ATI - Personality Disorders
A nurse is caring for a client who states, "I have no close friends. I do not go to parties. I
can't talk in front of people, and I fear rejection." The nurse should identify that these
findings are manifestations of which of the following personality disorders? -
answerAvoidant personality disorder
A nurse is reviewing Erikson's Eight Stages of Development. During which of the
following age ranges does the client experience the identity vs. role confusion stage? -
answer12 to 18 years
A nurse is caring for a client who has a cluster C personality disorder and is helping the
client explore ways to cope with anxiety. Which of the following actions should the nurse
tell the client has been shown to decrease anxiety? - answerAdopting a pet
A nurse in an emergency department is caring for a client and finds a razor blade
hidden in the client's personal belongings. The nurse should identify that this finding is
consistent with which of the following disorders? - answerBorderline personality disorder
A charge nurse is preparing an in-service for staff nurses about the diathesis-stress
model. Which of the following information should the charge nurse include? -
answerThe model proposes that genetic and biological vulnerabilities emerge under
stress.
A nurse on a mental health unit is caring for a client who states that the food is
poisoned. Which of the following actions should the nurse take? - answerGive the client
food that is in pre-sealed containers.
Nurses Notes
1000:
Group therapy session
Client #1 verbalizes severe mistrust of staff. Client also reports malevolent actions of
family members and that the family has held a grudge over one of the client's siblings
for the past two years.
Client #2 did not participate in group. Client appeared indifferent to criticisms or praises
of others and appears to not be affected by other clients' statements made to or about
them.
Client #3 appears uncomfortable in the group setting. Client's contributions to the
discussion included lengthy, rambling, overly-detailed account of previous day's activity.
1300:
Group therapy session
, Client #3 reported increased anxiety and voiced concern that other clients are
transmitting signals into their brain. Affect ranged from animated while talking to
withdrawn when listening to others.
Client #1 stared at client #3 and said, "It is you that is the basis for this transmission of
signals - answer
Click to specify if the finding is consistent with schizoid personality disorder, schizotypal
personality disorder, or paranoid personality disorder. - answerWhen analyzing cues,
the nurse should identify that social withdrawal is a manifestation of schizoid,
schizotypal, and paranoid personality disorders. Clients who have these disorders
exhibit lifelong patterns of social withdrawal, isolation, and difficulty with interpersonal
relationships. Suspiciousness, unsupported by evidence, is a manifestation of
schizotypal and paranoid personality disorders. Clients who have schizoid personality
disorder might describe feelings of depersonalization, or detachment from the world,
which adds to their social withdrawal and isolation. Blaming others for their social
isolation is a manifestation of schizotypal personality disorder. Unwillingness to forgive
others is exhibited by clients who have paranoid personality disorder. They can also
exhibit jealousy and controlling behaviors.
A nurse is preparing a presentation on nursing theorists for a unit meeting. Which of the
following theorists should the nurse include as the person who developed the theory of
interpersonal relations? - answerHildegard Peplau
A nurse is discharging a client who has a personality disorder. Which of the following
actions should the nurse take? - answerInvolve the client in planning which resources
will be needed after discharge.
A nurse on a mental health unit is admitting a client who is shouting at staff and has a
history of aggressive behavior. Which of the following statements should the nurse
make? - answer"I will be working with you to help you meet your needs while you are
here. What can I help you with now?"
A nurse is conducting a group discussion regarding how personal biases can affect the
care provided to clients who have mental health disorders. The nurse should identify
that which of the following instruments is available to use as a self-assessment tool to
determine bias? - answerHarvard Implicit Association Test
A nurse on a mental health unit is planning care for a client who has borderline
personality disorder. Which of the following goals should the nurse set for the client? -
answerThe client will have no emotional outbursts during group therapy for a week.
