TEST BANK FOR MENTAL HEALTH
EXAM 4 WITH CORRECT ANSWERS
2025
During an assessment interview, a client diagnosed with
antisocial personality disorder spits, curses, and refuses to answer
questions. Which is the appropriate nursing response to this
behavior?
1. You are very disrespectful. You need to learn to control
yourself.
2. I understand that you are angry, but this behavior will not be
tolerated.
3. What behaviors could you modify to improve this situation?
4. What anti-personality disorder medications >> ANS: 2
Rationale: The appropriate nursing response is to reflect the
clients feeling while setting firm limits on behavior. Clients
diagnosed with antisocial personality disorder have a low
tolerance for frustration, see themselves as victims, and use
projection as a primary ego defense mechanism.
At 11:00 p.m. a 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 10:00 p.m.
Which nursing response is most appropriate?
1. Go ahead and use the phone. I know this pending divorce is
stressful.
2. You know better than to break the rules. I'm surprised at you.
,3. It is after the 10:00 p.m. phone curfew. You will be able to call
tomorrow.
4. A divorce shouldn't be considered until you have had a good
nights sleep. >> 3 ~ The most appropriate response by the
staff is to restate the unit rules in a calm, assertive manner. The
nurse can encourage the client to verbalize frustration while
maintaining an accepting attitude. The nurse may also help the
client to identify the true source of frustration.
A client diagnosed with paranoid personality disorder becomes
violent on a unit. Which nursing intervention is most appropriate?
1. Provide objective evidence that reasons for violence are
unwarranted.
2. Initially restrain the client to maintain safety.
3. Use clear, calm statements and a confident physical stance.
4. Empathize with the clients paranoid perceptions. >> 3 ~ The
most appropriate nursing intervention is to use clear, calm
statements and to assume a confident physical stance. A calm
attitude provides the client with a feeling of safety and security. It
may also be beneficial to have sufficient staff on hand to present
a show of strength.
A 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?
1. Allow the clients to apply the democratic process when
developing unit rules.
2. Maintain consistency of care by open communication to avoid
staff manipulation.
,3. Allow the client spokesman to verbalize concerns during a unit
staff meeting.
4. Maintain unit order by the application of autocratic leadership.
>> 2 ~ The nursing staff can best handle this situation by
maintaining consistency of care by open communication to avoid
staff manipulation. Clients with borderline personality disorder
can exhibit negative patterns of interaction, such as clinging and
distancing, splitting, manipulation, and self-destructive behaviors.
Which nursing approach should be used to maintain a therapeutic
relationship with a client diagnosed with borderline personality
disorder?
1. Being firm, consistent, and empathic, while addressing specific
client behaviors
2. Promoting client self-expression by implementing laissez-faire
leadership
3. Using authoritative leadership to help clients learn to conform
to society norms
4. Overlooking inappropriate behaviors to avoid providing
secondary gains >> 1 ~ The best nursing approach when
working with a client diagnosed with borderline personality
disorder is to be firm, consistent, and empathetic while
addressing specific client behaviors. Individuals with borderline
personality disorder always seem to be in a state of crisis and can
often have negative patterns of interaction, such as manipulation
and splitting.
Which adult client should a nurse identify as exhibiting the
characteristics of a dependent personality disorder?
1. A physically healthy client who is dependent on meeting social
needs by contact with 15 cat
, 2. A physically healthy client who has a history of depending on
intense relationships to meet basic needs
3. A physically healthy client who lives with parents and depends
on public transportation
4. A physically healthy client who is serious, inflexible,
perfectionistic, lacks spontaneity, and depends on rules to provide
security >> ANS: 3
Rationale: A physically healthy adult client who lives with parents
and depends on public transportation exhibits signs of dependent
personality disorder. Dependent personality disorder is
characterized by a pervasive and excessive need to be taken care
of that leads to submissive and clinging behaviors.
A client expresses low self-worth, has much difficulty making
decisions, avoids positions of responsibility, and has a behavioral
pattern of suffering in silence. Which statement best explains the
etiology of this clients personality disorder?
1. Childhood nurturance was provided from many sources, and
independent behaviors were encouraged.
2. Childhood nurturance was provided exclusively from one
source, and independent behaviors were discouraged.
3. Childhood nurturance was provided exclusively from one
source, and independent behaviors were encouraged.
4. Childhood nurturance was provided from many sources, and
independent behaviors were discouraged. >> Ans: 2
Rationale: The behaviors presented in the question represent
symptoms of dependent personality disorder. Nurturance
provided from one source and discouragement of independent
behaviors can contribute to the development of this personality
disorder. Dependent behaviors may be rewarded by a parent who
is overprotective and discourages autonomy.
