Psych Exam 2

Term
1 / 75
The nurse discovers a client's suicide note that details the time, place, and means to commit suicide. Which would be the priority nursing intervention and the rationale for this action?
a) Administering lorazepam (Ativan) prn, because the client is angry about the discovery of the note
b) Establishing room restrictions, because the client's threat is an attempt to manipulate the staff
c) Placing this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide
d) Calling an emergency treatment team meeting, because the client's threat must be addressed
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Terms in this set (75)
The nurse discovers a client's suicide note that details the time, place, and means to commit suicide. Which would be the priority nursing intervention and the rationale for this action?
a) Administering lorazepam (Ativan) prn, because the client is angry about the discovery of the note
b) Establishing room restrictions, because the client's threat is an attempt to manipulate the staff
c) Placing this client on one-to-one suicide precautions, because the more specific the plan, the more likely the client will attempt suicide
d) Calling an emergency treatment team meeting, because the client's threat must be addressed
During the planning of care for a suicidal client, which correctly written outcome would be a nurse's first priority?
a) The client will not physically harm self.
b) The client will express hope for the future by day three.
c) The client will establish a trusting relationship with the nurse.
d) The client will remain safe during the hospital stay.
A client diagnosed with major depressive disorder with psychotic features hears voices commanding self-harm. The client refuses to commit to developing a plan for safety. Which would be the nurse's priority intervention at this time?
a) Obtaining an order for locked seclusion until client is no longer suicidal
b) Conducting 15-minute checks to ensure safety
c) Placing the client on one-to-one observation while monitoring suicidal ideations
d) Encouraging the client to express feelings related to suicide
A client with a history of three suicide attempts has been taking fluoxetine (Prozac) for 1 month. The client suddenly presents with a bright affect, rates mood at 9/10, and is much more communicative. Which action would be the nurse's priority at this time?
a) Give the client off-unit privileges as positive reinforcement.
b) Encourage the client to share mood improvement in group.
c) Increase frequency of client observation.
d) Request that the psychiatrist reevaluate the current medication protocol.
A client is admitted to an inpatient unit after a suicide attempt. The health-care provider prescribes amitriptyline (Elavil) for the client. Which would the nurse expect to be initiated to maintain this client's safety upon discharge?
a) Provide a 6-month supply of Elavil to ensure long-term compliance.
b) Provide a 3-day supply of Elavil with refills contingent on follow-up appointments.
c) Provide a pill dispenser as a memory aid.
d) Provide education regarding the avoidance of foods containing tyramine.
During a one-to-one session with a client, the client states, "Nothing will ever get better," and, "Nobody can help me." Which nursing diagnosis is most appropriate for this client?
a) Powerlessness R/T altered mood AEB client statements
b) Risk for injury R/T altered mood AEB client statements
c) Risk for suicide R/T altered mood AEB client statements
d) Hopelessness R/T altered mood AEB client statements
The treatment team is making a discharge decision regarding a previously suicidal client. Which client assessment information should a nurse recognize as contributing to the team's decision?
a) No previous admissions for major depressive disorder
b) Vital signs stable; no psychosis noted
c) Adheres to medication regimen; able to problem-solve life issues
d) Participates in a plan for safety; family agrees to constant observation
The family of a suicidal client is very supportive and requests more facts related to caring for their family member after discharge. Which information would the nurse provide?
a) Address only serious suicide threats to avoid the possibility of secondary gain.
b) Promote trust by verbalizing a promise to keep suicide attempt information within the family.
c) Offer a private environment to provide needed time alone at least once a day.
d) Be available to actively listen, support, and accept feelings.
A stockbroker commits suicide after being convicted of insider trading. In speaking with the family, which statement by the nurse demonstrates accurate and appropriate sharing of information?
a) "Your grieving will subside within 1 year; until then, I recommend antidepressants."
b) "Support groups are available specifically for survivors of suicide, and I would be glad to work with the health-care provider to locate one in this area."
c) "The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm to express your anger with them."
d) "Since stigmatization often occurs in these situations, it would be best if you avoid discussing the suicide with anyone."
