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1. When assessing the client with a diagnosis of schizoid personality disorder, you will find a pervasive
pattern of detachment from social relationships and, additionally, which of the following?
A. extreme anger when sufficiently provoked by others
B. a restricted range of emotional expression with others
C. seeking approval from no more than two other persons
D. more than the average interest in sexual activity with strangers - ANSWER B. a restricted range of
emotional expression with others
2. You are assigned to a client with schizotypal personality disorder. Your assessment would likely reveal
which of the following behaviors?
A. seeks attention and engages in erratic behaviour
B. withdrawn and engages in odd, eccentric behaviour
C. overtly psychotic and experiencing hallucinations and delusions
D. active participation in activities with other clients and staff - ANSWER B. withdrawn and engages in
odd, eccentric behaviour
3. A client has a diagnosis of schizoid personality disorder. When assessing client, the psychologist
should expect that the client's behavior would be:
A. Rigid and controlling
B. Dependent and submissive
C. Detached and socially distant
D. Superstitious and socially anxious - ANSWER C. Detached and socially distant
Situation: The Psychologist has just been informed that a new client on the unit has a diagnosis of
schizophrenia, paranoid type.
4. Based on this limited information, the psychologist knows that she will need to address which basic
need first?
,A. Esteem and recognition
B. Love and belonging
C. Physiologic integrity
D. Safety - ANSWER D. Safety
5. When assessing a client with paranoid schizophrenia, which findings should be the psychologist's
immediate
A. Immobility, clanging, altered sleep patterns, and difficult family relationships.
B. Problems with role-functioning, peculiar mannerisms, and decreased social competence.
C. Stressful life events, altered sleep patterns, fatigue, and hostility.
D. Paranoid delusions, increased suspiciousness, and hostility. - ANSWER D. Paranoid delusions,
increased suspiciousness, and hostility.
6. When interacting with a client with a schizophrenic disorder, psychologist should remember to:
A. avoids interactions whenever possible.
B. has an intensive 1-hour counselling sessions twice a day.
C. speaks loudly and clearly.
D. use brief, simple statements. - ANSWER D. use brief, simple statements.
7. An 18-year-old man is admitted to the inpatient unit with a diagnosis of schizophrenia. As the
psychologist approaches him, she notices that he is grimacing and talking to the wall. The psychologist's
first action should be to:
A. ask him if he is hearing voices.
B. ask him to walk in the hall.
C. engage him in conversation.
D. have him placed in seclusion - ANSWER A. ask him if he is hearing voices.
8. The client states, "I am low, how low can you go, I'm going to get married. Yeah, I'm going to marry
Bill. I've got lots of bills to pay after that last spree!" 'Which observation is the psychologist likely to
document about this client?
A. Circumstantiality was noted.
,B. Disorientation was noted.
C. Flight of ideas was noted.
D. Speech patterns using word salad was noted - ANSWER C. Flight of ideas was noted.
Situation: A newly admitted patient with schizophrenia tells you that her dead grandmother sits in a
chair in her room and tells her when it is safe to leave the room.
9. Using therapeutic communication, what is the psychologist's best response to the client?
A. "If your grandmother is dead, she cannot be in your room"
B. "Your grandmother must have been very special to you"
C. "You don't feel safe here?"
D. "We are here to help you. You don't need your grandmother for protection" - ANSWER C. "You don't
feel safe here?"
10. Which of the following illustrates a common symptom of schizophrenia?
A. During a discussion of the loss of significant people in her life, the client is laughing uncontrollably
B. The admission history describes the client's affect as appropriate and the mood as depressed.
C. The client has strong feelings about a decision to go to supervised housing.
D. The client is an active participant in verbal groups on the unit. - ANSWER A. During a discussion of the
loss of significant people in her life, the client is laughing uncontrollably
12. A client reports a vague feeling of apprehension and states, "I feel scared." He also has an increased
pulse rate and blood pressure. Which of the following diagnoses is most appropriate in this situation?
A. Anxiety
B. Fear
C. Ineffective coping
D. Disturbed sleep pattern - ANSWER A. Anxiety
, 2. When caring for a client with panic level anxiety, the psychologist should consider which expected
outcome to be a priority?
A. The client will discuss his concerns for 10 minutes, three times a day.
B. The client will verbalize a decreased level of anxiety by the end of the hospitalization.
C. The client will verbalize a decreased level of anxiety within 2 hours.
D. The client will state the name and dose of the anxiolytic medication. - ANSWER C. The client will
verbalize a decreased level of anxiety within 2 hours.
Situation: The family members of a patient just diagnosed with personality disorder receives an
orientation from the psychiatrist about the nature of the said disorder.
13. The client exhibiting mistrust, guardedness, and restricted affect is showing signs of which
personality?
A. Antisocial personality disorder
B. Dependent personality disorder
C. Narcissistic personality disorder
D. Paranoid personality disorder - ANSWER D. Paranoid personality disorder
14. The axis II diagnosis of a client is schizoid personality disorder. Which approach should the
psychologist plan to use when interacting with this client?
A. Helpful and nurturing
B. Matter-of-fact and calm approach
C. Light and playful
D. Warm and friendly - ANSWER B. Matter-of-fact and calm approach
15. A client diagnosed with paranoid personality disorder needs information regarding medications.
Which psychological intervention would assist this client in understanding prescribed medications?