Psych Test 2: Test bank 242 Actual
Answers 100%
Psych Test 2: Test bank 242 Actual
Answers 100%
1. A physical therapist recently convicted of multiple counts of Medicare fraud says to a nurse, "Sure I
over billed. Why not? Everyone takes advantage of the government. They have so many rules; no one
can follow them." These statements show:
a. shame.
b. suspiciousness.
c. superficial remorse.
d. lack of guilt feelings. - ANSWER d. lack of guilt feelings.
2. Which intervention is appropriate for a patient with an antisocial personality disorder who frequently
manipulates others?
a. Refer the patient's requests and questions related to care to the case manager.
b. Encourage the patient to discuss his or her feelings of fear and inferiority.
c. Provide negative reinforcement for acting out behavior.
d. Ignore, rather than confront, inappropriate behavior. - ANSWER a. Refer the patient's requests and
questions related to care to the case manager.
3. As a nurse prepares to administer a medication to a patient with a borderline personality disorder,
the patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's
best response?
a. Reinforce this assertive action by the patient. Leave the medication on the table as requested.
b. Respond to the patient, "I'm worried that you might not take it. I'll come back later."
c. Say to the patient, "I must watch you take the medication. Please take it now."
,Psych Test 2: Test bank 242 Actual
Answers 100%
d. Ask the patient, "Why don't you want to take your medication now?" - ANSWER c. Say to the patient,
"I must watch you take the medication. Please take it now."
4. What is an appropriate initial outcome for a patient with a personality disorder who frequently
manipulates others? The patient will:
a. Identify when feeling angry.
b. Use manipulation only to get legitimate needs met.
c. Acknowledge manipulative behavior when it is called to his or her attention.
d. Accept fulfillment of his or her requests within an hour rather than immediately. - ANSWER c.
Acknowledge manipulative behavior when it is called to his or her attention.
5. Consider these comments to three different nurses by a patient with an antisocial personality
disorder: "You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't
do your job right"; "You think you're perfect, but I've seen you make three mistakes." Collectively, these
interactions can be assessed as:
a. Seductive
b. Detached
c. Manipulative
d. Guilt producing - ANSWER c. Manipulative
6. A nurse reports to the interdisciplinary team that a patient with an antisocial personality disorder lies
to other patients, verbally abuses a patient with dementia, and flatters the primary nurse. This patient is
detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting?
a. Flattering the nurse
b. Lying to other patients
c. Verbal abuse of another patient
d. Detached superficiality during counseling - ANSWER c. Verbal abuse of another patient
,Psych Test 2: Test bank 242 Actual
Answers 100%
7. A patient with borderline personality disorder has a history of self mutilation and suicide attempts.
The patient reveals feelings of depression and anger with life. The psychiatrist suggests the use of a
medication. Which type of medication should the nurse expect?
a. Selective serotonin reuptake inhibitor (SSRI)
b. Monoamine oxidase inhibitor (MAOI)
c. Benzodiazepine
d. Antipsychotic - ANSWER a. Selective serotonin reuptake inhibitor (SSRI)
8. A patient's spouse filed charges of battery. The patient says, "I'm sorry for what I did. I need
psychiatric help." The patient has a long history of acting-out behaviors and several arrests. Which
statement by the patient suggests an antisocial personality disorder?
a. "I have a quick temper, but I can usually keep it under control."
b. "I've done some stupid things in my life, but I've learned a lesson."
c. "I'm feeling terrible about the way my behavior has hurt my family."
d. "I hit because I'm tired of being nagged. My spouse deserves the beating." - ANSWER d. "I hit because
I'm tired of being nagged. My spouse deserves the beating."
9. What is the priority nursing diagnosis for a patient with antisocial personality disorder who has made
threats against staff, ripped art off the walls, and thrown objects?
a. Disturbed sensory perception-auditory
b. Risk for other-directed violence
c. Ineffective denial
d. Ineffective coping - ANSWER b. Risk for other-directed violence
10. When a patient with a personality disorder uses manipulation to get his or her needs met, the staff
decides to apply limit-setting interventions. What is the correct rationale for this action?
, Psych Test 2: Test bank 242 Actual
Answers 100%
a. It provides an outlet for feelings of anger and frustration.
b. It respects the patient's wishes so assertiveness will develop.
c. External controls are necessary while internal controls are developed.
d. Anxiety is reduced when staff members assume responsibility for the patient's behavior. - ANSWER c.
External controls are necessary while internal controls are developed.
11. A patient with borderline personality disorder and a history of selfmutilation
has now begun dialectical behavior therapy on an outpatient basis. Counseling
focuses on self-harm behavior management. Today the patient telephones to say, "I'm
feeling empty and want to cut myself." The nurse should:
a. arrange for emergency inpatient hospitalization.
b. send the patient to the crisis intervention unit for 8 to 12 hours.
c. assist the patient to identify the trigger situation and choose a coping strategy.
d. advise the patient to take an anti-anxiety medication to decrease the anxiety level. - ANSWER c. assist
the patient to identify the trigger situation and choose a coping strategy.
12. The most challenging nursing intervention with patients with personality disorders who use
manipulation to get their needs met is:
a. supporting behavioral change.
b. monitoring suicide attempts.
c. maintaining consistent limits.
d. using aversive therapy. - ANSWER c. maintaining consistent limits.
