MENTAL HEALTH
NURSING
MOD 2 EXAM
QNS & ANS
2023/2024
,Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently
manipulates others?
a. Refer the patient's requests and questions to the case manager.
b. Explore the patient's feelings of fear and inferiority.
c. Provide negative reinforcement for acting-out behavior.
d. Ignore, rather than confront, inappropriate behavior.
As a nurse prepares to administer a medication to a patient diagnosed with a borderline personality disorder, the patient
says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response?
a. Reinforce this assertive action by the patient. Leave the medication on the table as requested.
b. Respond to the patient, "I'm worried that you might not take it. I will come back later."
c. Say to the patient, "I must watch you take the medication. Please take it now."
d. Ask the patient, "Why don't you want to take your medication now?"
What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates
others? The patient will:
a. identify when feeling angry.
b. use manipulation only to get legitimate needs met.
c. acknowledge manipulative behavior when it is called to his or her attention.
d. accept fulfillment of his or her requests within an hour rather than immediately.
Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder:
"You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't do your job right"; "You think
you're perfect, but I've seen you make three mistakes." Collectively, these interactions can be assessed as:
a. seductive.
b. detached.
c. manipulative.
d. guilt producing.
A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other
patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and
superficial during counseling sessions. Which behavior most clearly warrants limit setting?
a. Flattering the nurse
b. Lying to other patients
c. Verbal abuse of another patient
d. Detached superficiality during counseling
A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient
reveals feelings of depression and anger with life. The psychiatrist suggests the use of a medication. Which type of
medication should the nurse expect?
a. Selective serotonin reuptake inhibitor (SSRI)
b. Monoamine oxidase inhibitor (MAOI)
c. Benzodiazepine
d. Antipsychotic
, A person's spouse filed charges of battery. The person has a long history of acting-out behaviors and several arrests.
Which statement by the person suggests an antisocial personality disorder?
a. "I have a quick temper, but I can usually keep it under control."
b. "I've done some stupid things in my life, but I've learned a lesson."
c. "I'm feeling terrible about the way my behavior has hurt my family."
d. "I hit because I'm tired of being nagged. My spouse deserved the beating."
What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats
against staff, ripped art off the walls, and thrown objects?
a. Disturbed sensory perception-auditory
b. Risk for other-directed violence
c. Ineffective denial
d. Ineffective coping
A patient diagnosed with a personality disorder has used manipulation to get his or her needs met. The staff decides to
apply limit-setting interventions. What is the correct rationale for this action?
a. It provides an outlet for feelings of anger and frustration.
b. It respects the patient's wishes so assertiveness will develop.
c. External controls are necessary while internal controls are developed.
d. Anxiety is reduced when staff members assume responsibility for the patient's behavior.
A patient diagnosed with borderline personality disorder and a history of self-mutilation has now begun dialectical
behavior therapy (DBT) on an outpatient basis. Counseling focuses on self-harm behavior management. Today the patient
telephones to say, "I'm feeling empty and want to cut myself." The nurse should:
a. arrange for emergency inpatient hospitalization.
b. send the patient to the crisis intervention unit for 8 to 12 hours.
c. assist the patient to identify the trigger situation and choose a coping strategy.
d. advise the patient to take an antianxiety medication to decrease the anxiety level.
The most challenging nursing intervention for patients diagnosed with personality disorders who use manipulation to get
their needs met is:
a. supporting behavioral change.
b. monitoring suicide attempts.
c. maintaining consistent limits.
d. using aversive therapy.
The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:
a. adherence to a strict moral code.
b. manipulative, controlling strategies.
c. postponing gratification to an appropriate time.
d. little time elapsed between thought and action.
14. A patient tells a nurse, "I sometimes get into trouble because I make quick decisions and act on them." A therapeutic
response would be:
a. "Let's consider the advantages of being able to stop and think before acting."
b. "It sounds as though you've developed some insight into your situation."
c. "I'll bet you have some interesting stories to share about overreacting."
d. "It's good that you're showing readiness for behavioral change."
A patient diagnosed with borderline personality disorder is hospitalized several times after self-inflicted lacerations. The
patient remains impulsive. Dialectical behavior therapy starts on an outpatient basis. Which nursing diagnosis is the focus
of this therapy?
a. Risk for self-mutilation
b. Impaired skin integrity
c. Risk for injury
d. Powerlessness
Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is
effective?
a. "I think you are the best nurse on the unit."
b. "I'm never going to get high on drugs again."
c. "I hate my doctor for not giving me what I ask for."
d. "I felt empty and wanted to cut myself, so I called you."
When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the
assessment findings will include:
a. preoccupation with minute details; perfectionism.
b. charm, drama, seductiveness; seeking admiration.
c. difficulty being alone; indecisiveness, submissiveness.
d. grandiosity, attention seeking, and arrogance.
