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NSG322 Exam 2: Questions And Verified Answers
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NSG322 Exam 2: Questions And Verified Answers
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NSG322 Exam 2: Questions And Verified AnswersA nurse caring for a client who has been diagnosed with a personality
disorder should expect that the client will exhibit which behaviors?
A. Inflexible and maladaptive responses to stress
B. Abnormal ego functioning
C. Frequent episodes of psychosis
D. Constant involvement with the needs of significant others Right Ans - A.
Inflexible and maladaptive responses to stress
Which statement is descriptive of clients with a personality disorder?
A. They have little difficulty with cognitive functioning
B. They have an ability to tolerate frustration and pain
C. They are resistant to behavioral change
D. They usually seek help to change maladaptive behaviors Right Ans - C.
They are resistant to behavioral change
Research has indicated that the antisocial personality may be characterized by
what behavior?
A. Lack of remorse
B. Learning difficulties
C. Social isolation
D. Difficulty with reality testing Right Ans - A. Lack of remorse
What characteristic behaviors will the nurse assess in the narcissistic client?
A. Perfectionism and preoccupation with detail
B. Dramatic expression of emotion, being easily led
C. Angry, highly suspicious, aloof, withdrawn behavior
D. Grandiose, exploitive, and rage-filled behavior Right Ans - D. Grandiose,
exploitive, and rage-filled behavior
Which client, diagnosed with which personality disorder, will most likely
require admission to a psychiatric unit as a result of developing a psychosis?
A. Paranoid personality disorder
B. Narcissistic personality disorder
C. Borderline personality disorder
D. Dependent personality disorder Right Ans - C. Borderline personality
disorder
,Which characteristics will the nurse assess in the client diagnosed with
antisocial personality?
A. A need for others to assume responsibility for decision making and seeking
nurture
B. Avoidance of interpersonal contact and preoccupation with being criticized
C. Perfectionism, preoccupation with detail, verbosity
D. Deceitfulness, impulsiveness, and lack of empathy Right Ans - D.
Deceitfulness, impulsiveness, and lack of empathy
Playing one staff member against another is an example of what defense
mechanism?
A. Social ineptitude
B. Devaluation
C. Impulsiveness
D. Splitting Right Ans - D. Splitting
Splitting is a process in which the client demonstrates what behavior?
A. Evidence of lack of personal boundaries
B. Places responsibility for his or her behavior outside the self
C. Sees things as divided into "all good" or "all bad"
D. Unconsciously represses undesirable aspects of self Right Ans - C. Sees
things as divided into "all good" or "all bad"
A client arrested for an assault in which he savagely beat a classmate states,
"The guy deserved everything he got." The behaviors described are most
consistent with the clinical picture of which disorder?
A. Schizotypal personality disorder
B. Antisocial personality disorder
C. Narcissistic personality disorder
D. Borderline personality disorder Right Ans - B. Antisocial personality
disorder
When providing care for a client diagnosed with borderline personality
disorder, the nurse will need to consider strategies for dealing with which of
the client's classic characteristics?
A. Perfectionism and preoccupation with detail
B. Greif, anger, and social isolation
C. Mood shifts, impulsivity, and splitting
, D. Altered sensory perception and suspicion Right Ans - C. Mood shifts,
impulsivity, and splitting
A newly admitted client has a diagnosis of schizoid personality disorder. The
nursing intervention of highest priority will be directed toward which classic
client need?
A. Respect and need for social isolation
B. Involve in milieu and group activities
C. Set firm limits on behavior
D. Encourage expression of feelings Right Ans - A. Respect and need for
social isolation
A client diagnosed with obsessive-compulsive personality disorder takes the
nurse aside and mentions, "I've observed you interacting with that new
patient. You are not approaching him properly. You should be more forceful
with him." What response should the nurse provide to address the client's
comment?
A. "I see you are trying to control that patient's therapy as well as your own"
B. "I will be continuing to follow the established care plan for the patient"
C. "Your eye for perfection extends even to my nursing interventions"
D. "That patient's care is really of no concern to you or to other clients"
Right Ans - B. "I will be continuing to follow the established care plan for the
patient"
What is the priority nursing intervention for a client diagnosed with
borderline personality disorder?
A. Respect the client's need for attention
B. Protect other clients from manipulation
C. Assess for suicidal and self-mutilating behaviors
D. Provide clear, consistent limits and boundaries Right Ans - C. Assess for
suicidal and self-mutilating behaviors
Clients demonstrating characteristics of personality disorders have various
self-defeating behaviors and interpersonal problems despite having near-
normal ego functioning and intact reality testing. Which nursing diagnosis
best addresses this sort of interpersonal dysfunction?
A. Spiritual distress
B. Defense coping
C. Disturbed sensory perception
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