A non-psychotic illness characterized by maladaptive behavior, which the person

utilizes to fulfill his or her needs and bring satisfaction to self is called personality
disorder. *
1 point

a. True
b. False

A person with antisocial personality disorder has difficulty relating to others because
of never having learned to: *
1 point

a. Count on others
b. Empathized with others
c. Be dependent on others
d. Communicate with others socially

A type of character disorder which is marked by social withdrawal and a tendency to

avoid relationships with others is termed as obsessive compulsive personality
disorder *
1 point

a. True
b. False

A client with a diagnosis of borderline personality disorder has negative feelings

toward the other clients on the unit and considers them all to be "bad". The nurse
understand this defense is known as: *
1 point

a. Splitting
b. Ambivalence
c. Passive aggression
d. Reaction formation

A nurse notice other clients on the unit avoiding client diagnosed with antisocial
personality disorder. When discussing appropriate behavior in group therapy, which of
the following comments is expected about this client by his peers? *
1 point

a. Lack of honesty
b. Belief in superstitions
c. Show of temper tantrums
d. Constant need for attention
Which of the following interventions is important for a client with paranoid personality
disorder taking Olanzapine (Zyprexa)? *
1 point

a. Explain effects of serotonin syndrome

b. Teach the client to watch foe extrapyramidal adverse reactions
c. Explain that the drug is less effective if the client smokes
d. Discuss the need to report paradoxical effects such as euphoria

A nurse notice that a client is mistrustful and shows hostile behavior. Which of the
following types of personality disorder is associated with these characteristics? *
1 point

a. Antisocial
b. Avoidant
c. Borderline
d. Paranoid

An adult client with a borderline personality disorder become nauseated and vomits
immediately after drinking 2 ounces of shampoo a a suicide gesture. The most
appropriate initial response by the nurse would be to: *
1 point

a. Promptly notify the attending physician

b. Immediately initiate suicide precautions
c. Sit quietly with the client until nausea and vomiting subsides
d. Assess the client's vital signs and administer syrup of ipecac

A nurse discusses job possibilities with a client with schizoid personality disorder .
Which suggestion by the nurse would be helpful? *
1 point

a. "You can work in a family restaurant part-time on the weekend and holidays"
b. "Maybe your friend could get you that customer service job where you work only on the
weekends"
c. "Your idea of applying for the position of filing and organizing records is worth pursuing"
d. "Being an introvert limits the employment opportunities you can pursue"

A client with avoidant personality disorder says occupational therapy is boring and
doesn't want to go. Which action would be best? *
1 point

a. Sate firmly that you'll escort him to OT

b. Arrange with OT for the client to do a project on the unit
c. Ask the client to talk about why OT is boring
d. Arrange for the client not to attend OT until he is feeling better

Classify every personality disorders according to cluster *

5 points

Cluster A
Cluster B
ClusterC
Narcissistic personality disorder
Schizotypal personality disorder
Histrionic personality disorder
Avoidant personality disorder
Schizoid personality disorder
Narcissistic personality disorder
Schizotypal personality disorder
Histrionic personality disorder
Avoidant personality disorder
Schizoid personality disorder

Give atleast 5 diagnostic Criteria for Histrionic Personality Disorder *

Is uncomfortable in situations in which he or she is not the center of attention
Interaction with others is often characterized by inappropriate sexually seductive or
provocative behavior
Displays rapidly shifting and shallow expression of emotions
Consistently uses physical appearance to draw attention to self
Has a style of speech that is excessively impressionistic and lacking in detail
Shows self-dramatization, theatricality, and exaggerated expression of emotion
Is suggestible (i.e. - easily influenced by others or circumstances)
Considers relationships to be more intimate than they actually are
Psychopathology
5 points

Give atleast 5 diagnostic Criteria for Narcissistic Personality Disorder *

1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and
talents, expects to be recognized as superior
without commensurate achievements).
2. Is preoccupied with fantasies of unlimited success, power,
brilliance, beauty, or ideal love.
3. Believes that he or she is “special” and unique and can only be
understood by, or should associate with, other special or highstatus people (or
institutions).
4. Requires excessive admiration.
5. Has a sense of entitlement, i.e., unreasonable expectations of
especially favorable treatment or automatic compliance with his
or her expectations.
6. Is interpersonally exploitative, i.e., takes advantage of others to
achieve his or her own ends.
7. Lacks empathy: is unwilling to recognize or identify with the
feelings and needs of others.
8. Is often envious of others or believes that others are envious of
him or her.
9. Shows arrogant, haughty behaviors or attitudes.
5 points

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