NSG 221: Exam 4 (Modules 11, 12, & 13)
Questions With Correct Answers
Obsessive-compulsive personality disorder - ANSWER Obsessive-compulsive
personality disorder is characterized by a pervasive pattern of preoccupation with
perfectionism, mental and interpersonal control, and orderliness at the expense of
flexibility, openness, and efficiency. Clients are preoccupied with orderliness and try to
maintain it in all areas of life. They strive for perfection as though it were attainable and
are preoccupied with details, rules, lists, and schedules to the point of often missing "the
big picture."
Dependent personality disorder - ANSWER Dependent personality disorder is
characterized by a pervasive and excessive need to be taken care of, which leads to
submissive and clinging behavior and fears of separation Clients are frequently anxious
and may be mildly uncomfortable. They are often pessimistic and self-critical; other
people hurt their feelings easily. When these clients do experience the end of a
relationship, they urgently and desperately seek another. The unspoken motto seems to
be: "Any relationship is better than no relationship at all."
Avoidant personality disorder - ANSWER Avoidant personality disorder is characterized
by a pervasive pattern of social discomfort and reticence, low self-esteem, and
hypersensitivity to negative evaluation. Clients with avoidant personality disorder have
low self-esteem. They are hypersensitive to negative evaluation from others and readily
believe themselves to be inferior. Clients may report some success in occupational
roles because they are so eager to please or to win a supervisor's approval. Shyness,
awkwardness, or fear of failure, however, may prevent them from seeking jobs that
might be more suitable, challenging, or rewarding.
Narcissistic personality disorder - ANSWER Narcissistic personality disorder is
characterized by a pervasive pattern of grandiosity (in fantasy or behavior), need for
admiration, and lack of empathy. Clients may display an arrogant or haughty attitude.
They lack the ability to recognize or empathize with the feelings of others. Underlying
self-esteem is almost always fragile and vulnerable. These clients are hypersensitive to
criticism and need constant attention and admiration
Histrionic personality disorder - ANSWER Histrionic personality disorder is
characterized by a pervasive pattern of excessive emotionality and attention seeking.
The tendency of these clients to exaggerate the closeness of relationships or to
dramatize relatively minor occurrences can result in unreliable data. Expressed
emotions, though colorful, are insincere and shallow; this is readily apparent to others
, but not to clients. They experience rapid shifts in moods and emotions and may be
laughing uproariously one moment and sobbing the next.
Bipolar Disorder - ANSWER BPD is characterized by a pervasive pattern of unstable
interpersonal relationships, self-image, and affect as well as marked impulsivity. BPD is
the most common personality disorder found in clinical settings. It is three times more
common in women than in men. Up to three-quarters of clients with BPD engage in
deliberate self-harm, sometimes called nonsuicidal self-injury.
Antisocial personality disorder - ANSWER Antisocial personality disorder is
characterized by a pervasive pattern of disregard for and violation of the rights of
others—and by the central characteristics of deceit and manipulation.
Schizotypal personality disorder - ANSWER Schizotypal personality disorder is
characterized by a pervasive pattern of social and interpersonal deficits marked by
acute discomfort with and reduced capacity for close relationships as well as by
cognitive or perceptual distortions and behavioral eccentricities. Clients often have an
odd appearance that causes others to notice them. They may be unkempt and
disheveled, and their clothes are often ill-fitting, do not match, and may be stained or
dirty. They may wander aimlessly and, at times, become preoccupied with some
environmental detail. Cognitive distortions include ideas of reference, magical thinking,
odd or unfounded beliefs, and a preoccupation with parapsychology, including
extrasensory perception and clairvoyance.
Schizoid personality disorder - ANSWER Schizoid personality disorder is characterized
by a pervasive pattern of detachment from social relationships and a restricted range of
emotional expression in interpersonal settings. Clients generally are accomplished
intellectually and often involved with computers or electronics for work or to pass their
time. Clients may be indecisive and lack future goals or direction. They see no need for
planning and have no aspirations.
Paranoid personality disorder - ANSWER Paranoid personality disorder is characterized
by pervasive mistrust and suspiciousness of others. Clients with this disorder interpret
others' actions as potentially harmful. These clients use the defense mechanism of
projection, which is blaming other people, institutions, or events for their own difficulties
Schizoaffective disorder - ANSWER describes a condition in which the client exhibits
symptoms of psychosis and a mood disorder such as depression.
Torticollis - ANSWER a dystonic reaction that results in muscle spasms in the neck, can
be very painful for the client.
Neuroleptic malignant syndrome - ANSWER is a potentially life-threatening reaction
seen with clients taking antipsychotic medications.
