Psych NUR 211 Practice Questions |/ |/ |/ |/
with answers
|/ |/
The nursing diagnosis that would be most appropriate for a 22-
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
year old client who uses ritualistic behavior would be:
|/ |/ |/ |/ |/ |/ |/ |/
A
Ineffective coping |/
B
Impaired adjustment |/
C
Personal identity disturbance
|/ |/
D
Sensory/perceptual alterations - CORRECT ANSWERS ✔✔A |/ |/ |/ |/ |/ |/
Ineffective coping is the impairment of a person's adaptive
|/ |/ |/ |/ |/ |/ |/ |/
behaviors and problem-solving abilities in meeting life's
|/ |/ |/ |/ |/ |/ |/
demands; ritualistic behavior fits under this category as a
|/ |/ |/ |/ |/ |/ |/ |/ |/
defining characteristic.
|/ |/
A 20-year old college student has been brought to the psychiatric
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
hospital by her parents. Her admitting diagnosis is borderline
|/ |/ |/ |/ |/ |/ |/ |/ |/
personality disorder. When talking with the parents, which
|/ |/ |/ |/ |/ |/ |/ |/
information would the nurse expect to be included in the client's
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
history? Select all that apply.
|/ |/ |/ |/ |/
A
Impulsiveness
B
,Lability of mood |/ |/
C
Ritualistic behavior |/
D
psychomotor retardation |/
E
Self-destructive behavior - CORRECT ANSWERS ✔✔A,B,E |/ |/ |/ |/ |/
A hospitalized client, diagnosed with a borderline personality
|/ |/ |/ |/ |/ |/ |/
disorder, consistently breaks the unit's rules. This behavior
|/ |/ |/ |/ |/ |/ |/ |/
should be confronted because it will help the client:
|/ |/ |/ |/ |/ |/ |/ |/ |/
A
Control anger |/
B
Reduce anxiety |/
C
Set realistic goals
|/ |/
D
Become more self-aware - CORRECT ANSWERS ✔✔D
|/ |/ |/ |/ |/ |/
Client's must first become aware of their behavior before they
|/ |/ |/ |/ |/ |/ |/ |/ |/
can change it. (3) Occurs after the client is aware of the behavior
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
and has a desire to change the behavior.
|/ |/ |/ |/ |/ |/ |/ |/
When working with the nurse during the orientation phase of the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
relationship, a client with a borderline personality disorder would
|/ |/ |/ |/ |/ |/ |/ |/ |/
probably have the most difficulty in:
|/ |/ |/ |/ |/ |/
,A
Controlling anxiety |/
B
Terminating the session on time |/ |/ |/ |/
C
Accepting the psychiatric diagnosis
|/ |/ |/
D
Setting mutual goals for the relationship - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/
✔✔D
|/
Clients with borderline personality disorders frequently
|/ |/ |/ |/ |/
demonstrate a pattern of unstable interpersonal relationships,
|/ |/ |/ |/ |/ |/ |/
impulsiveness, affective instability, and frantic efforts to avoid
|/ |/ |/ |/ |/ |/ |/ |/
abandonment; these behaviors usually create great difficulty in
|/ |/ |/ |/ |/ |/ |/ |/
establishing mutual goals.
|/ |/ |/
A client with a diagnosis of borderline personality disorder has
|/ |/ |/ |/ |/ |/ |/ |/ |/
negative feelings toward the other clients on the unit and
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
considers them all to be "bad." The nurse understands this
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
defense is known as:
|/ |/ |/ |/
A
Splitting
B
Ambivalence
C
Passive aggression
|/
D
Reaction formation - CORRECT ANSWERS ✔✔A
|/ |/ |/ |/ |/
, Splitting is the compartmentalization of opposite-affect states
|/ |/ |/ |/ |/ |/
and failure to integrate the positive and negative aspects of self
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
or others.
|/ |/
The client with antisocial personality disorder:
|/ |/ |/ |/ |/
A
Suffers from a great deal of anxiety|/ |/ |/ |/ |/ |/
B
Is generally unable to postpone gratification
|/ |/ |/ |/ |/
C
Rapidly learns by experience and punishment
|/ |/ |/ |/ |/
D
Has a great sense of responsibility toward others - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔B
|/ |/
Individuals with this disorder tend to be self-centered and
|/ |/ |/ |/ |/ |/ |/ |/
impulsive. They lack judgment and self-control and do not profit
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
from their mistakes.