After years of dialysis, an 84-year-old client states, "I'm exhausted, depressed, and done with these attempts to keep me alive." Which question would the nurse ask the client's spouse when preparing a discharge plan of care?
a) "Have there been any changes in appetite or sleep?"
b) "How often is your spouse left alone?"
c) "Has your spouse been following a diet and exercise program consistently?"
d) "How would you characterize your relationship with your spouse?"
Which information would the nursing instructor include about suicide in the elderly population when teaching nursing students? a) Elderly people use less lethal means to commit suicide. b) Although the elderly comprise less than 13 percent of the population, they account for 15 percent of all suicides. c) Suicide is the second leading cause of death among the elderly. d) It is normal for elderly individuals to express a desire to die, because they have come to terms with their mortality.b) Elderly comprise less than 13% of the population and 15% of all suicides.A nurse is caring for a client who has threatened to commit suicide by hanging. The client states, "I'm going to use a knotted shower curtain when no one is around." Which information would determine the nurse's plan of care for this client? a) The more specific the plan is, the more likely the client will attempt suicide. b) Clients who talk about suicide rarely actually commit it. c) Clients who threaten suicide should be observed every 15 minutes d) After a brief assessment, the nurse would avoid the topic of suicide.a) The more specific the plan is, the more likely the client will attempt suicide.A suicidal client says to the nurse, "There's nothing to live for anymore." Which is the most appropriate nursing reply? a) "Why don't you consider doing volunteer work in a homeless shelter?" b) "Let's discuss the negative aspects of your life." c) "Things will look better in the morning." d) "It sounds like you are feeling pretty hopeless."d) "It sounds like you are feeling pretty hopeless."Which statement best describes the classification of suicide? a) Suicide is a DSM-5 diagnosis. b) Suicide is a mental disorder. c) Suicide is a behavior. d) Suicide is an antisocial affliction.c) Suicide is a behavior.Which documented intervention would the nurse implement first when caring for a severely depressed client? a) Communicate therapeutically. b) Observe the client. c) Provide a hazard-free environment. d) Assess suicide risk.d) Assess suicide risk.Which is a correctly written, appropriate outcome for a client with a history of suicide attempts who is currently exhibiting symptoms of low self-esteem by isolating self? a) The client will not physically harm self. b) The client will express three positive self-attributes by day four. c) The client will reveal a suicide plan. d) The client will establish a trusting relationship.b) The client will express three positive self-attributes by day four.Which statement made by a nursing student indicates that learning regarding suicide has been successful? a) "Suicidal threats and gestures would be considered manipulative and/or attention-seeking." b) "Suicide is the act of a psychotic person." c) "All suicidal individuals are mentally ill." d) "Between 50 and 80 percent of all people who kill themselves have a history of a previous attempt."d) "Between 50 and 80 percent of all people who kill themselves have a history of a previous attempt."A nurse is caring for four clients diagnosed with major depressive disorder. When considering each client's belief system, the nurse would conclude which client would potentially be at higher risk for suicide than the other clients? a) Roman Catholic b) Protestant c) Atheist d) Muslimc) AtheistWhich strategy is most important to implement initially with a suicidal client? a) Ask a direct question such as, "Do you ever think about killing yourself?" b) Ask the client, "Please rate your mood on a scale from 1 to 10." c) Establish a trusting nurse-client relationship. d) Apply the nursing process to the planning of client care.a) Ask a direct question.A client is newly committed to an inpatient psychiatric unit. Which nursing intervention best lowers this client's risk for suicide? a) Encouraging participation in the milieu to promote hope b) Developing a strong personal relationship with the client c) Observing the client at intervals determined by assessed data d) Encouraging and redirecting the client to concentrate on happier timesc) Observing the client at intervals determined by assessed dataWhich client data indicates that a suicidal client is participating in a plan for safety? a) Compliance with antidepressant therapy b) A mood rating of 9/10 c) Disclosing a plan for suicide to staff