13. The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior
characterized by:
Answers 100%
Psych Test 2: Test bank 242 Actual
Answers 100%
1. A physical therapist recently convicted of multiple counts of Medicare fraud says to a nurse, "Sure I
over billed. Why not? Everyone takes advantage of the government. They have so many rules; no one
can follow them." These statements show:
a. shame.
b. suspiciousness.
c. superficial remorse.
d. lack of guilt feelings. - ANSWER d. lack of guilt feelings.
2. Which intervention is appropriate for a patient with an antisocial personality disorder who frequently
manipulates others?
a. Refer the patient's requests and questions related to care to the case manager.
b. Encourage the patient to discuss his or her feelings of fear and inferiority.
c. Provide negative reinforcement for acting out behavior.
d. Ignore, rather than confront, inappropriate behavior. - ANSWER a. Refer the patient's requests and
questions related to care to the case manager.
3. As a nurse prepares to administer a medication to a patient with a borderline personality disorder,
the patient says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's
best response?
a. Reinforce this assertive action by the patient. Leave the medication on the table as requested.
b. Respond to the patient, "I'm worried that you might not take it. I'll come back later."
c. Say to the patient, "I must watch you take the medication. Please take it now."
,Psych Test 2: Test bank 242 Actual
Answers 100%
d. Ask the patient, "Why don't you want to take your medication now?" - ANSWER c. Say to the patient,
"I must watch you take the medication. Please take it now."
4. What is an appropriate initial outcome for a patient with a personality disorder who frequently
manipulates others? The patient will:
a. Identify when feeling angry.
b. Use manipulation only to get legitimate needs met.
c. Acknowledge manipulative behavior when it is called to his or her attention.
d. Accept fulfillment of his or her requests within an hour rather than immediately. - ANSWER c.
Acknowledge manipulative behavior when it is called to his or her attention.
5. Consider these comments to three different nurses by a patient with an antisocial personality
disorder: "You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't
do your job right"; "You think you're perfect, but I've seen you make three mistakes." Collectively, these
interactions can be assessed as:
a. Seductive
b. Detached
c. Manipulative
d. Guilt producing - ANSWER c. Manipulative
6. A nurse reports to the interdisciplinary team that a patient with an antisocial personality disorder lies
to other patients, verbally abuses a patient with dementia, and flatters the primary nurse. This patient is
detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting?
a. Flattering the nurse
b. Lying to other patients
c. Verbal abuse of another patient
d. Detached superficiality during counseling - ANSWER c. Verbal abuse of another patient
,Psych Test 2: Test bank 242 Actual
Answers 100%
7. A patient with borderline personality disorder has a history of self mutilation and suicide attempts.
The patient reveals feelings of depression and anger with life. The psychiatrist suggests the use of a
medication. Which type of medication should the nurse expect?
a. Selective serotonin reuptake inhibitor (SSRI)
b. Monoamine oxidase inhibitor (MAOI)
c. Benzodiazepine
d. Antipsychotic - ANSWER a. Selective serotonin reuptake inhibitor (SSRI)
8. A patient's spouse filed charges of battery. The patient says, "I'm sorry for what I did. I need
psychiatric help." The patient has a long history of acting-out behaviors and several arrests. Which
statement by the patient suggests an antisocial personality disorder?
a. "I have a quick temper, but I can usually keep it under control."
b. "I've done some stupid things in my life, but I've learned a lesson."
c. "I'm feeling terrible about the way my behavior has hurt my family."
d. "I hit because I'm tired of being nagged. My spouse deserves the beating." - ANSWER d. "I hit because
I'm tired of being nagged. My spouse deserves the beating."
9. What is the priority nursing diagnosis for a patient with antisocial personality disorder who has made
threats against staff, ripped art off the walls, and thrown objects?
a. Disturbed sensory perception-auditory
b. Risk for other-directed violence
c. Ineffective denial
d. Ineffective coping - ANSWER b. Risk for other-directed violence
10. When a patient with a personality disorder uses manipulation to get his or her needs met, the staff
decides to apply limit-setting interventions. What is the correct rationale for this action?
, Psych Test 2: Test bank 242 Actual
Answers 100%
a. It provides an outlet for feelings of anger and frustration.
b. It respects the patient's wishes so assertiveness will develop.
c. External controls are necessary while internal controls are developed.
d. Anxiety is reduced when staff members assume responsibility for the patient's behavior. - ANSWER c.
External controls are necessary while internal controls are developed.
11. A patient with borderline personality disorder and a history of selfmutilation
has now begun dialectical behavior therapy on an outpatient basis. Counseling
focuses on self-harm behavior management. Today the patient telephones to say, "I'm
feeling empty and want to cut myself." The nurse should:
a. arrange for emergency inpatient hospitalization.
b. send the patient to the crisis intervention unit for 8 to 12 hours.
c. assist the patient to identify the trigger situation and choose a coping strategy.
d. advise the patient to take an anti-anxiety medication to decrease the anxiety level. - ANSWER c. assist
the patient to identify the trigger situation and choose a coping strategy.
12. The most challenging nursing intervention with patients with personality disorders who use
manipulation to get their needs met is:
a. supporting behavioral change.
b. monitoring suicide attempts.
c. maintaining consistent limits.
d. using aversive therapy. - ANSWER c. maintaining consistent limits.
13. The history shows that a newly admitted patient has impulsivity. The nurse would expect behavior
characterized by:
