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PSYCH TEST 4 TEST BANK QUESTIONS & ANSWERS
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PSYCH TEST 4 TEST BANK QUESTIONS & ANSWERS
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PSYCH TEST 4 TEST BANK QUESTIONS &ANSWERS 2024-2025
1.,A,patient,tells,a,nurse,about,being,in,a,relationship,with,a,significant,other,for,more,than,1,year,and,s
tates,,"the,person,is,available,when,I,need,support,,but,neither,of,us,tries,to,control,the,other.",The,nur
se,can,correctly,assess,this,relationship,as:
a.narcissistic.
b.enmeshed.
c.disconnected.
d.interdependent.,,ANS,-,,ANS:,D
Interdependent,relationships,allow,reliance,on,others,as,well,as,independence.,Each,lets,the,other,be,d
ependent,or,independent,without,needing,to,control,the,person's,behavior.
2.,Which,statement,best,describes,persons,with,personality,disorders?
a.The,patient's,coping,skills,are,severely,impaired,by,cognitive,impairment.
b.The,patient's,maladaptive,behaviors,involve,only,a,single,aspect,of,personality.
c.The,patient,has,enduring,ways,of,relating,that,often,provoke,negative,reactions.
d.The,patient,has,considerable,resilience,when,faced,with,stressful,life,situations.,,ANS,-,,ANS:,C
The,three,features,of,personality,disorders,are,(1),the,individual,has,acquired,few,strategies,for,relating,
,and,his,or,her,approaches,are,inflexible,and,maladaptive;,(2),the,individual's,needs,,perceptions,,and,be
,havior,tend,to,foster,vicious,circles,that,continue,unhelpful,patterns,and,provoke,negative,reactions,fro
m,others;,and,(3),the,individual's,adaptation,is,characterized,by,tenuous,stability,,fragility,,and,lack,of,re
silience,when,faced,with,stress.,The,patient's,treatment,plan,is,directed,toward,improvement,of,patient,
condition,,but,it,does,not,guarantee,improvement,or,cure.
3.,Which,comment,about,relationships,would,be,most,characteristic,of,a,patient,with,antisocial,personal
ity,disorder?
a."The,only,reason,for,interacting,is,to,take,advantage,of,others."
b."'Live,and,let,live',is,as,good,a,philosophy,as,any,to,live,by."
c."I've,always,found,that,'help,one,another',is,a,good,policy."
d."I'll,be,your,doormat.,Feel,free,to,take,advantage,of,me.",,ANS,-,,ANS:,A
Antisocial,individuals,are,exploitative,and,manipulative.,They,prefer,to,control,others,to,avoid,being,con
trolled.,The,attitudes,of,"live,and,let,live",and,"help,one,another",are,not,reflective,of,an,individual,with,
antisocial,personality,disorder,since,they,are,incapable,of,empathy,or,sympathy.,Being,a,"doormat",refl
ects,a,poor,sense,of,self-esteem,and,personal,worth.
4.,A,nursing,diagnosis,appropriate,to,consider,for,a,patient,with,antisocial,personality,disorder,is:
a.risk,for,self-directed,injury.
b.impaired,social,interaction.
c.disturbed,personal,identity.
d.disturbed,sensory,perception.,,ANS,-,,ANS:,B
,Impaired,social,interaction,describes,a,state,in,which,the,person,participates,in,insufficient,,excessive,,or
,ineffective,social,exchange.,The,remaining,options,are,not,typically,exhibited,by,a,patient,with,antisocia
l,personality,disorder.
5.,Which,behavior,would,be,most,characteristic,of,an,individual,with,narcissistic,personality,disorder?
a.A,lifelong,pattern,of,social,withdrawal
b.Refusal,to,enter,into,relationships,for,fear,of,rejection
c.Belief,in,entitlement,to,special,privileges,that,others,may,not,have
d.Belief,in,possessing,the,ability,to,know,what,others,are,thinking,,ANS,-,,ANS:,C
Narcissistic,individuals,are,egocentric,people,who,have,fragile,self-
esteem,that,drives,them,to,seek,admiration,and,appreciation.,As,part,of,this,,they,display,a,sense,of,enti
tlement,,believing,they,have,rights,to,special,treatment.
6.,A,patient,regularly,uses,manipulation,to,control,situations.,Staff,working,to,reduce,this,behavior,shou
ld,first,convey,the,message,that:
a.while,the,patient,is,accepted,,the,behavior,is,rejected,as,inappropriate.
b.if,the,patient,cannot,control,the,behavior,,staff,will,establish,external,controls.
c.manipulative,behavior,results,in,frustration,and,anger,among,staff,and,patients.
d.manipulation,of,patients,is,no,more,acceptable,than,manipulation,of,unit,staff.,,ANS,-,,ANS:,A
The,staff,always,must,seek,to,convey,acceptance,of,the,patient,because,this,is,a,building,block,for,a,ther
apeutic,relationship.,Inappropriate,behaviors,such,as,manipulation,should,be,identified,,their,negative,c
, onsequences,to,the,patient,should,be,discussed,,and,more,adaptive,behaviors,should,be,substituted,wh
en,the,therapeutic,relationship,has,been,established.
7.,Before,the,community,meeting,,a,patient,with,antisocial,personality,disorder,was,overheard,coaching
,other,patients,to,strongly,object,to,the,"no,smoking",policy.,Which,response,would,be,most,characteris
tic,of,this,patient,when,approached,by,staff,members,who,wish,to,discuss,the,behavior?
a."I,knew,they'd,mess,this,up.,I've,learned,to,speak,for,myself,in,the,future."
b."Hey,,it's,not,my,fault.,They,object,to,you,people,running,this,place,like,a,jail."
c."I,think,the,patients,and,staff,should,talk,about,the,rules,and,negotiate,some,changes."
d."I've,learned,something,valuable,from,this.,We'll,talk,about,this,in,my,therapy,session.",,ANS,-,,ANS:,B
Patients,with,antisocial,personality,disorder,usually,do,not,accept,responsibility,for,their,actions.,They,ar
e,unable,to,problem,solve,constructively,,and,they,are,unlikely,to,voluntarily,seek,help,with,changing,th
eir,behaviors.
8.,The,majority,of,the,treatment,team,maintains,that,a,patient,diagnosed,with,antisocial,personality,dis
order,needs,external,limits,and,careful,observation,,however,two,nurses,state,,"The,patient,is,really,a,pl
easant,person.,We,shouldn't,be,so,judgmental.",The,most,likely,reason,for,the,difference,in,staff,opinio
ns,is,that,the,patient,has,been,using,which,coping,mechanisms?
a.Idealization,and,devaluation
b.Projection,and,rationalization
c.Splitting,and,projective,identification
d.Reaction,formation,and,identification,,ANS,-,,ANS:,C
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