RN Personality Disorders Assessment
A nurse on a mental health unit is teaching a newly licensed nurse about psychotic
features among clients. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching - answerClients who have borderlien
personality disorder can exhibit psychotic features.
The nurse should identify that clients with borderline personality disorder can exhibit
psychotic features because of the intensity of their cognitive distortions.
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?"
The nurse should identify that aggressive behavior is a finding associated with antisocial
personality disorder. At this time, the client is angry and wants their needs met. The
nurse is showing empathy and collaboration which can neutralize the client's
aggression.
A nurse is discharging a client w ho has a personality disorder. Which of the follwoing
actions should the nurse take? - answerInvolve the client in planning which resources
will be needed after discharge.
When clients participate in creating their discharge plan they are more likely to comply
with the plan.
A nurse is caring for a client who has borderline personality disorder. The nurse should
identify that which of the following factors may have contributed to the development of
this diosrder? - answerChildhood rejection
The nurse should identify that exposure to traumatic events during childhood, such as
fear of rejection and/or abandonment, are contributing factors for the development of
borderline personality disorder.
0900:Client brought to the emergency department via EMS after their partner called
emergency services due to client threating to shoot themself. Partner reports client
owns several guns that are kept in the home.Partner reports the client was recently
passed over for a significant promotion at work. The partner states the client "has
always been really entitled and thinks they're better than everyone else." Being rejected
for the promotion caused the client to start missing work and drinking lar -
answerMaintain constant observation of the client
Role model empathy with the client
, Avoid becoming defensive in response to the client
Refer the client to a psychotherapist
While the nurse should plan to alternate caregivers for clients who engage in splitting
behaviors, this is not a behavior exhibited by clients who have narcissistic personality
disorder.
1100:Interview with family member:Family member accompanied a 20-year-old client
due to concern over client's increasingly unusual behaviors. The client works for a
package delivery company. During a recent delivery, the client handed a package to a
person standing outside the door of a building and shouted, "Bam! A gift for you!"The
client has been checking every delivery address numerous times because they
occasionally hear voices saying that they "missed a delivery." The family member is
also - answerDetermine if the client is experiencing command hallucinations.
Teach the client how to use coping skills to reduce stress.
Encourage the client to attend psychotherapy.
Administer an antipsychotic medication to the client.
A nurse is caring for a client who states that they are entitled to a single room on the
mental health unit and that the nurse is not educated enoguh to care for them. The
nurse should identify that this finding is consistent with which of the following personality
disorders? - answerNarcissistic personality disorder
The nurse should identify that clients who have narcissistic personality disorder feel a
sense of grandiosity and entitlement and often will either devalue or idealize their
caregivers.
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.
The nurse should identify that the model proposes a theory that genetic and biological
vulnerabilities, including personality traits and temperament, emerge under stress. This
model uses biological and psychosocial factors to predict the development of a
personality disorder.
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 teh theory of
interpersonal relations? - answerHildegard Peplau
Hildegard Peplau developed the theory of interpersonal relations.
A nurse is caring for a client who is moving the furniture in the day room into straight
rows and complaining about the different colors of clothes the other clients are wearing.
A nurse on a mental health unit is teaching a newly licensed nurse about psychotic
features among clients. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching - answerClients who have borderlien
personality disorder can exhibit psychotic features.
The nurse should identify that clients with borderline personality disorder can exhibit
psychotic features because of the intensity of their cognitive distortions.
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?"
The nurse should identify that aggressive behavior is a finding associated with antisocial
personality disorder. At this time, the client is angry and wants their needs met. The
nurse is showing empathy and collaboration which can neutralize the client's
aggression.
A nurse is discharging a client w ho has a personality disorder. Which of the follwoing
actions should the nurse take? - answerInvolve the client in planning which resources
will be needed after discharge.
When clients participate in creating their discharge plan they are more likely to comply
with the plan.
A nurse is caring for a client who has borderline personality disorder. The nurse should
identify that which of the following factors may have contributed to the development of
this diosrder? - answerChildhood rejection
The nurse should identify that exposure to traumatic events during childhood, such as
fear of rejection and/or abandonment, are contributing factors for the development of
borderline personality disorder.
0900:Client brought to the emergency department via EMS after their partner called
emergency services due to client threating to shoot themself. Partner reports client
owns several guns that are kept in the home.Partner reports the client was recently
passed over for a significant promotion at work. The partner states the client "has
always been really entitled and thinks they're better than everyone else." Being rejected
for the promotion caused the client to start missing work and drinking lar -
answerMaintain constant observation of the client
Role model empathy with the client
, Avoid becoming defensive in response to the client
Refer the client to a psychotherapist
While the nurse should plan to alternate caregivers for clients who engage in splitting
behaviors, this is not a behavior exhibited by clients who have narcissistic personality
disorder.
1100:Interview with family member:Family member accompanied a 20-year-old client
due to concern over client's increasingly unusual behaviors. The client works for a
package delivery company. During a recent delivery, the client handed a package to a
person standing outside the door of a building and shouted, "Bam! A gift for you!"The
client has been checking every delivery address numerous times because they
occasionally hear voices saying that they "missed a delivery." The family member is
also - answerDetermine if the client is experiencing command hallucinations.
Teach the client how to use coping skills to reduce stress.
Encourage the client to attend psychotherapy.
Administer an antipsychotic medication to the client.
A nurse is caring for a client who states that they are entitled to a single room on the
mental health unit and that the nurse is not educated enoguh to care for them. The
nurse should identify that this finding is consistent with which of the following personality
disorders? - answerNarcissistic personality disorder
The nurse should identify that clients who have narcissistic personality disorder feel a
sense of grandiosity and entitlement and often will either devalue or idealize their
caregivers.
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.
The nurse should identify that the model proposes a theory that genetic and biological
vulnerabilities, including personality traits and temperament, emerge under stress. This
model uses biological and psychosocial factors to predict the development of a
personality disorder.
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 teh theory of
interpersonal relations? - answerHildegard Peplau
Hildegard Peplau developed the theory of interpersonal relations.
A nurse is caring for a client who is moving the furniture in the day room into straight
rows and complaining about the different colors of clothes the other clients are wearing.
