Varcarolis Chapter 24 Personality Disorders Practice Questions and Answers
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Module
Varcarolis Psychiatric Mental Health Nursing
Institution
Varcarolis Psychiatric Mental Health Nursing
Varcarolis Chapter 24 Personality Disorders
Practice Questions and Answers
1. A health care provider recently convicted of Medicare fraud says to a
nurse, "Sure I overbilled. Everyone takes advantage of the government.
There are too many rules to follow and I should get the money." These
state...
Varcarolis Chapter 24 Personality Disorders
Practice Questions and Answers
1. A health care provider recently convicted of Medicare fraud says to a
nurse, "Sure I overbilled. Everyone takes advantage of the government.
There are too many rules to follow and I should get the money." These
statements show:
a. shame.
b. suspiciousness
c. superficial remorse.
d. lack of guilt feelings. - Answer✔️✔️-ANS: D
Rationalization is being used to explain behavior and deny wrongdoing.
The individual who does not believe he or she has done anything wrong
will not manifest anxiety, remorse, or guilt about the act. The patient's
remarks cannot be assessed as shameful. Lack of trust and concern that
others are determined to do harm is not shown.
2. Which intervention is appropriate for an individual diagnosed with an
antisocial personality disorder who frequently manipulates others?
a. Refer requests and questions related to care to the case manager.
b. Encourage the patient to discuss feelings of fear and inferiority.
c. Provide negative reinforcement for acting-out behavior.
d. Ignore, rather than confront, inappropriate behavior. - Answer✔️✔️-ANS:
A
Manipulative people frequently make requests of many different staff,
hoping one will give in. Having one decision maker provides consistency
and avoids the potential for playing one staff member against another.
Positive reinforcement of appropriate behaviors is more effective than
negative reinforcement. The behavior should not be ignored; judicious use
of confrontation is necessary. Patients with antisocial personality disorders
rarely have feelings of fear and inferiority.
3. As a nurse prepares to administer medication to a patient diagnosed
with a borderline personality disorder, the patient says, "Just leave it on the
table. I'll take it when I finish combing my hair." What is the nurse's best
response?
a. Reinforce this assertive action by the patient. Leave the medication on
the table as requested.
b. Respond to the patient, "I'm worried that you might not take it. I'll come
back later."
c. Say to the patient, "I must watch you take the medication. Please take it
now."
d. Ask the patient, "Why don't you want to take your medication now?" -
Answer✔️✔️-ANS: C
The individual with a borderline personality disorder characteristically
demonstrates manipulative, splitting, and self-destructive behaviors.
Consistent limit setting is vital for the patient's safety, but also to prevent
splitting other staff. "Why" questions are not therapeutic. See relationship
to audience response question.
3
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