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Nur 212 Chapter 32 Personality Disorders Testbank

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This is a comprehensive and detailed testbank on Chapter 32. Personality Disorders. *Essential!!

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  • October 19, 2024
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  • 2021/2022
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PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 257



Chapter32.PersonalityDisorders
MultipleChoice

1.Duringanassessmentinterview,aclientdiagnosedwithantisocialpersonalitydisorderspits,curses,and
refusestoanswerquestions.Whichisthemostappropriatenursingstatementtoaddressthisbehavior?

A.Youareverydisrespectful.Youneedtolearntocontrolyourself.

B.Iunderstandthatyouareangry,butthisbehaviorwillnotbetolerated.

C.Whatbehaviorscouldyoumodifytoimprovethissituation?

D.Whatanti-personality-disordermedicationshavehelpedyouinthepast?

ANS:B

Theappropriatenursingstatementistoreflecttheclientsfeelingwhilesettingfirmlimitsonbehavior.Clients
diagnosedwithantisocialpersonalitydisorderhavealowtoleranceforfrustration,seethemselvesasvictims,
anduseprojectionasaprimaryegodefensemechanism.Antidepressantsandanxiolyticsareusedforsymptom
relief;however,therearenospecificmedicationstargetedforthetreatmentofapersonalitydisorder.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity

2.Aclientdiagnosedwithantisocialpersonalitydisordercomestoanursesstationat11:00p.m.,requestingto
phonealawyertodiscussfilingforadivorce.Theunitrulesstatethatnophonecallsarepermittedafter10:00
p.m.Whichnursingreplyismostappropriate?

A.Goaheadandusethephone.Iknowthispendingdivorceisstressful.
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B.Youknowbetterthantobreaktherules.Imsurprisedatyou.

C.Itisafterthe10:00p.m.phonecurfew.Youwillbeabletocalltomorrow.

D.Thedecisiontodivorceshouldnotbeconsidereduntilyouhavehadagoodnightssleep.

ANS:C

Themostappropriateresponsebythestaffistorestatetheunitrulesinacalm,assertivemanner.Becauseof
theprobabilityofmanipulativebehaviorinthisclientpopulation,itisimperativetomaintainconsistent
applicationofrules.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity

3.Aclientdiagnosedwithparanoidpersonalitydisorderbecomesviolentonaunit.Whichnursingintervention
ismostappropriate?

A.Provideobjectiveevidencethatviolenceisunwarranted.

B.Initiallyrestraintheclienttomaintainsafety.

C.Useclear,calmstatementsandaconfidentphysicalstance.

D.Empathizewiththeclientsparanoidperceptions.

ANS:C

Themostappropriatenursinginterventionistouseclear,calmstatementsandtoassumeaconfidentphysical
stance.Acalmattitudeavoidsescalatingtheaggressivebehaviorandprovidestheclientwithafeelingof




NURSINGTB.COM

, PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 258


safetyandsecurity.Itmayalsobebeneficialtohavesufficientstaffonhandtopresentashowofstrength.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
SafeandEffectiveCareEnvironment

4.Ahighlyemotionalclientpresentsatanoutpatientclinicappointmentwearingflamboyantattire,spiked
heels,andtheatricalmakeup.Whichpersonalitydisordershouldanurseassociatewiththisassessmentdata?

A.Compulsivepersonalitydisorder

B.Schizotypalpersonalitydisorder

C.Histrionicpersonalitydisorder

D.Manicpersonalitydisorder

ANS:C

Thenurseshouldassociatehistrionicpersonalitydisorderwiththisassessmentdata.Individualsdiagnosed
withhistrionicpersonalitydisordertendtobeself-dramatizing,attentionseeking,overlygregarious,and
seductive.Theyoftenusemanipulationandexhibitionismasameansofgainingattention.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

5.Aclientdiagnosedwithborderlinepersonalitydisorderbringsupaconflictwiththestaffinacommunity
meetinganddevelopsafollowingofclientswhounreasonablydemandmodificationofunitrules.Howcanthe
nursingstaffbesthandlethissituation?

A.Allowtheclientstoapplythedemocraticprocesswhendevelopingunitrules.
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B.Maintainconsistencyofcarebyopencommunicationtoavoidstaffmanipulation.

C.Allowtheclientspokespersontoverbalizeconcernsduringaunitstaffmeeting.

D.Maintainunitorderbytheapplicationofautocraticleadership.

ANS:B

Thenursingstaffcanbesthandlethissituationbymaintainingconsistencyofcarebyopencommunicationto
avoidstaffmanipulation.Clientsdiagnosedwithborderlinepersonalitydisordercanexhibitnegativepatterns
ofinteraction,suchasclinginganddistancing,splitting,manipulation,andself-destructivebehaviors.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Implementation|ClientNeed:
PsychosocialIntegrity

6.Whichnursingapproachshouldbeusedtomaintainatherapeuticrelationshipwithaclientdiagnosedwith
borderlinepersonalitydisorder?

A.Beingfirm,consistent,andempathetic,whileaddressingspecificclientbehaviors

B.Promotingclientself-expressionbyimplementinglaissez-faireleadership

C.Usingauthoritativeleadershiptohelpclientslearntoconformtosocietalnorms

D.Overlookinginappropriatebehaviorstoavoidpromotingsecondarygains

ANS:A

Thebestnursingapproachwhenworkingwithaclientdiagnosedwithborderlinepersonalitydisorderistobe
firm,consistent,andempatheticwhileaddressingspecificclientbehaviors.Individualsdiagnosedwith




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