SESSION 16:

PERSONALITY
DISORDERS
mido.miralles.up@phinmaed.com
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A young, handsome man with a *

diagnosis of antisocial personality
disorder is being discharged from the
hospital next week. He asks the nurse
for her phone number so that he can call
her for a date. The nurse’s best response
would be:

A. “We are not permitted to date

clients.”

B. “No, you are a client and I am a

nurse.”

C. “I like you, but our relationship is

professional.”

D. “It’s against my professional ethics to

date clients.”

A client with avoidant personality *

disorder says occupational therapy is
boring and doesn’t want to go. Which
action would be best?

A. State Crmly 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

A nurse notices other clients on the unit *

avoiding a 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?

A. Lack of honesty

B. Belief in superstitions

C. Show of temper tantrums

D. Constant need for attention

Which of the following information must *

be included for the family of a client
diagnosed with dependent personality
disorder?

A. Address coping skills

B. Explore panic attacks

C. Promote exercise programs

D. Decrease aggressive outbursts

Which of the following characteristics is *

expected for a client with paranoid
personality disorder who receives bad
news?

A. The client is overly dramatic after

hearing the facts

B. The client focuses on self to not

become over-anxious

C. The client responds from a rational,

objective point of view

D. The client doesn’t spend time

thinking about the information.

A hospitalized client, diagnosed with a *

borderline personality disorder,
consistently breaks the unit’s rules. This
behavior should be confronted because
it will help the client:

A. Control anger

B. Reduce anxiety

C. Set realistic goals

D. Become more self-aware

Which of the following types of behavior *

is expected from a client diagnosed with
a paranoid personality disorder?

A. Eccentric

B. Exploitative

C. Hypersensitive

D. Seductive

An adult client with a borderline *

personality disorder become nauseated
and vomits immediately after drinking
after drinking 2 ounces of shampoo as
a suicide gesture. The most appropriate
initial response by the nurse would be to:

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 client with schizotypal personality *

disorder is sitting in a puddle of urine.
She’s playing in it, smiling, and softly
singing a child’s song. Which action
would be best?

A. Admonish the client for not using the

bathroom

B. Firmly tell the client that her behavior

is unacceptable

C. Ask the client if she’s ready to get

cleaned up now

D. Help the client to the shower, and

change the bedclothes.

Which of the following behaviors by a *

client with dependent personality
disorder shows the client has made
progress toward the goal of increasing
problem solving skills?

A. The client is courteous

B. The client asks questions

C. The client stops acting out

D. The client controls emotions

A nurse is assisting with a court-ordered *

evaluation of a client who has antisocial
personality disorder. Which of the
following findings should the nurse
expect? (Select all that apply)

A. Demonstrates extreme anxiety when

placed in a social situation

B. Has diRculty making even simple

decisions

C. Attempts to convince other clients to

give him their belongings

D. Becomes agitated if his personal

area is not near and orderly

E. Blames others for his past and

current problems

A charge nurse is preparing a staff *

education session on personality
disorders. Which of the following
personality characteristics associated
with all of the personality disorders
should the charge nurse include in the
teaching? (Select all that apply)

A. DiRculty in getting along with other

members of a group

B. Belief in the ability to become

invisible during times of stress

C. Display of defense mechanisms

when routines are changed

D. Claiming to be more important than

other persons

E. DiRculty understanding why it is

inappropriate to have a personal
relationship with staff

The nurse identifies that an individual *

with antisocial personality disorder
exhibits poor judgment, emotional
distance, aggression, and impulsivity.
Which step of the nursing process is
being completed by the nurse?

A. Assessment

B. Diagnosis

C. Outcome IdentiCcation

D. Planning

E. Implementation

F. Evaluation

The nurse is working with the client with *

histrionic personality disorder. Which
behaviors should the nurse expect?
(Select all that apply)

A. Uses physical appearance to gain

attention

B. Shows apathy in conversations until

trust is established

C. Lacks close friends or companions

other than Crst-degree relatives

D. Harbors recurrent suspicions about

the Cdelity of his or her marital partner

E. Discomfort in situations in which the

client is not the center of attention

The nurse is caring for the client with *

paranoid personality disorder. Which
approach should the nurse use when
working with the client?

A. Use a businesslike manner using

clear, concrete, and speciCc words

B. First use social conversation to work

on developing social relationships

C. Include jokes when conversing to

work on reducing the client's serious
behavior

D. Confront the client when stating

suspicious ideas to aid the client in
seeing reality

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