Questions With Correct Answers
Obsessive-compulsive personality disorder - ANSWER Obsessive-compulsive
personality disorder is characterized by a pervasive pattern of preoccupation with
perfectionism, mental and interpersonal control, and orderliness at the expense of
flexibility, openness, and efficiency. Clients are preoccupied with orderliness and try to
maintain it in all areas of life. They strive for perfection as though it were attainable and
are preoccupied with details, rules, lists, and schedules to the point of often missing "the
big picture."
Dependent personality disorder - ANSWER Dependent personality disorder is
characterized by a pervasive and excessive need to be taken care of, which leads to
submissive and clinging behavior and fears of separation Clients are frequently anxious
and may be mildly uncomfortable. They are often pessimistic and self-critical; other
people hurt their feelings easily. When these clients do experience the end of a
relationship, they urgently and desperately seek another. The unspoken motto seems to
be: "Any relationship is better than no relationship at all."
Avoidant personality disorder - ANSWER Avoidant personality disorder is characterized
by a pervasive pattern of social discomfort and reticence, low self-esteem, and
hypersensitivity to negative evaluation. Clients with avoidant personality disorder have
low self-esteem. They are hypersensitive to negative evaluation from others and readily
believe themselves to be inferior. Clients may report some success in occupational
roles because they are so eager to please or to win a supervisor's approval. Shyness,
awkwardness, or fear of failure, however, may prevent them from seeking jobs that
might be more suitable, challenging, or rewarding.
Narcissistic personality disorder - ANSWER Narcissistic personality disorder is
characterized by a pervasive pattern of grandiosity (in fantasy or behavior), need for
admiration, and lack of empathy. Clients may display an arrogant or haughty attitude.
They lack the ability to recognize or empathize with the feelings of others. Underlying
self-esteem is almost always fragile and vulnerable. These clients are hypersensitive to
criticism and need constant attention and admiration
Histrionic personality disorder - ANSWER Histrionic personality disorder is
characterized by a pervasive pattern of excessive emotionality and attention seeking.
The tendency of these clients to exaggerate the closeness of relationships or to
dramatize relatively minor occurrences can result in unreliable data. Expressed
emotions, though colorful, are insincere and shallow; this is readily apparent to others
, but not to clients. They experience rapid shifts in moods and emotions and may be
laughing uproariously one moment and sobbing the next.
Bipolar Disorder - ANSWER BPD is characterized by a pervasive pattern of unstable
interpersonal relationships, self-image, and affect as well as marked impulsivity. BPD is
the most common personality disorder found in clinical settings. It is three times more
common in women than in men. Up to three-quarters of clients with BPD engage in
deliberate self-harm, sometimes called nonsuicidal self-injury.
Antisocial personality disorder - ANSWER Antisocial personality disorder is
characterized by a pervasive pattern of disregard for and violation of the rights of
others—and by the central characteristics of deceit and manipulation.
Schizotypal personality disorder - ANSWER Schizotypal personality disorder is
characterized by a pervasive pattern of social and interpersonal deficits marked by
acute discomfort with and reduced capacity for close relationships as well as by
cognitive or perceptual distortions and behavioral eccentricities. Clients often have an
odd appearance that causes others to notice them. They may be unkempt and
disheveled, and their clothes are often ill-fitting, do not match, and may be stained or
dirty. They may wander aimlessly and, at times, become preoccupied with some
environmental detail. Cognitive distortions include ideas of reference, magical thinking,
odd or unfounded beliefs, and a preoccupation with parapsychology, including
extrasensory perception and clairvoyance.
Schizoid personality disorder - ANSWER Schizoid personality disorder is characterized
by a pervasive pattern of detachment from social relationships and a restricted range of
emotional expression in interpersonal settings. Clients generally are accomplished
intellectually and often involved with computers or electronics for work or to pass their
time. Clients may be indecisive and lack future goals or direction. They see no need for
planning and have no aspirations.
Paranoid personality disorder - ANSWER Paranoid personality disorder is characterized
by pervasive mistrust and suspiciousness of others. Clients with this disorder interpret
others' actions as potentially harmful. These clients use the defense mechanism of
projection, which is blaming other people, institutions, or events for their own difficulties
Schizoaffective disorder - ANSWER describes a condition in which the client exhibits
symptoms of psychosis and a mood disorder such as depression.
Torticollis - ANSWER a dystonic reaction that results in muscle spasms in the neck, can
be very painful for the client.
Neuroleptic malignant syndrome - ANSWER is a potentially life-threatening reaction
seen with clients taking antipsychotic medications.
