Chapter 24. Personality Disorders
Evolve Q's
Splitting is a process in which the client demonstrates what behavior?
Unconsciously represses undesirable aspects of self
Places responsibility for his or her behavior outside the self
Sees things as divided into "all good" or "all bad"
Evidences lack of personal boundaries - answerSees things as divided into "all good" or
"all bad"
Splitting demonstrates the failure to integrate the positive and negative into a cohesive
whole. An individual is not seen as a person with good and bad traits, but rather as all
good or all bad.
Playing one staff member against another is an example of what defense mechanism?
Devaluation
Splitting
Impulsiveness
Social ineptitude - answerSplitting
Splitting involves setting up individuals or groups to disagree. While the two parties are
busy disagreeing, they are too busy to maintain consistent limits for the manipulative
client. The client can enjoy the spectacle and do as he or she pleases.
Which characteristics will the nurse assess in the client diagnosed with antisocial
personality?
Deceitfulness, impulsiveness, and lack of empathy
Perfectionism, preoccupation with detail, and verbosity
Avoidance of interpersonal contact and preoccupation with being criticized
A need for others to assume responsibility for decision making and seeking nurture -
answerDeceitfulness, impulsiveness, and lack of empathy
, Antisocial clients have no conscience. Their sense of right and wrong is impaired, and
they tend to do whatever serves them best without consideration for the rights or
feelings of others.
Research has indicated that the antisocial personality may be characterized by what
behavior?
Social isolation
Lack of remorse
Learning difficulties
Difficulty with reality testing - answerLack of remorse
Individuals with an antisocial personality exhibit a lack of remorse when confronted with
the results of their thoughtless, irresponsible behavior toward others.
The client, diagnosed with which personality disorder, will most likely require admission
to a psychiatric unit?
Paranoid personality disorder
Narcissistic personality disorder
Borderline personality disorder
Dependent personality disorder - answerBorderline personality disorder
Clients with borderline disorder can decompensate into psychotic states under stress.
Which statement is descriptive of clients with a personality disorder?
They are resistant to behavioral change.
They have an ability to tolerate frustration and pain.
They usually seek help to change maladaptive behaviors.
They have little difficulty with cognitive functioning. - answerThey are resistant to
behavioral change.
Personality disorders are deeply ingrained and pervasive. Clients with personality
disorders find it very difficult, if not nearly impossible, to change. Change proceeds very
slowly.
Evolve Q's
Splitting is a process in which the client demonstrates what behavior?
Unconsciously represses undesirable aspects of self
Places responsibility for his or her behavior outside the self
Sees things as divided into "all good" or "all bad"
Evidences lack of personal boundaries - answerSees things as divided into "all good" or
"all bad"
Splitting demonstrates the failure to integrate the positive and negative into a cohesive
whole. An individual is not seen as a person with good and bad traits, but rather as all
good or all bad.
Playing one staff member against another is an example of what defense mechanism?
Devaluation
Splitting
Impulsiveness
Social ineptitude - answerSplitting
Splitting involves setting up individuals or groups to disagree. While the two parties are
busy disagreeing, they are too busy to maintain consistent limits for the manipulative
client. The client can enjoy the spectacle and do as he or she pleases.
Which characteristics will the nurse assess in the client diagnosed with antisocial
personality?
Deceitfulness, impulsiveness, and lack of empathy
Perfectionism, preoccupation with detail, and verbosity
Avoidance of interpersonal contact and preoccupation with being criticized
A need for others to assume responsibility for decision making and seeking nurture -
answerDeceitfulness, impulsiveness, and lack of empathy
, Antisocial clients have no conscience. Their sense of right and wrong is impaired, and
they tend to do whatever serves them best without consideration for the rights or
feelings of others.
Research has indicated that the antisocial personality may be characterized by what
behavior?
Social isolation
Lack of remorse
Learning difficulties
Difficulty with reality testing - answerLack of remorse
Individuals with an antisocial personality exhibit a lack of remorse when confronted with
the results of their thoughtless, irresponsible behavior toward others.
The client, diagnosed with which personality disorder, will most likely require admission
to a psychiatric unit?
Paranoid personality disorder
Narcissistic personality disorder
Borderline personality disorder
Dependent personality disorder - answerBorderline personality disorder
Clients with borderline disorder can decompensate into psychotic states under stress.
Which statement is descriptive of clients with a personality disorder?
They are resistant to behavioral change.
They have an ability to tolerate frustration and pain.
They usually seek help to change maladaptive behaviors.
They have little difficulty with cognitive functioning. - answerThey are resistant to
behavioral change.
Personality disorders are deeply ingrained and pervasive. Clients with personality
disorders find it very difficult, if not nearly impossible, to change. Change proceeds very
slowly.
