Ch 24 Personality Disorders (Exam 3)
Complete Solutions
A nurse reports to the treatment team that a patient diagnosed with an antisocial
personality disorder has displayed the behaviors below. This patient is detached and
superficial during counseling sessions. Which behavior by the patient 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 - c. Verbal abuse of another patient
Limits must be set in areas in which the patient's behavior affects the rights of others.
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. Which type of medication would the nurse expect to be prescribed?
a.
Benzodiazepine
b.
Mood stabilizing medication
c.
Monoamine oxidase inhibitor (MAOI)
d.
Cholinesterase inhibitor - b. Mood stabilizing medication
A person's spouse filed charges after repeatedly being battered. The person
sarcastically says, "I'm sorry for what I did. I need psychiatric help." Which statement
by this person supports 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 am tired of being nagged. My spouse deserves the beating." - d. "I hit
because I am tired of being nagged. My spouse deserves the beating."
, The person with an antisocial personality disorder often impulsively acts out feelings
of anger and feels no guilt or remorse. Persons with antisocial personality disorders
rarely seem to learn from experience
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.
Risk for other-directed violence
b.
Risk for self-directed violence
c.
Impaired social interaction
d.
Ineffective denial - a. Risk for other-directed violence
Violence against property, along with threats to harm staff, makes this diagnosis the
priority.
When a patient diagnosed with a personality disorder uses manipulation to get
needs met, the staff applies 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 due to failure of internal control.
d.
Anxiety is reduced when staff assumes responsibility for the patient's behavior. - c.
External controls are necessary due to failure of internal control.
A lack of internal controls leads to manipulative behaviors such as lying, cheating,
conning, and flattering.
One month ago, a patient diagnosed with borderline personality disorder and a
history of self-mutilation began dialectical behavior therapy. Today the patient
phones to say, "I feel empty and want to hurt 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 choose coping strategies for triggering situations.
d.
advise the patient to take an antianxiety medication to decrease the anxiety level. - c.
assist the patient to choose coping strategies for triggering situations.
The patient has responded appropriately to the urge for self-harm by calling a
helping individual. A component of dialectical behavior therapy is telephone access
Complete Solutions
A nurse reports to the treatment team that a patient diagnosed with an antisocial
personality disorder has displayed the behaviors below. This patient is detached and
superficial during counseling sessions. Which behavior by the patient 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 - c. Verbal abuse of another patient
Limits must be set in areas in which the patient's behavior affects the rights of others.
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. Which type of medication would the nurse expect to be prescribed?
a.
Benzodiazepine
b.
Mood stabilizing medication
c.
Monoamine oxidase inhibitor (MAOI)
d.
Cholinesterase inhibitor - b. Mood stabilizing medication
A person's spouse filed charges after repeatedly being battered. The person
sarcastically says, "I'm sorry for what I did. I need psychiatric help." Which statement
by this person supports 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 am tired of being nagged. My spouse deserves the beating." - d. "I hit
because I am tired of being nagged. My spouse deserves the beating."
, The person with an antisocial personality disorder often impulsively acts out feelings
of anger and feels no guilt or remorse. Persons with antisocial personality disorders
rarely seem to learn from experience
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.
Risk for other-directed violence
b.
Risk for self-directed violence
c.
Impaired social interaction
d.
Ineffective denial - a. Risk for other-directed violence
Violence against property, along with threats to harm staff, makes this diagnosis the
priority.
When a patient diagnosed with a personality disorder uses manipulation to get
needs met, the staff applies 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 due to failure of internal control.
d.
Anxiety is reduced when staff assumes responsibility for the patient's behavior. - c.
External controls are necessary due to failure of internal control.
A lack of internal controls leads to manipulative behaviors such as lying, cheating,
conning, and flattering.
One month ago, a patient diagnosed with borderline personality disorder and a
history of self-mutilation began dialectical behavior therapy. Today the patient
phones to say, "I feel empty and want to hurt 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 choose coping strategies for triggering situations.
d.
advise the patient to take an antianxiety medication to decrease the anxiety level. - c.
assist the patient to choose coping strategies for triggering situations.
The patient has responded appropriately to the urge for self-harm by calling a
helping individual. A component of dialectical behavior therapy is telephone access