NURSING
MOD 2 EXAM
QNS & ANS
2023/2024
,Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently
manipulates others?
a. Refer the patient's requests and questions to the case manager.
b. Explore the patient's feelings of fear and inferiority.
c. Provide negative reinforcement for acting-out behavior.
d. Ignore, rather than confront, inappropriate behavior.
As a nurse prepares to administer a medication to a patient diagnosed with a borderline personality disorder, the patient
says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response?
a. Reinforce this assertive action by the patient. Leave the medication on the table as requested.
b. Respond to the patient, "I'm worried that you might not take it. I will come back later."
c. Say to the patient, "I must watch you take the medication. Please take it now."
d. Ask the patient, "Why don't you want to take your medication now?"
What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates
others? The patient will:
a. identify when feeling angry.
b. use manipulation only to get legitimate needs met.
c. acknowledge manipulative behavior when it is called to his or her attention.
d. accept fulfillment of his or her requests within an hour rather than immediately.
Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder:
"You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't do your job right"; "You think
you're perfect, but I've seen you make three mistakes." Collectively, these interactions can be assessed as:
a. seductive.
b. detached.
c. manipulative.
d. guilt producing.
A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other
patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and
superficial during counseling sessions. Which behavior most clearly warrants limit setting?
a. Flattering the nurse
b. Lying to other patients
c. Verbal abuse of another patient
d. Detached superficiality during counseling
A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient
reveals feelings of depression and anger with life. The psychiatrist suggests the use of a medication. Which type of
medication should the nurse expect?
a. Selective serotonin reuptake inhibitor (SSRI)
b. Monoamine oxidase inhibitor (MAOI)
c. Benzodiazepine
d. Antipsychotic
, A person's spouse filed charges of battery. The person has a long history of acting-out behaviors and several arrests.
Which statement by the person suggests an antisocial personality disorder?
a. "I have a quick temper, but I can usually keep it under control."
b. "I've done some stupid things in my life, but I've learned a lesson."
c. "I'm feeling terrible about the way my behavior has hurt my family."
d. "I hit because I'm tired of being nagged. My spouse deserved the beating."
What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats
against staff, ripped art off the walls, and thrown objects?
a. Disturbed sensory perception-auditory
b. Risk for other-directed violence
c. Ineffective denial
d. Ineffective coping
A patient diagnosed with a personality disorder has used manipulation to get his or her needs met. The staff decides to
apply limit-setting interventions. What is the correct rationale for this action?
a. It provides an outlet for feelings of anger and frustration.
b. It respects the patient's wishes so assertiveness will develop.
c. External controls are necessary while internal controls are developed.
d. Anxiety is reduced when staff members assume responsibility for the patient's behavior.
A patient diagnosed with borderline personality disorder and a history of self-mutilation has now begun dialectical
behavior therapy (DBT) on an outpatient basis. Counseling focuses on self-harm behavior management. Today the patient
telephones to say, "I'm feeling empty and want to cut myself." The nurse should:
a. arrange for emergency inpatient hospitalization.
b. send the patient to the crisis intervention unit for 8 to 12 hours.
c. assist the patient to identify the trigger situation and choose a coping strategy.
d. advise the patient to take an antianxiety medication to decrease the anxiety level.
The most challenging nursing intervention for patients diagnosed with personality disorders who use manipulation to get
their needs met is:
a. supporting behavioral change.
b. monitoring suicide attempts.
c. maintaining consistent limits.
d. using aversive therapy.
The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior characterized by:
a. adherence to a strict moral code.
b. manipulative, controlling strategies.
c. postponing gratification to an appropriate time.
d. little time elapsed between thought and action.
14. A patient tells a nurse, "I sometimes get into trouble because I make quick decisions and act on them." A therapeutic
response would be:
a. "Let's consider the advantages of being able to stop and think before acting."
b. "It sounds as though you've developed some insight into your situation."
c. "I'll bet you have some interesting stories to share about overreacting."
d. "It's good that you're showing readiness for behavioral change."
A patient diagnosed with borderline personality disorder is hospitalized several times after self-inflicted lacerations. The
patient remains impulsive. Dialectical behavior therapy starts on an outpatient basis. Which nursing diagnosis is the focus
of this therapy?
a. Risk for self-mutilation
b. Impaired skin integrity
c. Risk for injury
d. Powerlessness
Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is
effective?
a. "I think you are the best nurse on the unit."
b. "I'm never going to get high on drugs again."
c. "I hate my doctor for not giving me what I ask for."
d. "I felt empty and wanted to cut myself, so I called you."
When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the
assessment findings will include:
a. preoccupation with minute details; perfectionism.
b. charm, drama, seductiveness; seeking admiration.
c. difficulty being alone; indecisiveness, submissiveness.
d. grandiosity, attention seeking, and arrogance.