d) Expressing feelings of hopelessness to nursec) Disclosing a plan for suicide to staffWhich of the following is most critical to assess when determining risk for suicide for a client newly admitted to an inpatient psychiatric unit? a) Family history of depression b) The client's orientation to reality c) The client's history of suicide attempts d) Family support systems3. The client's history of suicide attemptsAccording to statistics, which ethnic group is at highest risk for suicide? a) African American b) Alaskan Native c) Asian d) Whited) WhiteA father finds his teenage child has carried out suicide by hanging the morning after they have an argument. Which paternal grief responses would a nurse anticipate? (SATA) a) "I can't believe this is happening." b) "If only I had been more understanding." c) "How dare he do this to me!" d) "I'm just going to have to accept that he was gay." e) "Well, that was a selfish thing todo."a) "I can't believe this is happening." b) "If only I had been more understanding." c) "How dare he do this to me!"Which nursing diagnosis is the priority for a client experiencing alcohol withdrawal? a) Risk for injury R/T central nervous system stimulation b) Disturbed thought processes R/T tactile hallucinations c) Ineffective coping R/T powerlessness over alcohol use d) Ineffective denial R/T continued alcohol use despite negative consequencesa) Risk for injury R/T central nervous system stimulationThe nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 50 attempts within a 15-minute period. Which is the best rationale for assessing this client for substance addiction? a) Narcotic pain medication is contraindicated for all clients with active substance use disorders. b) Clients who are addicted to alcohol or benzodiazepines may develop cross-tolerance to analgesics and require increased doses to achieve effective pain control. c) There is no need to assess the client for substance addiction. There is an obvious PCA malfunction, because these clients have a higher pain tolerance. d) The client is experiencing alcohol withdrawal symptoms and needs accurate assessment.b) Clients who are addicted to alcohol or benzodiazepines may develop cross-tolerance to analgesics and require increased doses to achieve effective pain control.On the first day of a client's alcohol detoxification, which nursing intervention should take priority? a) Strongly encourage the client to attend 90 Alcoholics Anonymous (AA) meetings in 90 days. b) Educate the client about the biopsychosocial consequences of alcohol abuse. c) Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. d) Provide thiamin supplements to prevent Wernicke-Korsakoff syndrome.c) Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol.Which client statement indicates a knowledge deficit related to a substance use disorder? a) "Although it's legal, alcohol is one of the most widely abused drugs in our society." b) "Tolerance to heroin develops quickly." c) "Flashbacks from lysergic acid diethylamide (LSD) use may reoccur spontaneously." d) "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless."d) "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless."A lonely, depressed divorcée has been self-medicating with small amounts of cocaine for the past year to feel better. Which term should the nurse use in report to best describe this individual's situation? a) Psychological addiction b) Codependence c) Substance induced disorder d) Intoxicationa) Psychological addictionWhich term should a nurse use to describe the administration of a central nervous system (CNS) depressant to a client with alcohol withdrawal? a) Antagonist treatment b) Deterrent therapy c) Codependency therapy d) Medication-assisted treatmentd) Medication-assisted treatmentA client diagnosed with chronic alcohol addiction is being discharged from an inpatient treatment facility after detoxification. Which client outcome, related to Alcoholics Anonymous (AA), would be most appropriate for a nurse to discuss with the client during discharge teaching? a) To immediately attend AA meetings at least weekly. b) To rely on an AA sponsor to help control alcohol cravings. c) To incorporate family in AA attendance. d) To seek appropriate deterrent medications through AA.a) To immediately attend AA meetings at least weekly.A client with a history of alcohol use disorder is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 48 hours. When the nurse reports to the ED physician, which client sign or symptom should be the nurse's first priority? a) Hearing and visual impairment b) Blood pressure of 180/100 mm Hg c) Mood rating of 2/10 on numeric scale d) Dehydrationb) Blood pressure of 180/100 mm HgWhich client statement demonstrates positive