Psychiatric Mental Health Nursing
Exam #4 questions and answers
graded A+
Borderline Personality Disorder - correct answer ✔✔ case 1: Lindsey filed into the party drunk
and continued to drink throughout the night. She flirted with several people, laughing and
giggling with everyone she talked to. Two guys noticed her sensual vibes. Twice during the
evening she diapered for almost half an hour, each time with different people. After a heated
argument with one of them, because he took forever to get her a drink, she locked herself into
the bathroom and attempted to swallow a bottle of Excedrin. Her friends encourage her to go
home, but she was afraid to be alone in her apartment.
Obsessive Compulsive Disorder - correct answer ✔✔ case 2: An administrative assistant has
recently been terminated because of her inability to complete work projects on time. According
to her, they were not in the correct format and she had to revise them 5 times, which led to the
delay. This has happened before but she feels that she is not given enough time. This has also
led to her being late to meetings and receiving poor performance reviews by her boss.
Histrionic Disorder - correct answer ✔✔ case 3: Richard danced his way into a party and
immediately became the center of attention. With grand gestures of his arms and dramatic
displays of emotion, he bragged about his career as an actor in a local theater group. During a
private conversation, a friend asked about the rumors that he was having some difficulties in his
marriage. In an outburst of anger, he denied any problems and claimed that his marriage was as
amazing and romantic as ever. Shortly thereafter, while drinking his second martini, he fainted
and had to be taken home.
Narcissistic Disorder - correct answer ✔✔ case 4: A 28-year-old social media influencer is
rushed into the ER after a car accident. She does not let the residents operate on her and
request the chief of trauma and plastic surgery because her face and body are vital to her
career. She makes several calls, posts and texts in the ER to stay on top of her soicals. During
,one of her phone calls, she became irate staring none of the nurses were catering to her needs
or interested in her future success.
Schizotypal Disorder - correct answer ✔✔ case 5: A 38-year-old women, named Jessica, dresses
in a space suit every Wednesday and Friday. She has computers set up in her basement that
detect the precise time of the next alien invasion. The super sonic negative forces in the other
rooms of her house she finds to be unsettling to her psychic- soul- spot. She has no evidence of
auditory or visual hallucinations.
Antisocial Disorder - correct answer ✔✔ case 6: A 28-year-old unemployed male has been
accused of killing 3 senior citizens after robbing them. He is surprisingly charming in the
interview. However when cops ask him how he felt after killing his victims, he barely suppresses
an urge to laugh out loud and then denies any responsibility: " those old folks knew they were
going to die soon, so what is the big deal, I was helping them out." In his adolescents, he was
arrested several times for stealing cars and assaulting other kids.
Paranoid Disorder - correct answer ✔✔ case 7: Before entering, Kathy watched the party for
several minutes form outside through the window. Once she went in, she seemed very
uncomfortable. When people tried to be nice to her, she looked worried and distrustful. People
quickly became uncomfortable with her habit of finding fault with every little thing someone
said or did. She seemed to be picking fights with people. She did not stay at the party for very
long.
Schizoid Disorder - correct answer ✔✔ case 8: Bernard is never invited to parties. No one really
knows him very well because he rarely talks. In fact, he spends most of his time alone at home
reading. While at work he isolates himself in the lab for most of the day and has no friends,
according to his coworkers. He expresses no desire to make friends and is content with his
single life.
A.
C.
D.
, E. - correct answer ✔✔ A nurse is assessing the client for manifestations of anorexia nervosa.
Which of the following findings should the nurse expect? Select all that apply:
A. client has soft, un-pigmented hair on arms
B. client comments that they are too thin and need to gain weight
C. client reports preoccupation with thoughts about food
D. client reports consuming around 600 calories each day
E. client hair appears brittle and thin
F. client voices being too tired and lacks interests in daily workouts at the gym
D. - correct answer ✔✔ A nurse is caring for a client who was recently diagnosed with somatic
symptom disorder. The client says to the nurse "I don't understand, they can't find anything
medically wrong with me. I guess I will never feel better." Which of the following responses is
the most therapeutic?
A. "Lets focus on the physical symptoms that you have"
B. "Although there isn't a cure for this disorder, I am sure you will feel better someday."
C. "Why do you feel like you will never get better? Do you not have confidence in the medical
team?"
D. "We will work with you to help you develop ways to manage your symptoms that are caused
by the disorder."
B. - correct answer ✔✔ A nurse is caring for a client who has a dissociative disorder. Which of
the following actions should the nurse take first?