|/ |/ |/
A person with antisocial personality disorder has difficulty
|/ |/ |/ |/ |/ |/ |/
relating to others because of never having learned to:
|/ |/ |/ |/ |/ |/ |/ |/ |/
A
Count on others |/ |/
B
Empathize with others |/ |/
C
Be dependent on others
|/ |/ |/
with answers
|/ |/
The nursing diagnosis that would be most appropriate for a 22-
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
year old client who uses ritualistic behavior would be:
|/ |/ |/ |/ |/ |/ |/ |/
A
Ineffective coping |/
B
Impaired adjustment |/
C
Personal identity disturbance
|/ |/
D
Sensory/perceptual alterations - CORRECT ANSWERS ✔✔A |/ |/ |/ |/ |/ |/
Ineffective coping is the impairment of a person's adaptive
|/ |/ |/ |/ |/ |/ |/ |/
behaviors and problem-solving abilities in meeting life's
|/ |/ |/ |/ |/ |/ |/
demands; ritualistic behavior fits under this category as a
|/ |/ |/ |/ |/ |/ |/ |/ |/
defining characteristic.
|/ |/
A 20-year old college student has been brought to the psychiatric
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
hospital by her parents. Her admitting diagnosis is borderline
|/ |/ |/ |/ |/ |/ |/ |/ |/
personality disorder. When talking with the parents, which
|/ |/ |/ |/ |/ |/ |/ |/
information would the nurse expect to be included in the client's
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
history? Select all that apply.
|/ |/ |/ |/ |/
A
Impulsiveness
B
,Lability of mood |/ |/
C
Ritualistic behavior |/
D
psychomotor retardation |/
E
Self-destructive behavior - CORRECT ANSWERS ✔✔A,B,E |/ |/ |/ |/ |/
A hospitalized client, diagnosed with a borderline personality
|/ |/ |/ |/ |/ |/ |/
disorder, consistently breaks the unit's rules. This behavior
|/ |/ |/ |/ |/ |/ |/ |/
should be confronted because it will help the client:
|/ |/ |/ |/ |/ |/ |/ |/ |/
A
Control anger |/
B
Reduce anxiety |/
C
Set realistic goals
|/ |/
D
Become more self-aware - CORRECT ANSWERS ✔✔D
|/ |/ |/ |/ |/ |/
Client's must first become aware of their behavior before they
|/ |/ |/ |/ |/ |/ |/ |/ |/
can change it. (3) Occurs after the client is aware of the behavior
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
and has a desire to change the behavior.
|/ |/ |/ |/ |/ |/ |/ |/
When working with the nurse during the orientation phase of the
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
relationship, a client with a borderline personality disorder would
|/ |/ |/ |/ |/ |/ |/ |/ |/
probably have the most difficulty in:
|/ |/ |/ |/ |/ |/
,A
Controlling anxiety |/
B
Terminating the session on time |/ |/ |/ |/
C
Accepting the psychiatric diagnosis
|/ |/ |/
D
Setting mutual goals for the relationship - CORRECT ANSWERS
|/ |/ |/ |/ |/ |/ |/ |/
✔✔D
|/
Clients with borderline personality disorders frequently
|/ |/ |/ |/ |/
demonstrate a pattern of unstable interpersonal relationships,
|/ |/ |/ |/ |/ |/ |/
impulsiveness, affective instability, and frantic efforts to avoid
|/ |/ |/ |/ |/ |/ |/ |/
abandonment; these behaviors usually create great difficulty in
|/ |/ |/ |/ |/ |/ |/ |/
establishing mutual goals.
|/ |/ |/
A client with a diagnosis of borderline personality disorder has
|/ |/ |/ |/ |/ |/ |/ |/ |/
negative feelings toward the other clients on the unit and
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
considers them all to be "bad." The nurse understands this
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
defense is known as:
|/ |/ |/ |/
A
Splitting
B
Ambivalence
C
Passive aggression
|/
D
Reaction formation - CORRECT ANSWERS ✔✔A
|/ |/ |/ |/ |/
, Splitting is the compartmentalization of opposite-affect states
|/ |/ |/ |/ |/ |/
and failure to integrate the positive and negative aspects of self
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/ |/
or others.
|/ |/
The client with antisocial personality disorder:
|/ |/ |/ |/ |/
A
Suffers from a great deal of anxiety|/ |/ |/ |/ |/ |/
B
Is generally unable to postpone gratification
|/ |/ |/ |/ |/
C
Rapidly learns by experience and punishment
|/ |/ |/ |/ |/
D
Has a great sense of responsibility toward others - CORRECT
|/ |/ |/ |/ |/ |/ |/ |/ |/
ANSWERS ✔✔B
|/ |/
Individuals with this disorder tend to be self-centered and
|/ |/ |/ |/ |/ |/ |/ |/
impulsive. They lack judgment and self-control and do not profit
|/ |/ |/ |/ |/ |/ |/ |/ |/ |/
from their mistakes.
|/ |/ |/
A person with antisocial personality disorder has difficulty
|/ |/ |/ |/ |/ |/ |/
relating to others because of never having learned to:
|/ |/ |/ |/ |/ |/ |/ |/ |/
A
Count on others |/ |/
B
Empathize with others |/ |/
C
Be dependent on others
|/ |/ |/