progress toward recovery from a substance use disorder? a) "I have completed detox and therefore am in control of my drug use." b) "When I can't control my cravings, I will faithfully attend Narcotic Anonymous." c) "As a church deacon, my focus will now be on spiritual renewal." d) "Taking those pills got out of control. It cost me my job, marriage, and children."d) "Taking those pills got out of control. It cost me my job, marriage, and children."The nurse holds the hand of a client who is experiencing alcohol withdrawal. The nurse is assessing for which condition? a) Emotional strength b) Wernicke-Korsakoff syndrome c) Tachycardia d) Coarse tremorsd) Coarse tremorsThe client presents with symptoms of alcohol withdrawal and states, "I haven't eaten in three days." The nurse's assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97°F (36°C) with dry mucous membranes and poor skin turgor. What should be the priority nursing diagnosis? a) Denial b) Fluid volume excess c) Imbalanced nutrition: less than body requirements d) Ineffective individual copingc) Imbalanced nutrition: less than body requirementsA client's wife has been making excuses for her alcoholic husband's work absences. In family therapy, she states, "His problems at work are my fault." Which response by the nurse is therapeutic? a) "Why do you assume responsibility for his behaviors?" b) "I think you should start to confront his behavior." c) "Your husband needs to deal with the consequences of his drinking." d) "Do you understand what the term enabler means?"c) "Your husband needs to deal with the consequences of his drinking."Which medications would the nurse most likely administer to a client who has a history of opiate withdrawal? a) Haloperidol (Haldol) and acamprosate (Campral) b) Naloxone (Narcan) and naltrexone (ReVia) c) Disulfiram (Antabuse) and lorazepam (Ativan) d) Methadone (Dolophine) and clonidine (Catapres)d) Methadone (Dolophine) and clonidine (Catapres)A client diagnosed with major depression and substance use disorder has an altered sleep pattern and demands a psychiatrist prescribe a sedative. Which rationale explains why the nurse should encourage the client to first try nonpharmacological interventions? a) Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance. b) Sedative-hypnotics decrease the production of needed liver enzymes. c) Sedative-hypnotics lengthen necessary REM (rapid eye movement, dream) sleep. d) Sedative-hypnotics are known not to be as effective in promoting sleep as antidepressant medications.a) Sedative-hypnotics are potentially addictive, and their effectiveness will be compromised owing to tolerance.A client diagnosed with a gambling disorder asks the nurse about medications that may be ordered by the physician to treat this disorder. The nurse would give the client information on which medications? a) Escitalopram (Lexapro) and clozapine (Clozaril) b) Citalopram (Celexa) and olanzapine (Zyprexa) c) Lithium carbonate (Lithobid) and naltrexone (ReVia) d) Haloperidol (Haldol) and ziprasidone (Geodon)c) Lithium carbonate (Lithobid) and naltrexone (ReVia)A nurse is assessing a pathological gambler. What would differentiate this client's behaviors from the behaviors of a non-pathological gambler? a) Pathological gamblers have abnormal levels of neurotransmitters, whereas non-pathological gamblers do not. b) Pathological gambling occurs more commonly among women, whereas non-pathological gambling occurs more commonly among men. c) Pathological gambling generally runs an acute course, whereas non-pathological gambling runs a chronic course. d) Pathological gambling is not related to stress relief, whereas non-pathological gambling is related to stress relief.a) Pathological gamblers have abnormal levels of neurotransmitters, whereas non-pathological gamblers do not.A nurse is preparing a staff education session about the impaired nurse and the consequences of this impairment. Which statement by a staff member indicates successful teaching? a) "The state board of nursing must be notified with subjective documentation of impairment." b) "All state boards of nursing have passed laws that, under any circumstances, do not allow impaired nurses to practice." c) "Some state boards of nursing administer the treatment programs themselves, while others refer the nurse to other resources." d) "After a return to practice, a recovering nurse may be closely monitored for several days."a) "Some state boards of nursing administer the treatment programs themselves, while others refer the nurse to other resources."Which nursing statements exemplify the process that must be completed by a nurse in the pre-introductory phase prior to caring for clients diagnosed with a substance-related