Psychiatric Nursing 8th Edition Keltner Test Bank
Chapter 29: Personality Disorders
Keltner: Psychiatric Nursing, 8th Edition .
MULTIPLE CHOICE
1. Which statement made by a client demonstrates the characteristics associated with personality
disorders?
a. “My problem involves only my work relationships.”
b. “I follow rules regardless of the situation.”
c. “What people think of me is really important to me.”
d. “I can’t concentrate when I’m around people who don’t agree with me.”
ANS: B
Patients with personality disorders suffer lifelong inflexible and dysfunctional patterns of
relating and behaving. The patient experiences subjective distress, usually based on others’
reactions to him or her, and functioning is impaired. More than one aspect of personality is
involved: personality disorders are described as pervasive. Behaviors are complex and
difficult to manage.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. A patient demonstrating borderline personality disorder says, “When I met him, he was
perfect and gave me everything. Now I know how bad he really is. He left me alone tonight to
go out with others, so I had to cut myself.” Which feature is evident?
a. Splitting
b. Paranoia NURSINGTB.COM
c. Grandiosity
d. Submissiveness
ANS: A
Splitting involves the inability to integrate the good and bad aspects of an object, so her
boyfriend is seen as perfect or entirely bad, not as a person with some traits that she likes and
some that she dislikes. Paranoid tendencies involve feelings of persecution. There is no
indication that the patient is submissive or grandiose.
DIF: Cognitive level: Applying TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
3. A patient has had long-term conflicts with two siblings over their parents’ wills. The patient
reacts quickly with anger, suspicious that the siblings are plotting to take all the inheritance.
These characteristics are most consistent with which personality disorder?
a. Schizoid
b. Paranoid
c. Borderline
d. Narcissistic
ANS: B
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, Psychiatric Nursing 8th Edition Keltner Test Bank
The characteristics mentioned in the scenario fit the description of paranoid personality
disorder. Schizoid personality is characterized by shyness, withdrawal, and poor social
relationships. Borderline personality is characterized by problems with identity, self-image,
mood, and impulsivity. Narcissistic personality is characterized by self-importance,
grandiosity, and a sense of entitlement.
DIF: Cognitive level: Applying TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
4. Which intervention demonstrates the nurse’s understanding of the management of behaviors
demonstrated by a patient diagnosed with borderline personality disorder?
a. Scheduling the client for group grief counseling
b. Arranging for short interactions with unit staff
c. Frequent discussions concerning unit rules and expectations
d. Helping the client de-escalate both verbal and physical anger
ANS: C
Characteristic behaviors of individuals with borderline personality disorder include rapid
mood shifts, impulsive acting out, and manipulation of others, as well as problems with
identity, dependency, self-mutilation, and unstable, intense interpersonal relationships.
DIF: Cognitive level: Applying TOP: Nursing process: Planning
MSC: Client Needs: Psychosocial Integrity
5. A nurse caring for a person diagnosed with schizoid personality disorder demonstrates an
understanding of the disorder when making what statement?
a. “I need to be alert for demonstrates of socially aggressive behavior.”
b. “The client will not engageNUinRmuch
SINGconversation
TB.COM with either staff or with other
clients.”
c. “Staff will need to be accepting of the client’s odd personal behaviors.”
d. “I expect the client to be socially cold and standoffish.”
ANS: B
Individuals with schizoid personality disorder do not want to be involved in relationships.
They are shy and introverted, speak little, and prefer fantasy and daydreaming to being
involved with real people. The distracters characteristically apply to antisocial personality
disorder, schizotypal personality disorder, and paranoid personality disorder.
DIF: Cognitive level: Applying TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
6. Which characteristic of individuals diagnosed with personality disorders in the
dramatic-erratic cluster makes it advisable for staff to have frequent patient-centered
meetings?
a. Manipulating others to avoid limits
b. Behaving responsibly in the peer group
c. Withdrawing from interactions with others
d. Depending excessively on others for support
ANS: A
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Chapter 29: Personality Disorders
Keltner: Psychiatric Nursing, 8th Edition .
