Davis advantage for psychiatric mental health nursing chapter
31-Maggie's Questions AND Correct Answers
1. A client diagnosed with borderline personality disorder
manipulates the staff in an effort to fulfill her own desires. All
of the following may be examples of manipulative behaviors
in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing
the assigned nurse has explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse.
You're the best one around here."
d. Cutting arms with razor blade after discussing dismissal
plans with physician. - ✔✔A
1. During an assessment interview, a client diagnosed with
antisocial personality disorder spits,
curses, and refuses to answer questions. Which is the most
appropriate nursing statement to
address 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 antisocial personality disorder medications have
helped you in the past?" - ✔✔2. This is correct. The most
appropriate nursing statement is to reflect the client's
feelings 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. The
client needs direction
to assist in recognizing how others might feel when treated
this way.
10. A male client with antisocial personality disorder was
found in a female patient's room on her bed. When instructed
to leave the room, the client states, "I'm sick of you telling me
what I can or can't do. If I want to carry on a relationship with
a female patient, it's my right. I'll do exactly as I please!"
Which of these actions by the nurse is a priority at this point?
a. Reassure the client that he will have plenty of opportunities
with women after he is discharged.
b. Reinforce the rules of the treatment program that all clients
are expected to follow.
,c. Escort the client to seclusion.
d. Establish a trusting relationship by telling the client that
you will make an exception just this once. - ✔✔B
10. During an interview, which client statement indicates to
the nurse that a potential diagnosis
of schizotypal personality disorder should be considered?
1. "I really don't have a problem. My family is inflexible, and
every relative is out to get me."
2. "I am so excited about working with you. Have you noticed
my new nail polish, 'Ruby Red
Roses?'"
3. "I spend all my time tending my bees. I know a whole lot of
information about bees."
4. "I am getting a message from the beyond that we have
been involved with each other in a
previous life." - ✔✔4. This is correct. A client who states that
he or she is getting a message from the
beyond indicates a potential diagnosis of schizotypal
personality disorder.
Individuals with schizotypal personality disorder are aloof and
isolated and behave
, in a bland and apathetic manner. The individual experiences
magical thinking, ideas
of reference, illusions, and depersonalization as part of daily
life.
11. A nursing instructor is teaching students about clients
diagnosed with HPD and the quality of
their relationships. Which student statement indicates that
learning has occurred?
1. "Their dramatic style tends to make their interpersonal
relationships quite interesting and
fulfilling."
2. "Their interpersonal relationships tend to be shallow and
fleeting, serving their dependency
needs."
3. "They tend to develop few relationships because they are
strongly independent but generally
maintain deep affection."
4. "They pay particular attention to details, which can
frustrate the development of
relationships." - ✔✔2. This is correct. Clients diagnosed with
HPD have shallow, fleeting interpersonal
31-Maggie's Questions AND Correct Answers
1. A client diagnosed with borderline personality disorder
manipulates the staff in an effort to fulfill her own desires. All
of the following may be examples of manipulative behaviors
in the borderline patient except:
a. Refusal to stay in a room alone, stating, "It's so lonely."
b. Asking the nurse for cigarettes after 30 minutes, knowing
the assigned nurse has explained she must wait 1 hour.
c. Stating to the nurse, "I really like having you for my nurse.
You're the best one around here."
d. Cutting arms with razor blade after discussing dismissal
plans with physician. - ✔✔A
1. During an assessment interview, a client diagnosed with
antisocial personality disorder spits,
curses, and refuses to answer questions. Which is the most
appropriate nursing statement to
address 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 antisocial personality disorder medications have
helped you in the past?" - ✔✔2. This is correct. The most
appropriate nursing statement is to reflect the client's
feelings 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. The
client needs direction
to assist in recognizing how others might feel when treated
this way.
10. A male client with antisocial personality disorder was
found in a female patient's room on her bed. When instructed
to leave the room, the client states, "I'm sick of you telling me
what I can or can't do. If I want to carry on a relationship with
a female patient, it's my right. I'll do exactly as I please!"
Which of these actions by the nurse is a priority at this point?
a. Reassure the client that he will have plenty of opportunities
with women after he is discharged.
b. Reinforce the rules of the treatment program that all clients
are expected to follow.
,c. Escort the client to seclusion.
d. Establish a trusting relationship by telling the client that
you will make an exception just this once. - ✔✔B
10. During an interview, which client statement indicates to
the nurse that a potential diagnosis
of schizotypal personality disorder should be considered?
1. "I really don't have a problem. My family is inflexible, and
every relative is out to get me."
2. "I am so excited about working with you. Have you noticed
my new nail polish, 'Ruby Red
Roses?'"
3. "I spend all my time tending my bees. I know a whole lot of
information about bees."
4. "I am getting a message from the beyond that we have
been involved with each other in a
previous life." - ✔✔4. This is correct. A client who states that
he or she is getting a message from the
beyond indicates a potential diagnosis of schizotypal
personality disorder.
Individuals with schizotypal personality disorder are aloof and
isolated and behave
, in a bland and apathetic manner. The individual experiences
magical thinking, ideas
of reference, illusions, and depersonalization as part of daily
life.
11. A nursing instructor is teaching students about clients
diagnosed with HPD and the quality of
their relationships. Which student statement indicates that
learning has occurred?
1. "Their dramatic style tends to make their interpersonal
relationships quite interesting and
fulfilling."
2. "Their interpersonal relationships tend to be shallow and
fleeting, serving their dependency
needs."
3. "They tend to develop few relationships because they are
strongly independent but generally
maintain deep affection."
4. "They pay particular attention to details, which can
frustrate the development of
relationships." - ✔✔2. This is correct. Clients diagnosed with
HPD have shallow, fleeting interpersonal