disorder? (SATA) a) "I am easily manipulated and need to work on this prior to caring for these clients." b) "Because of my father's alcoholism, I need to examine my attitude toward these clients." c) "I need to review the side effects of the medications used in the withdrawal process." d) "I'll need to set boundaries to maintain a therapeutic relationship." e) "I need to take charge when dealing with clients diagnosed with substance disorders."a) "I am easily manipulated and need to work on this prior to caring for these clients." b) "Because of my father's alcoholism, I need to examine my attitude toward these clients." d) "I'll need to set boundaries to maintain a therapeutic relationship."A nursing instructor is teaching nursing students about cirrhosis of the liver. Which statements by nursing students about hepatic encephalopathy indicate successful teaching? (SATA) a) "A diet rich in protein will promote hepatic healing." b) "This condition results from a rise in serum ammonia, leading to impaired mental functioning." c) "In this condition, an excessive amount of serous fluid accumulates in the abdominal cavity." d) "Neomycin and lactulose are used in the treatment of this condition." e) "This condition is caused by the inability of the liver to convert ammonia to urea."b) "This condition results from a rise in serum ammonia, leading to impaired mental functioning." d) "Neomycin and lactulose are used in the treatment of this condition." e) "This condition is caused by the inability of the liver to convert ammonia to urea."A clinic nurse is about to meet with a client diagnosed with a gambling disorder. The nurse would assess which symptoms and behaviors? (SATA) a) Stressful situations precipitate gambling behaviors. b) Anticipation and restlessness can only be relieved by placing a bet. c) Winning brings about feelings of sexual satisfaction. d) Gambling is used as a coping strategy. e) Compulsive gambling began in early adolescence.a) Stressful situations precipitate gambling behaviors. b) Anticipation and restlessness can only be relieved by placing a bet. d) Gambling is used as a coping strategy.A nursing supervisor is about to meet with a staff nurse suspected of diverting clients' pain medications. Which assessment data would lead the supervisor to suspect that the staff nurse is impaired? (SATA) a) Is frequently absent from work b) Experiences mood swings c) Makes elaborate excuses for behavior d) Frequently uses the restroom e) Has a flushed faceb) Experiences mood swings c) Makes elaborate excuses for behavior d) Frequently uses the restroom e) Has a flushed faceA nursing supervisor is offering an impaired staff member information regarding a peer assistance program. Which facts should the supervisor include? (SATA) a) A hot-line number will be available in order to call for help. b) A verbal contract detailing the method of treatment will be initiated prior to the program. c) Peer support is provided through regular contact with the impaired nurse. d) Contact to provide peer support will last for one year. e) One of the program goals is to intervene early in order to reduce hazards to clients.a) A hot-line number will be available in order to call for help. c) Peer support is provided through regular contact with the impaired nurse. e) One of the program goals is to intervene early in order to reduce hazards to clients.A nurse is about to meet with a client suffering from codependency. Which data would the nurse expect to find during the assessment of this client? (SATA) a) Has a long history of focusing thoughts and behaviors on other people b) As a child, experienced overindulgent and overprotective parents c) Is a people pleaser and does almost anything to gain approval d) Exhibits helpless behaviors but actually feels very competent e) Can achieve a sense of control through fulfilling the needs of othersa) Has a long history of focusing thoughts and behaviors on other people c) Is a people pleaser and does almost anything to gain approval e) Can achieve a sense of control through fulfilling the needs of othersThe client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions during the assessment interview. Which response would the nurse make? 