MULTIPLE CHOICE
1. Which statement made by a client demonstrates the characteristics associated with personality
disorders?
a. “My problem involves only my work relationships.”
b. “I follow rules regardless of the situation.”
c. “What people think of me is really important to me.”
d. “I can’t concentrate when I’m around people who don’t agree with me.”
ANS: B
Patients with personality disorders suffer lifelong inflexible and dysfunctional patterns of
relating and behaving. The patient experiences subjective distress, usually based on others’
reactions to him or her, and functioning is impaired. More than one aspect of personality is
involved: personality disorders are described as pervasive. Behaviors are complex and
difficult to manage.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
MSC: Client Needs: Psychosocial Integrity
2. A patient demonstrating borderline personality disorder says, “When I met him, he was
perfect and gave me everything. Now I know how bad he really is. He left me alone tonight to
go out with others, so I had to cut myself.” Which feature is evident?
a. Splitting
b. Paranoia NURSINGTB.COM
c. Grandiosity
d. Submissiveness
ANS: A
Splitting involves the inability to integrate the good and bad aspects of an object, so her
boyfriend is seen as perfect or entirely bad, not as a person with some traits that she likes and
some that she dislikes. Paranoid tendencies involve feelings of persecution. There is no
indication that the patient is submissive or grandiose.
DIF: Cognitive level: Applying TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
3. A patient has had long-term conflicts with two siblings over their parents’ wills. The patient
reacts quickly with anger, suspicious that the siblings are plotting to take all the inheritance.
These characteristics are most consistent with which personality disorder?
a. Schizoid
b. Paranoid
c. Borderline
d. Narcissistic
ANS: B
This study source was downloaded by 100000841689952 from CourseHero.com on 05-27-2022 02:55:38 GMT -05:00
https://www.coursehero.com/file/59356861/29pdf/ NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank
The characteristics mentioned in the scenario fit the description of paranoid personality
disorder. Schizoid personality is characterized by shyness, withdrawal, and poor social
relationships. Borderline personality is characterized by problems with identity, self-image,
mood, and impulsivity. Narcissistic personality is characterized by self-importance,
grandiosity, and a sense of entitlement.
DIF: Cognitive level: Applying TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
4. Which intervention demonstrates the nurse’s understanding of the management of behaviors
demonstrated by a patient diagnosed with borderline personality disorder?
a. Scheduling the client for group grief counseling
b. Arranging for short interactions with unit staff
c. Frequent discussions concerning unit rules and expectations
d. Helping the client de-escalate both verbal and physical anger
ANS: C
Characteristic behaviors of individuals with borderline personality disorder include rapid
mood shifts, impulsive acting out, and manipulation of others, as well as problems with
identity, dependency, self-mutilation, and unstable, intense interpersonal relationships.
DIF: Cognitive level: Applying TOP: Nursing process: Planning
MSC: Client Needs: Psychosocial Integrity
5. A nurse caring for a person diagnosed with schizoid personality disorder demonstrates an
understanding of the disorder when making what statement?
a. “I need to be alert for demonstrates of socially aggressive behavior.”
b. “The client will not engageNUinRmuch
SINGconversation
TB.COM with either staff or with other
clients.”
c. “Staff will need to be accepting of the client’s odd personal behaviors.”
d. “I expect the client to be socially cold and standoffish.”
ANS: B
Individuals with schizoid personality disorder do not want to be involved in relationships.
They are shy and introverted, speak little, and prefer fantasy and daydreaming to being
involved with real people. The distracters characteristically apply to antisocial personality
disorder, schizotypal personality disorder, and paranoid personality disorder.
DIF: Cognitive level: Applying TOP: Nursing process: Evaluation
MSC: Client Needs: Psychosocial Integrity
6. Which characteristic of individuals diagnosed with personality disorders in the
dramatic-erratic cluster makes it advisable for staff to have frequent patient-centered
meetings?
a. Manipulating others to avoid limits
b. Behaving responsibly in the peer group
c. Withdrawing from interactions with others
d. Depending excessively on others for support
ANS: A
This study source was downloaded by 100000841689952 from CourseHero.com on 05-27-2022 02:55:38 GMT -05:00
https://www.coursehero.com/file/59356861/29pdf/ NURSINGTB.COM