A. teach the client grounding techniques
B. establish rapport with the client
C. administer a benzodiazepine to the client
Exam #4 questions and answers
graded A+
Borderline Personality Disorder - correct answer ✔✔ case 1: Lindsey filed into the party drunk
and continued to drink throughout the night. She flirted with several people, laughing and
giggling with everyone she talked to. Two guys noticed her sensual vibes. Twice during the
evening she diapered for almost half an hour, each time with different people. After a heated
argument with one of them, because he took forever to get her a drink, she locked herself into
the bathroom and attempted to swallow a bottle of Excedrin. Her friends encourage her to go
home, but she was afraid to be alone in her apartment.
Obsessive Compulsive Disorder - correct answer ✔✔ case 2: An administrative assistant has
recently been terminated because of her inability to complete work projects on time. According
to her, they were not in the correct format and she had to revise them 5 times, which led to the
delay. This has happened before but she feels that she is not given enough time. This has also
led to her being late to meetings and receiving poor performance reviews by her boss.
Histrionic Disorder - correct answer ✔✔ case 3: Richard danced his way into a party and
immediately became the center of attention. With grand gestures of his arms and dramatic
displays of emotion, he bragged about his career as an actor in a local theater group. During a
private conversation, a friend asked about the rumors that he was having some difficulties in his
marriage. In an outburst of anger, he denied any problems and claimed that his marriage was as
amazing and romantic as ever. Shortly thereafter, while drinking his second martini, he fainted
and had to be taken home.
Narcissistic Disorder - correct answer ✔✔ case 4: A 28-year-old social media influencer is
rushed into the ER after a car accident. She does not let the residents operate on her and
request the chief of trauma and plastic surgery because her face and body are vital to her
career. She makes several calls, posts and texts in the ER to stay on top of her soicals. During
,one of her phone calls, she became irate staring none of the nurses were catering to her needs
or interested in her future success.
Schizotypal Disorder - correct answer ✔✔ case 5: A 38-year-old women, named Jessica, dresses
in a space suit every Wednesday and Friday. She has computers set up in her basement that
detect the precise time of the next alien invasion. The super sonic negative forces in the other
rooms of her house she finds to be unsettling to her psychic- soul- spot. She has no evidence of
auditory or visual hallucinations.
Antisocial Disorder - correct answer ✔✔ case 6: A 28-year-old unemployed male has been
accused of killing 3 senior citizens after robbing them. He is surprisingly charming in the
interview. However when cops ask him how he felt after killing his victims, he barely suppresses
an urge to laugh out loud and then denies any responsibility: " those old folks knew they were
going to die soon, so what is the big deal, I was helping them out." In his adolescents, he was
arrested several times for stealing cars and assaulting other kids.
Paranoid Disorder - correct answer ✔✔ case 7: Before entering, Kathy watched the party for
several minutes form outside through the window. Once she went in, she seemed very
uncomfortable. When people tried to be nice to her, she looked worried and distrustful. People
quickly became uncomfortable with her habit of finding fault with every little thing someone
said or did. She seemed to be picking fights with people. She did not stay at the party for very
long.
Schizoid Disorder - correct answer ✔✔ case 8: Bernard is never invited to parties. No one really
knows him very well because he rarely talks. In fact, he spends most of his time alone at home
reading. While at work he isolates himself in the lab for most of the day and has no friends,
according to his coworkers. He expresses no desire to make friends and is content with his
single life.
A.
C.
D.
, E. - correct answer ✔✔ A nurse is assessing the client for manifestations of anorexia nervosa.
Which of the following findings should the nurse expect? Select all that apply:
A. client has soft, un-pigmented hair on arms
B. client comments that they are too thin and need to gain weight
C. client reports preoccupation with thoughts about food
D. client reports consuming around 600 calories each day
E. client hair appears brittle and thin
F. client voices being too tired and lacks interests in daily workouts at the gym
D. - correct answer ✔✔ A nurse is caring for a client who was recently diagnosed with somatic
symptom disorder. The client says to the nurse "I don't understand, they can't find anything
medically wrong with me. I guess I will never feel better." Which of the following responses is
the most therapeutic?
A. "Lets focus on the physical symptoms that you have"
B. "Although there isn't a cure for this disorder, I am sure you will feel better someday."
C. "Why do you feel like you will never get better? Do you not have confidence in the medical
team?"
D. "We will work with you to help you develop ways to manage your symptoms that are caused
by the disorder."
B. - correct answer ✔✔ A nurse is caring for a client who has a dissociative disorder. Which of
the following actions should the nurse take first?
A. teach the client grounding techniques
B. establish rapport with the client
C. administer a benzodiazepine to the client
