Ch 14 Personality Disorders Exam
Questions and Answers
A patient with borderline personality disorder approaches you and voices concern
that she is being ignored and feels unimportant. The patient blames the nursing staff
for these feelings because the nurses are not paying attention to her. Your best
therapeutic response to this patient is:
A.
I will bring it up at our next meeting.
B.
Its all in your imagination.
C.
Tell me more about your feeling of being ignored.
D.
You need to share your feelings with the individual nurses you feel are ignoring you.
- ANSWER-ANS: D
This response promotes the patient taking responsibility to follow through on her
feelings. Response A takes the responsibility away from the patient. Response B
ignores the patients feelings. Response C is less effective with a borderline patient
who may not understand her feelings.
The main mechanism used by patients who have personality disorders is:
A.
Projection.
B.
Manipulation.
C.
Introjection.
D.
Repression. - ANSWER-ANS: B
Though these other mechanisms may be used, manipulation is the major one.
Nurses understand that a major cause of personality disorders is:
A.
Neurochemical imbalance.
B.
Genetics.
C.
Dysfunctional family relationships.
D.
Anoxia. - ANSWER-ANS: C
Dysfunctional family relationships are generally the major cause of personality
disorders, though genetics plays a role in some.
, Nurses know that when working with patients who have personality disorders, the
most difficult task for these patients will probably be:
A.
Following rules.
B.
Getting along with others.
C.
Hoarding their medications.
D.
Participating in care plan meetings. - ANSWER-ANS: B
Those with personality disorders generally have the most problems in the social
sphere.
A patient who is diagnosed with narcissistic personality disorder is constantly using
the call light or following the nursing staff into other patients rooms to ask, Are you
sure I look good? You know they cant get along without me at work. When can I
leave here? As the nurse caring for this patient, one of your goals for the patient will
include all of the following except:
A.
The patient will express reality about self-image.
B.
The patient will require decreasing reinforcements from the nursing staff.
C.
The patient will acknowledge the feelings of others.
D.
The patient will not be introspective about his or her condition. - ANSWER-ANS: D
The narcissistic patient has difficulty with introspection and insight into his or her
behavior.
People who have borderline personality disorders:
A.
Do not learn from past experiences
B.
Know the consequences of their behavior but do not care.
C.
Learn from past experiences and put that knowledge into practice.
D.
Try to forget about past experiences. - ANSWER-ANS: A
Generally, the borderline patient does not have insight into the consequences of
behavior and tends to repeat the same behaviors over and over even if not
successful.
Nancy has antisocial personality disorder. Which of the following is a goal of
treatment for Nancy?
A.
Comply with her medication regimen
B.
Participate in long-term therapy
C.
Become a group facilitator
Questions and Answers
A patient with borderline personality disorder approaches you and voices concern
that she is being ignored and feels unimportant. The patient blames the nursing staff
for these feelings because the nurses are not paying attention to her. Your best
therapeutic response to this patient is:
A.
I will bring it up at our next meeting.
B.
Its all in your imagination.
C.
Tell me more about your feeling of being ignored.
D.
You need to share your feelings with the individual nurses you feel are ignoring you.
- ANSWER-ANS: D
This response promotes the patient taking responsibility to follow through on her
feelings. Response A takes the responsibility away from the patient. Response B
ignores the patients feelings. Response C is less effective with a borderline patient
who may not understand her feelings.
The main mechanism used by patients who have personality disorders is:
A.
Projection.
B.
Manipulation.
C.
Introjection.
D.
Repression. - ANSWER-ANS: B
Though these other mechanisms may be used, manipulation is the major one.
Nurses understand that a major cause of personality disorders is:
A.
Neurochemical imbalance.
B.
Genetics.
C.
Dysfunctional family relationships.
D.
Anoxia. - ANSWER-ANS: C
Dysfunctional family relationships are generally the major cause of personality
disorders, though genetics plays a role in some.
, Nurses know that when working with patients who have personality disorders, the
most difficult task for these patients will probably be:
A.
Following rules.
B.
Getting along with others.
C.
Hoarding their medications.
D.
Participating in care plan meetings. - ANSWER-ANS: B
Those with personality disorders generally have the most problems in the social
sphere.
A patient who is diagnosed with narcissistic personality disorder is constantly using
the call light or following the nursing staff into other patients rooms to ask, Are you
sure I look good? You know they cant get along without me at work. When can I
leave here? As the nurse caring for this patient, one of your goals for the patient will
include all of the following except:
A.
The patient will express reality about self-image.
B.
The patient will require decreasing reinforcements from the nursing staff.
C.
The patient will acknowledge the feelings of others.
D.
The patient will not be introspective about his or her condition. - ANSWER-ANS: D
The narcissistic patient has difficulty with introspection and insight into his or her
behavior.
People who have borderline personality disorders:
A.
Do not learn from past experiences
B.
Know the consequences of their behavior but do not care.
C.
Learn from past experiences and put that knowledge into practice.
D.
Try to forget about past experiences. - ANSWER-ANS: A
Generally, the borderline patient does not have insight into the consequences of
behavior and tends to repeat the same behaviors over and over even if not
successful.
Nancy has antisocial personality disorder. Which of the following is a goal of
treatment for Nancy?
A.
Comply with her medication regimen
B.
Participate in long-term therapy
C.
Become a group facilitator