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) "Which antipersonality disorder medications have helped you in the past?"b) "I understand that you are angry, but this behavior will not be tolerated."At 11:30 p.m. the client diagnosed with antisocial personality disorder demands to phone a lawyer to file for a divorce. Unit rules state that no phone calls are permitted after 10 p.m. Which nursing response is most appropriate? a) "Go ahead and use the phone. I know this pending divorce is stressful." b) "You know better than to break the rules. I'm surprised at you." c) "It is after the 10 p.m. phone curfew. You will be able to call tomorrow." d) "A divorce shouldn't be considered until you have had a good night's sleep."c) "It is after the 10 p.m. phone curfew. You will be able to call tomorrow."The client diagnosed with paranoid personality disorder becomes aggressive on the unit. Which nursing intervention is most appropriate? a) Provide objective evidence that reasons for violence are unwarranted. b) Initially restrain the client to maintain safety. c) Use clear, calm statements with a confident physical stance. d) Empathize with the client's paranoid perceptions.c) Use clear, calm statements with a confident physical stance.The 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 autocratic process when developing unit rules. b) Maintain consistency of care and open communication to avoid staff manipulation. c) Allow the client spokesman to verbalize concerns during a unit staff meeting. d) Maintain unit order by the application of punitive leadership.b) Maintain consistency of care and open communication to avoid staff manipulation.Which approach should the nurse use to maintain a therapeutic relationship with a client diagnosed with BPD? a) Being firm, consistent, and empathic 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 society norms d) Overlooking inappropriate behaviors to avoid providing secondary gainsa) Being firm, consistent, and empathic while addressing specific client behaviorsWhich physically healthy adult client should a nurse identify as exhibiting the characteristics of a dependent personality disorder? a) Meets social needs by contact with 15 cats b) Has a history of depending on intense relationships to meet basic needs c) Lives with parents and relies totally on public transportation d) Is serious, inflexible, and lacks spontaneityc) Lives with parents and relies totally on public transportationThe client expresses low self-worth, has much difficulty making decisions, avoids positions of responsibility, and has a behavioral pattern of "suffering" in silence. Which information best explains the childhood nurturance of this client's personality disorder? a) Was provided from many sources, and independent behaviors were encouraged b) Was provided exclusively from one source, and independent behaviors were discouraged c) Was provided exclusively from one source, and independent behaviors were encouraged d) Was provided from many sources, and independent behaviors were discouragedb) Was provided exclusively from one source, and independent behaviors were discouragedFamily members of a client ask the nurse to explain the difference between schizoid and avoidant personality disorders. Which nursing response is appropriate? a) Clients diagnosed with avoidant personality disorder desire intimacy but fear it, and clients diagnosed with schizoid personality disorder prefer to be alone. b) Clients diagnosed with schizoid personality disorder exhibit delusions and hallucinations, while clients diagnosed with avoidant personality disorder do not. c) Clients diagnosed with avoidant personality disorder are eccentric, and clients diagnosed with schizoid personality disorder are dull and vacant. d) Clients diagnosed with schizoid personality disorder have a history of psychosis, while clients diagnosed with avoidant personality disorder remain based in reality.a) Clients diagnosed with avoidant personality disorder desire intimacy but fear it, and clients diagnosed with schizoid personality disorder prefer to be alone.Which nursing diagnosis should a nurse identify as appropriate when working with a client diagnosed with schizoid personality disorder? a) Altered thought processes R/T increased stress b) Risk for suicide R/T loneliness c) Risk for violence: directed toward others R/T paranoid thinking d) Social isolation R/T inability to relate to othersd) Social isolation R/T inability to relate to othersLooking at a slightly bleeding paper cut, the client screams, "Somebody help me quick! I'm bleeding. Call 911!" The nurse should identify this behavior as characteristic of which personality disorder? a) Schizoid b) Obsessive-compulsive c) Histrionic d) Paranoidc) HistrionicWhen planning care for a client diagnosed with borderline personality disorder, which self-harm behavior should a nurse expect the client to exhibit? a) Highly lethal methods to commit suicide b) Suicidal gestures to elicit a rescue response from others c) Isolation and starvation as suicidal methods d) Self-mutilation from decreased endorphins in the bodyb) Suicidal gestures to elicit a rescue response from othersThe nurse tells a client diagnosed with obsessive-compulsive personality disorder that the