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Exam 32: Personality Disorders

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Question 21

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The nurse tells a client that the nursing staff will start alternating weekend shifts.Which response should the nurse identify as characteristic of clients diagnosed with OCPD?

A) "You really don't have to go by that schedule.I'd just stay home sick."
B) "There has got to be a hidden agenda behind this schedule change."
C) "Who do you think you are? I expect to interact with the same nurse every Saturday."
D) "You can't make these kinds of changes! Isn't there a rule that governs this decision?"

E) C) and D)
F) None of the above

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Question 22

Multiple Choice

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Family members of a client ask the nurse to explain the difference between schizoid and avoidant personality disorders.Which is the appropriate nursing reply?

A) "Clients diagnosed with Avoidant Personality Disorder desire intimacy but fear it,and clients diagnosed with Schizoid Personality Disorder prefer to be alone."
B) "Clients diagnosed with Schizoid Personality Disorder exhibit odd,bizarre,and eccentric behavior,whereas clients diagnosed with Avoidant Personality Disorder do not."
C) "Clients diagnosed with Avoidant Personality Disorder are eccentric,and clients diagnosed with Schizoid Personality Disorder are dull and vacant."
D) "Clients diagnosed with Schizoid Personality Disorder have a history of psychotic thought processes,whereas clients diagnosed with Avoidant Personality Disorder remain based in reality."

E) All of the above
F) A) and C)

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Question 23

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

A nursing instructor is teaching students about clients diagnosed with Histrionic Personality Disorder and the quality of their relationships.Which student statement indicates that learning has occurred?

Which nursing diagnosis should the nurse identify as appropriate when working with a client diagnosed with Schizoid Personality Disorder?

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.

Which client situation statement should the nurse identify as reflective of the impulsive behavior that is commonly associated with BPD?

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

A client diagnosed with Antisocial Personality Disorder comes to the nurses' station at 11:00 p.m. ,requesting to phone a lawyer to discuss filing for a divorce.The unit rules state that no phone calls are permitted after 10:00 p.m.Which nursing reply is most appropriate?

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.

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.

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?

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.

Which is the priority nursing diagnosis when providing care to a client diagnosed with Paranoid Personality Disorder?

Looking at a slightly bleeding paper cut,the client screams,"Somebody help me,quick! I'm bleeding.Call 911!" The nurse should identify this behavior as characteristic of which personality disorder?

Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with BPD?

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?

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?

A highly emotional client presents at an outpatient clinic appointment wearing flamboyant attire,spiked heels,and theatrical makeup.Which personality disorder should the nurse associate with these assessment data?

A pessimistic client expresses low self-worth,has much difficulty making decisions,avoids positions of responsibility,and has a behavioral pattern of "suffering" in silence.Which underlying cause of this client's personality disorder should the nurse recognize?