environments where there is a high level of control, criticism, or expectations. Frequent punishment for undesirable behaviors (A), taking positive achievements for granted (B), and requiring adherence to rigid restrictions and rules (C) can contribute to the development of OCD by creating a sense of anxiety, perfectionism, or a need for control. These environments can foster the development of compulsive behaviors as coping mechanisms.

Question 11

Which client is the nurse most likely to admit to an inpatient facility for self-destructive behaviors?

Accepted Answer

Clients with Borderline Personality Disorder (BPD) are most likely to exhibit self-destructive behaviors, such as self-harm or suicidal ideation, and may require inpatient treatment for safety and stabilization. The other personality disorders listed may exhibit different types of problematic behaviors, but self-destructiveness is not typically a prominent feature.

Question 12

The nurse is assisting the social worker and therapist in leading a presentation on life skills to the patients on a psychiatric unit.Jerome,who has been diagnosed with BPD,begins to threaten another patient who constantly interrupts the presentation by asking questions.As Jerome's behavior escalates,which actions should the nurse take first? Select all that apply.

Accepted Answer

The nurse should first ensure the safety of all patients by calmly asking them to leave the room and then alert other staff to assist in managing the escalating situation.

Question 13

While improving,a client demands to have a phone installed in the intensive care unit room.When the nurse states,"This is not allowed;it is a unit rule," the client angrily demands to see the doctor.Which approach should the nurse use in this situation?

Accepted Answer

The answer of While improving,a client demands to have a...

Question 14

When planning care for clients diagnosed with personality disorders,which treatment outcome should the nurse anticipate?

Accepted Answer

Personality disorders are long-standing patterns of maladaptive behavior, which are deeply ingrained and resistant to change. Therefore, the goal of treatment for clients with personality disorders is not to change the dysfunctional personality but to reduce the inflexibility of personality traits that interfere with functioning and relationships. Medications can be helpful in treating symptoms such as anxiety, depression, or impulsivity, but they do not fundamentally change personality. Similarly, there is no evidence that personality disorders are caused by abnormalities in neurotransmitter function, so reducing the prevalence of neurotransmitters at receptor sites is not a relevant treatment outcome.

Question 15

Which nursing statement reflects a common characteristic of a client diagnosed with Paranoid Personality Disorder?

Accepted Answer

Clients with Paranoid Personality Disorder often have difficulty trusting others, are suspicious of others' motives and may be critical or argumentative. This can make it challenging for them to get along with others and may result in them being critical of the care provided. The other options do not necessarily reflect common characteristics of this disorder.

Question 16

Which statement regarding antisocial personality disorder is true? Select all that apply.

Accepted Answer

The answer of Which statement regarding antisocial personality disorder is...

Question 17

When a client on an acute care psychiatric unit demonstrates behaviors and verbalizations indicating a lack of guilt feelings,which nursing intervention would help the client to meet desired outcomes?

Accepted Answer

Providing external limits on client behavior helps establish boundaries and consequences, which can aid in developing a sense of responsibility and understanding of the impact of their actions.

Question 18

A client exhibits dependency on staff and peers and expresses fear of abandonment.Using Mahler's theory of object relations,which should the nurse expect to note in this client's childhood?

Accepted Answer

According to Mahler's theory of object relations, difficulty in the individuation phase, which involves the child starting to develop a sense of individuality separate from the maternal figure, can lead to issues such as dependency and fear of abandonment in adulthood. Inconsistency by the maternal figure during this critical phase can hinder the development of a stable sense of self, leading to the behaviors described in the client.

Question 19

Which characteristics should the nurse recognize as being exhibited by individuals diagnosed with any personality disorder?

Accepted Answer

Individuals with personality disorders often do not see their behaviors as problematic and are typically comfortable with their altered behaviors, which is why they may not seek treatment voluntarily.

Question 20

Which client statement would demonstrate a common characteristic of a cluster B personality disorder?

Accepted Answer

This statement shows a lack of empathy, disregard for rules and norms, and impulsivity, which are common characteristics of cluster B personality disorders, particularly antisocial personality disorder.

Quiz 32: Personality Disorders