nursing staff will start alternating weekend shifts. Which response should the nurse expect from this client? a) "You really don't have to go by that schedule. I'd just stay home sick." b) "There has got to be a hidden agenda behind this schedule change." c) Who do you think you are? I expect to interact with the same nurse every Saturday." d) "You can't make these kinds of changes! Isn't there a rule that governs this decision?"d) "You can't make these kinds of changes! Isn't there a rule that governs this decision?"Which reaction to a compliment from a staff member should the nurse identify as a typical response from a client diagnosed with avoidant personality disorder? a) Interpreting the compliment as a secret code used to increase personal power b) Feeling the compliment was well deserved c) Being grateful for the compliment but fearing later rejection and humiliation d) Wondering what deep meaning and purpose is attached to the complimentc) Being grateful for the compliment but fearing later rejection and humiliationWhich factor differentiates a client diagnosed with schizotypal personality disorder from a client diagnosed with schizoid personality disorder? a) Clients diagnosed with schizotypal personality disorder are treated with cognitive behavioral therapy, whereas clients diagnosed with schizoid personality disorder need medications. b) Clients diagnosed with schizoid personality disorder experience anxiety only in social settings, whereas clients diagnosed with schizotypal personality disorder experience generalized anxiety. c) Clients diagnosed with schizotypal personality disorder experience social anxiety from paranoid fears, whereas clients diagnosed with schizoid personality disorder would isolate themselves on a continual basis. d) Clients diagnosed with schizoid personality disorder have magical thinking and depersonalization, whereas clients diagnosed with schizotypal personality disorder do not.c) Clients diagnosed with schizotypal personality disorder experience social anxiety from paranoid fears, whereas clients diagnosed with schizoid personality disorder would isolate themselves on a continual basis.Which symptom should the nurse observe in a client diagnosed with obsessive-compulsive personality disorder? a) Intrusive and persistent thoughts b) Unwanted, repetitive ritualistic behavior c) Lack of spontaneity when dealing with others d) Feelings of "sixth sense" that are externally imposedc) Lack of spontaneity when dealing with othersWhich client is most likely to be admitted to an inpatient facility for self-destructive behaviors? a) One with antisocial personality disorder b) One with borderline personality disorder c) One with schizoid personality disorder d) One with paranoid personality disorderb) One with borderline personality disorderWhen planning care for clients diagnosed with personality disorders, which treatment goal is appropriate? a) To stabilize the client's pathology by using the correct combination of psychotropic medications b) To change the characteristics of the dysfunctional personality c) To reduce personality trait inflexibility that interferes with functioning and relationships d) To decrease the prevalence of neurotransmitters at receptor sitesc) To reduce personality trait inflexibility that interferes with functioning and relationshipsWhich client response would reflect the impulsive self-destructive behavior that is commonly associated with borderline personality disorder when the day-shift nurse leaves the unit? a) The client suddenly leans on the nurse's arm and whispers, "The night nurse is evil. You have to stay." b) The client suddenly hugs the nurse's arm and states, "I will be up all night if you don't stay with me." c) The client suddenly grabs the nurse's arm, yelling, "Please don't go! I can't sleep without you being here." d) The client suddenly shows the nurse a bloody arm and states, "I cut myself because you are leaving me."d) The client suddenly shows the nurse a bloody arm and states, "I cut myself because you are leaving me."Which nursing diagnosis is the priority when providing nursing care to a client diagnosed with paranoid personality disorder? a) Risk for violence: directed toward others R/T suspicious thinking b) Risk for suicide R/T altered thought c) Altered sensory perception R/T increased levels of anxiety d) Social isolation R/T inability to relate to othersa) Risk for violence: directed toward others R/T suspicious thinkingWhich nursing intervention is appropriate when caring for a client diagnosed with borderline personality disorder? a) Seclude the client when inappropriate behaviors are exhibited. b) Rotate staff members who work with the client. c) Teach about antianxiety medications to