A nurse is discussing personality disorders with a group of newly licensed nurses. The
nurse includes that the Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition (DSM-5) identifies how many personality disorders? - answer10
Nurses' Notes
A nurse is caring for a client who states, "I have no close friends. I do not go to parties. I
can't talk in front of people, and I fear rejection." The nurse should identify that these
findings are manifestations of which of the following personality disorders? -
answerAvoidant personality disorder
A nurse is reviewing Erikson's Eight Stages of Development. During which of the
following age ranges does the client experience the identity vs. role confusion stage? -
answer12 to 18 years
A nurse is caring for a client who has a cluster C personality disorder and is helping the
client explore ways to cope with anxiety. Which of the following actions should the nurse
tell the client has been shown to decrease anxiety? - answerAdopting a pet
A nurse in an emergency department is caring for a client and finds a razor blade
hidden in the client's personal belongings. The nurse should identify that this finding is
consistent with which of the following disorders? - answerBorderline personality disorder
A charge nurse is preparing an in-service for staff nurses about the diathesis-stress
model. Which of the following information should the charge nurse include? -
answerThe model proposes that genetic and biological vulnerabilities emerge under
stress.
A nurse on a mental health unit is caring for a client who states that the food is
poisoned. Which of the following actions should the nurse take? - answerGive the client
food that is in pre-sealed containers.
Nurses Notes
1000:
Group therapy session
Client #1 verbalizes severe mistrust of staff. Client also reports malevolent actions of
family members and that the family has held a grudge over one of the client's siblings
for the past two years.
Client #2 did not participate in group. Client appeared indifferent to criticisms or praises
of others and appears to not be affected by other clients' statements made to or about
them.
Client #3 appears uncomfortable in the group setting. Client's contributions to the
discussion included lengthy, rambling, overly-detailed account of previous day's activity.
1300:
Group therapy session
, Client #3 reported increased anxiety and voiced concern that other clients are
transmitting signals into their brain. Affect ranged from animated while talking to
withdrawn when listening to others.
Client #1 stared at client #3 and said, "It is you that is the basis for this transmission of
signals - answer
Click to specify if the finding is consistent with schizoid personality disorder, schizotypal
personality disorder, or paranoid personality disorder. - answerWhen analyzing cues,
the nurse should identify that social withdrawal is a manifestation of schizoid,
schizotypal, and paranoid personality disorders. Clients who have these disorders
exhibit lifelong patterns of social withdrawal, isolation, and difficulty with interpersonal
relationships. Suspiciousness, unsupported by evidence, is a manifestation of
schizotypal and paranoid personality disorders. Clients who have schizoid personality
disorder might describe feelings of depersonalization, or detachment from the world,
which adds to their social withdrawal and isolation. Blaming others for their social
isolation is a manifestation of schizotypal personality disorder. Unwillingness to forgive
others is exhibited by clients who have paranoid personality disorder. They can also
exhibit jealousy and controlling behaviors.
A nurse is preparing a presentation on nursing theorists for a unit meeting. Which of the
following theorists should the nurse include as the person who developed the theory of
interpersonal relations? - answerHildegard Peplau
A nurse is discharging a client who has a personality disorder. Which of the following
actions should the nurse take? - answerInvolve the client in planning which resources
will be needed after discharge.
A nurse on a mental health unit is admitting a client who is shouting at staff and has a
history of aggressive behavior. Which of the following statements should the nurse
make? - answer"I will be working with you to help you meet your needs while you are
here. What can I help you with now?"
A nurse is conducting a group discussion regarding how personal biases can affect the
care provided to clients who have mental health disorders. The nurse should identify
that which of the following instruments is available to use as a self-assessment tool to
determine bias? - answerHarvard Implicit Association Test
A nurse on a mental health unit is planning care for a client who has borderline
personality disorder. Which of the following goals should the nurse set for the client? -
answerThe client will have no emotional outbursts during group therapy for a week.
A nurse is discussing personality disorders with a group of newly licensed nurses. The
nurse includes that the Diagnostic and Statistical Manual of Mental Disorders, Fifth
Edition (DSM-5) identifies how many personality disorders? - answer10
Nurses' Notes
