NUR 211 PSYCH PRACTICE
QUESTIONS WITH COMPLETE
SOLUTIONS
An adult client with a borderline personality disorder become
nauseated and vomits immediately after drinking after drinking 2
ounces of shampoo as a suicide gesture. The most appropriate initial
response by the nurse would be to:
A
Promptly notify the attending physician
B
Immediately initiate suicide precautions
C
Sit quietly with the client until nausea and vomiting subsides
D
Assess the client's vital signs and administer syrup of ipecac -- Correct
Answer ✔✔ C
This intervention demonstrates the nurse's caring presence which is
vital for this client. (1) Although the treatment team does need to know
about the event, notification is not the immediate concern. (2) This is
premature and it reinforces the client's predisposition to manipulative
behavior. (4) This medication is inappropriate in this situation; vomiting
would be expected after the ingestion of shampoo.
A nurse notices that a client is mistrustful and shows hostile behavior.
Which of the following types of personality disorder is associated with
these characteristics?
A
Antisocial
B
,Avoidant
C
Borderline
D
Paranoid -- Correct Answer ✔✔ D
Paranoid individuals have a need to constantly scan the environment
for signs of betrayal, deception, and ridicule, appearing mistrustful and
hostile. They expect to be tricked or deceived by others.
Which of the following types of behavior is expected from a client
diagnosed with a paranoid personality disorder?
A
Eccentric
B
Exploitative
C
Hypersensitive
D
Seductive -- Correct Answer ✔✔ C
People with paranoid personality disorders are hypersensitive to
perceived threats. Schizotypal personalities appear eccentric and
engage in activities others find perplexing. Clients with narcissistic
personality disorder are interpersonally exploitative to enhance
themselves or indulge in their own desires. A client with histrionic
personality disorder can be extremely seductive when in search of
stimulation and approval.
A client with antisocial personality is trying to convince a nurse that he
deserves special privileges and that an exception to the rules should
be made for him. Which of the following responses is the most
appropriate?
A
"I believe we need to sit down and talk about this."
B
"Don't you know better than to try to bend the rules?"
C
"What you're asking me to do is unacceptable."
,D
"Why don't you bring this request to the community meeting?" --
Correct Answer ✔✔ C
These clients often try to manipulate the nurse to get special privileges
or make exceptions to the rules on their behalf. By informing the client
directly when actions are inappropriate, the nurse helps the client
learn to control unacceptable behaviors by setting limits. By sitting
down to talk about the request, the nurse is telling the client there's
room for negotiating when there is none.
A nurse notices other clients on the unit avoiding a client diagnosed
with antisocial personality disorder. When discussing appropriate
behavior in group therapy, which of the following comments is
expected about this client by his peers?
A
Lack of honesty
B
Belief in superstitions
C
Show of temper tantrums
D
Constant need for attention -- Correct Answer ✔✔ A
Clients with antisocial personality disorder tend to engage in acts of
dishonesty, shown by lying.
Which of the following characteristics or client histories substantiates a
diagnosis of antisocial personality disorder?
A
Delusional thinking
B
Feelings of inferiority
C
Disorganized thinking
D
Multiple criminal charges -- Correct Answer ✔✔ D
Clients with antisocial personality disorder are often sent for treatment
by the court after multiple crimes or for the use of illegal substances.
, A client with borderline personality disorder is admitted to the unit
after slashing his wrist. Which of the following goals is most important
after promoting safety?
A
Establish a therapeutic relationship with the client
B
Identify whether splitting is present in the client's thoughts
C
Talk about the client's acting out and self-destructive tendencies.
D
Encourage the client to understand why he blames others -- Correct
Answer ✔✔ A
After promoting safety, the nurse establishes a rapport with the client
to facilitate appropriate expression of feelings. At this time, the client
isn't ready to address unhealthy behavior. A therapeutic relationship
must be established before the nurse can effectively work with the
client on self-destructive tendencies and the issues of splitting.
Which of the following characteristics or situations is indicated when a
client with borderline personality disorder has a crisis?
A
Antisocial behavior
B
Suspicious behavior
C
Relationship problems
D
Auditory hallucinations -- Correct Answer ✔✔ C
Relationship problems can precipitate a crisis because they bring up
issues of abandonment. Clients with borderline personality disorder
aren't usually suspicious; they're more likely to be depressed or highly
anxious.
Which of the following assessment findings is seen in a client
diagnosed with borderline personality disorder?
