CORRECT WELL DETAILED ANSWERS|LATEST
PASS
A nurse is educating staff on personality disorders. Which statement by the staff indicates
understanding?
A. Antisocial personality disorder can start as conduct disorder
B. It is very easy to categorize the clients based on their disorder
C. All clients with personality disorders were the victims of abuse
D. All clients with personality disorders take advantage of others - ANSWER A.
Antisocial personality disorder can start as conduct disorder
Rationale: APD can start as conduct disorder while in childhood. The different disorders
overlap and can be difficult for even prescribers to identify. These disorders have signs that
you look for and will create a plan of care based on what behaviors and thoughts the client
has.
The nurse working in an acute care psychiatric facility is working with clients that have
personality disorders. The nurse knows that cluster A personality disorders (odd, eccentric)
tend to exhibit what behaviors?
A. Dramatic
B. Dependency
C. Indifference to social situations
D. Splitting between healthcare providers - ANSWER C. Indifference to social situations
1
,Rationale: Cluster A trademarks are odd, eccentric and indifferent to social situations. These
clients do not seek out interaction and when in social situations may not interact in an
appropriate manner. They exhibit some magical thinking or paranoia and are not perceived
by others positively.
Consider this comment to three different nurses by a patient diagnosed with antisocial
personality disorder, "Another nurse said you don't do your job right." Collectively, these
interactions can be assessed as:
A. Insightful
B. Guilt-producing
C. Manipulative
D. Detached - ANSWER C. Manipulative
Rationale: The patient is demonstrating manipulation with this statement. This behavior is a
hallmark of the cluster B personality disorders. This is technically defined as "splitting".
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should
plan to make which of the following room assignments for the client?
A. A seclusion room until the client's activity level becomes more subdued
B. A semi-private room with a roommate who has a similar diagnosis
C. A private room away from the nursing station
D. A private room in a quiet location that can easily be monitored - ANSWER D. A
private room in a quiet location that can easily be monitored
Rationale: A private room in a quiet location is ideal for a client with mania. The client may
easily become overstimulated by the number of people and activities in a nursing care unit.
A private room can be used for time-out during the day and to settle down to sleep at night.
2
, The client states "I just can't fall asleep". The nurse responds, "You are having difficulty
falling asleep?" Why is the nurse using the restating technique?
A. The nurse wants the client to know they understand
B. The nurse is allowing the client to elaborate or clear up misunderstanding
C. The nurse is keeping the conversation going
D. The nurse wants to focus on one idea - ANSWER B. The nurse is allowing the client
to elaborate or clear up misunderstanding
Rationale: Establishes priority with nursing goals and interventions related to therapeutic
interaction. Using the client's words or close to is restating. This technique allows the client
to be able to elaborate or clear up any miscommunications with nursing. This also gives the
feedback that their concerns are being heard
A client is experiencing command hallucinations and appears to be frightened. Which of the
following actions are appropriate nursing interventions?
A. Keep the client physically safe
B. Ignore the client's feelings in response to altered perceptions
C. Assure the client that they are not experiencing something real
D. Inform the client that their hallucinations are just bad dreams - ANSWER A. Keep
the client physically safe
Rationale: Validate the patient's feelings. Keep them physically safe. Determine what the
hallucination is telling them to do and provide reality testing PRN.
A nurse is performing an admission assessment for an adolescent client with a diagnosis of
schizophrenia. Which of the following findings should the nurse identify as a positive
symptom?
A. Somatic Delusions
3
PASS
A nurse is educating staff on personality disorders. Which statement by the staff indicates
understanding?
A. Antisocial personality disorder can start as conduct disorder
B. It is very easy to categorize the clients based on their disorder
C. All clients with personality disorders were the victims of abuse
D. All clients with personality disorders take advantage of others - ANSWER A.
Antisocial personality disorder can start as conduct disorder
Rationale: APD can start as conduct disorder while in childhood. The different disorders
overlap and can be difficult for even prescribers to identify. These disorders have signs that
you look for and will create a plan of care based on what behaviors and thoughts the client
has.
The nurse working in an acute care psychiatric facility is working with clients that have
personality disorders. The nurse knows that cluster A personality disorders (odd, eccentric)
tend to exhibit what behaviors?
A. Dramatic
B. Dependency
C. Indifference to social situations
D. Splitting between healthcare providers - ANSWER C. Indifference to social situations
1
,Rationale: Cluster A trademarks are odd, eccentric and indifferent to social situations. These
clients do not seek out interaction and when in social situations may not interact in an
appropriate manner. They exhibit some magical thinking or paranoia and are not perceived
by others positively.
Consider this comment to three different nurses by a patient diagnosed with antisocial
personality disorder, "Another nurse said you don't do your job right." Collectively, these
interactions can be assessed as:
A. Insightful
B. Guilt-producing
C. Manipulative
D. Detached - ANSWER C. Manipulative
Rationale: The patient is demonstrating manipulation with this statement. This behavior is a
hallmark of the cluster B personality disorders. This is technically defined as "splitting".
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should
plan to make which of the following room assignments for the client?
A. A seclusion room until the client's activity level becomes more subdued
B. A semi-private room with a roommate who has a similar diagnosis
C. A private room away from the nursing station
D. A private room in a quiet location that can easily be monitored - ANSWER D. A
private room in a quiet location that can easily be monitored
Rationale: A private room in a quiet location is ideal for a client with mania. The client may
easily become overstimulated by the number of people and activities in a nursing care unit.
A private room can be used for time-out during the day and to settle down to sleep at night.
2
, The client states "I just can't fall asleep". The nurse responds, "You are having difficulty
falling asleep?" Why is the nurse using the restating technique?
A. The nurse wants the client to know they understand
B. The nurse is allowing the client to elaborate or clear up misunderstanding
C. The nurse is keeping the conversation going
D. The nurse wants to focus on one idea - ANSWER B. The nurse is allowing the client
to elaborate or clear up misunderstanding
Rationale: Establishes priority with nursing goals and interventions related to therapeutic
interaction. Using the client's words or close to is restating. This technique allows the client
to be able to elaborate or clear up any miscommunications with nursing. This also gives the
feedback that their concerns are being heard
A client is experiencing command hallucinations and appears to be frightened. Which of the
following actions are appropriate nursing interventions?
A. Keep the client physically safe
B. Ignore the client's feelings in response to altered perceptions
C. Assure the client that they are not experiencing something real
D. Inform the client that their hallucinations are just bad dreams - ANSWER A. Keep
the client physically safe
Rationale: Validate the patient's feelings. Keep them physically safe. Determine what the
hallucination is telling them to do and provide reality testing PRN.
A nurse is performing an admission assessment for an adolescent client with a diagnosis of
schizophrenia. Which of the following findings should the nurse identify as a positive
symptom?
A. Somatic Delusions
3