EXAM 4 WITH CORRECT ANSWERS
2025
During an assessment interview, a client diagnosed with
antisocial personality disorder spits, curses, and refuses to answer
questions. Which is the appropriate nursing response to this
behavior?
1. You are very disrespectful. You need to learn to control
yourself.
2. I understand that you are angry, but this behavior will not be
tolerated.
3. What behaviors could you modify to improve this situation?
4. What anti-personality disorder medications >> ANS: 2
Rationale: The appropriate nursing response is to reflect the
clients feeling while setting firm limits on behavior. Clients
diagnosed with antisocial personality disorder have a low
tolerance for frustration, see themselves as victims, and use
projection as a primary ego defense mechanism.
At 11:00 p.m. a 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 10:00 p.m.
Which nursing response is most appropriate?
1. Go ahead and use the phone. I know this pending divorce is
stressful.
2. You know better than to break the rules. I'm surprised at you.
,3. It is after the 10:00 p.m. phone curfew. You will be able to call
tomorrow.
4. A divorce shouldn't be considered until you have had a good
nights sleep. >> 3 ~ The most appropriate response by the
staff is to restate the unit rules in a calm, assertive manner. The
nurse can encourage the client to verbalize frustration while
maintaining an accepting attitude. The nurse may also help the
client to identify the true source of frustration.
A client diagnosed with paranoid personality disorder becomes
violent on a unit. Which nursing intervention is most appropriate?
1. Provide objective evidence that reasons for violence are
unwarranted.
2. Initially restrain the client to maintain safety.
3. Use clear, calm statements and a confident physical stance.
4. Empathize with the clients paranoid perceptions. >> 3 ~ The
most appropriate nursing intervention is to use clear, calm
statements and to assume a confident physical stance. A calm
attitude provides the client with a feeling of safety and security. It
may also be beneficial to have sufficient staff on hand to present
a show of strength.
A 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?
1. Allow the clients to apply the democratic process when
developing unit rules.
2. Maintain consistency of care by open communication to avoid
staff manipulation.
,3. Allow the client spokesman to verbalize concerns during a unit
staff meeting.
4. Maintain unit order by the application of autocratic leadership.
>> 2 ~ The nursing staff can best handle this situation by
maintaining consistency of care by open communication to avoid
staff manipulation. Clients with borderline personality disorder
can exhibit negative patterns of interaction, such as clinging and
distancing, splitting, manipulation, and self-destructive behaviors.
Which nursing approach should be used to maintain a therapeutic
relationship with a client diagnosed with borderline personality
disorder?
1. Being firm, consistent, and empathic, while addressing specific
client behaviors
2. Promoting client self-expression by implementing laissez-faire
leadership
3. Using authoritative leadership to help clients learn to conform
to society norms
4. Overlooking inappropriate behaviors to avoid providing
secondary gains >> 1 ~ The best nursing approach when
working with a client diagnosed with borderline personality
disorder is to be firm, consistent, and empathetic while
addressing specific client behaviors. Individuals with borderline
personality disorder always seem to be in a state of crisis and can
often have negative patterns of interaction, such as manipulation
and splitting.
Which adult client should a nurse identify as exhibiting the
characteristics of a dependent personality disorder?
1. A physically healthy client who is dependent on meeting social
needs by contact with 15 cat
, 2. A physically healthy client who has a history of depending on
intense relationships to meet basic needs
3. A physically healthy client who lives with parents and depends
on public transportation
4. A physically healthy client who is serious, inflexible,
perfectionistic, lacks spontaneity, and depends on rules to provide
security >> ANS: 3
Rationale: A physically healthy adult client who lives with parents
and depends on public transportation exhibits signs of dependent
personality disorder. Dependent personality disorder is
characterized by a pervasive and excessive need to be taken care
of that leads to submissive and clinging behaviors.
A client expresses low self-worth, has much difficulty making
decisions, avoids positions of responsibility, and has a behavioral
pattern of suffering in silence. Which statement best explains the
etiology of this clients personality disorder?
1. Childhood nurturance was provided from many sources, and
independent behaviors were encouraged.
2. Childhood nurturance was provided exclusively from one
source, and independent behaviors were discouraged.
3. Childhood nurturance was provided exclusively from one
source, and independent behaviors were encouraged.
4. Childhood nurturance was provided from many sources, and
independent behaviors were discouraged. >> Ans: 2
Rationale: The behaviors presented in the question represent
symptoms of dependent personality disorder. Nurturance
provided from one source and discouragement of independent
behaviors can contribute to the development of this personality
disorder. Dependent behaviors may be rewarded by a parent who
is overprotective and discourages autonomy.