A
QUESTIONS WITH COMPLETE
SOLUTIONS
An adult client with a borderline personality disorder become
nauseated and vomits immediately after drinking after drinking 2
ounces of shampoo as a suicide gesture. The most appropriate initial
response by the nurse would be to:
A
Promptly notify the attending physician
B
Immediately initiate suicide precautions
C
Sit quietly with the client until nausea and vomiting subsides
D
Assess the client's vital signs and administer syrup of ipecac -- Correct
Answer ✔✔ C
This intervention demonstrates the nurse's caring presence which is
vital for this client. (1) Although the treatment team does need to know
about the event, notification is not the immediate concern. (2) This is
premature and it reinforces the client's predisposition to manipulative
behavior. (4) This medication is inappropriate in this situation; vomiting
would be expected after the ingestion of shampoo.
A nurse notices that a client is mistrustful and shows hostile behavior.
Which of the following types of personality disorder is associated with
these characteristics?
A
Antisocial
B
,Avoidant
C
Borderline
D
Paranoid -- Correct Answer ✔✔ D
Paranoid individuals have a need to constantly scan the environment
for signs of betrayal, deception, and ridicule, appearing mistrustful and
hostile. They expect to be tricked or deceived by others.
Which of the following types of behavior is expected from a client
diagnosed with a paranoid personality disorder?
A
Eccentric
B
Exploitative
C
Hypersensitive
D
Seductive -- Correct Answer ✔✔ C
People with paranoid personality disorders are hypersensitive to
perceived threats. Schizotypal personalities appear eccentric and
engage in activities others find perplexing. Clients with narcissistic
personality disorder are interpersonally exploitative to enhance
themselves or indulge in their own desires. A client with histrionic
personality disorder can be extremely seductive when in search of
stimulation and approval.
A client with antisocial personality is trying to convince a nurse that he
deserves special privileges and that an exception to the rules should
be made for him. Which of the following responses is the most
appropriate?
A
"I believe we need to sit down and talk about this."
B
"Don't you know better than to try to bend the rules?"
C
"What you're asking me to do is unacceptable."
,D
"Why don't you bring this request to the community meeting?" --
Correct Answer ✔✔ C
These clients often try to manipulate the nurse to get special privileges
or make exceptions to the rules on their behalf. By informing the client
directly when actions are inappropriate, the nurse helps the client
learn to control unacceptable behaviors by setting limits. By sitting
down to talk about the request, the nurse is telling the client there's
room for negotiating when there is none.
A nurse notices other clients on the unit avoiding a client diagnosed
with antisocial personality disorder. When discussing appropriate
behavior in group therapy, which of the following comments is
expected about this client by his peers?
A
Lack of honesty
B
Belief in superstitions
C
Show of temper tantrums
D
Constant need for attention -- Correct Answer ✔✔ A
Clients with antisocial personality disorder tend to engage in acts of
dishonesty, shown by lying.
Which of the following characteristics or client histories substantiates a
diagnosis of antisocial personality disorder?
A
Delusional thinking
B
Feelings of inferiority
C
Disorganized thinking
D
Multiple criminal charges -- Correct Answer ✔✔ D
Clients with antisocial personality disorder are often sent for treatment
by the court after multiple crimes or for the use of illegal substances.
, A client with borderline personality disorder is admitted to the unit
after slashing his wrist. Which of the following goals is most important
after promoting safety?
A
Establish a therapeutic relationship with the client
B
Identify whether splitting is present in the client's thoughts
C
Talk about the client's acting out and self-destructive tendencies.
D
Encourage the client to understand why he blames others -- Correct
Answer ✔✔ A
After promoting safety, the nurse establishes a rapport with the client
to facilitate appropriate expression of feelings. At this time, the client
isn't ready to address unhealthy behavior. A therapeutic relationship
must be established before the nurse can effectively work with the
client on self-destructive tendencies and the issues of splitting.
Which of the following characteristics or situations is indicated when a
client with borderline personality disorder has a crisis?
A
Antisocial behavior
B
Suspicious behavior
C
Relationship problems
D
Auditory hallucinations -- Correct Answer ✔✔ C
Relationship problems can precipitate a crisis because they bring up
issues of abandonment. Clients with borderline personality disorder
aren't usually suspicious; they're more likely to be depressed or highly
anxious.
Which of the following assessment findings is seen in a client
diagnosed with borderline personality disorder?
A