improve medication compliance. d) Offer sympathy when client engages in self-mutilation.b) Rotate staff members who work with the client.The client presents at an outpatient clinic appointment and states, "My dead husband returned to me during a séance." Which personality disorder should the nurse associate with this behavior? a) Obsessive-compulsive b) Schizotypal c) Narcissistic d) Borderlineb) SchizotypalThe nurse is teaching staff about clients diagnosed with histrionic personality disorder and the quality of their relationships. Which statement made by a staff member indicates learning has occurred? a) "Their dramatic style tends to make their interpersonal relationships interesting and fulfilling." b) "Their interpersonal relationships tend to be shallow and fleeting, serving their dependency needs." c) "They tend to develop few relationships because they are strongly independent but generally maintain deep affection." d) "They pay particular attention to details, which can interfere with the development of relationships."b) "Their interpersonal relationships tend to be shallow and fleeting, serving their dependency needs."During an interview, which client statement should alert the nurse to a potential diagnosis of schizotypal personality disorder? a) "I don't have a problem. My family is inflexible, and my relatives are out to get me." b) "I am so excited about working with you. Have you noticed my new nail polish, 'Ruby Red Roses'?" c) "I spend all my time tending my bees. I know a whole lot of information about bees." d) "I am getting a message from the beyond that we have been involved with each other in a previous life."d) "I am getting a message from the beyond that we have been involved with each other in a previous life."Which nursing diagnosis is priority when providing nursing care to a client diagnosed with avoidant personality disorder? a) Risk for violence: directed toward others R/T suspicious thinking b) Risk for suicide R/T altered thought c) Altered sensory perception R/T increased levels of anxiety d) Social isolation R/T fear of rejectiond) Social isolation R/T fear of rejectionThe nurse is admitting a client with a diagnosis of schizotypal personality disorder. Which client findings would make the nurse question this diagnosis? (SATA) a) Is the center of attention b) Has unusual perceptual experiences c) Has a bipolar disorder d) Is odd and eccentric but not delusional e) Has autism spectrum disordera) Is the center of attention c) Has a bipolar disorder e) Has autism spectrum disorderWhich statements represent positive outcomes for clients diagnosed with narcissistic personality disorder? (SATA) a) The client will relate one empathetic statement to another client in group by day four. b) The client will identify one personal limitation by day two. c) The client will acknowledge one strength that another client possesses by day three. d) The client will list four personal strengths by day three. e) The client will discuss two lifetime achievements by discharge.a) The client will relate one empathetic statement to another client in group by day four. b) The client will identify one personal limitation by day two. c) The client will acknowledge one strength that another client possesses by day three.The nurse is caring for a client diagnosed with antisocial personality disorder. Which factors should the nurse consider when planning this client's care? (SATA) a) This client has personality traits that are deeply ingrained and difficult to modify. b) This client needs medication to treat the underlying physiological pathology. c) This client uses manipulation, making the implementation of treatment problematic. d) This client wants instant gratification, which hinders compliance with a plan of care. e) This client is likely to have secondary diagnoses of substance abuse and depression.a) This client has personality traits that are deeply ingrained and difficult to modify. c) This client uses manipulation, making the implementation of treatment problematic. d) This client wants instant gratification, which hinders compliance with a plan of care. e) This client is likely to have secondary diagnoses of substance abuse and depression.The nurse is assessing a client for antisocial personality disorder. According to the DSM-5, which symptoms must the client meet in order to be assigned this diagnosis? (SATA) a) Age of at least 18 years old b) Deceitful for personal gain c) Frequent feelings of being down, remorseful, or hopeless d) Disregard for and failure to honor financial obligations e) Avoidance of social events and interaction with othersa) Age of at least 18 years old b) Deceitful for personal gain d) Disregard for and failure to honor financial obligations