NUR 356 Exam 4
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
A 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 - answerC. Indifference to social situations
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 - answerC. Manipulative
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 clients activity level becomes more subdued
B. A semi-private room with a roommate who has similar diagnosis
C. A private room away from the nursing station
D. A private room in a quiet location that can easily be monitored - answerD. A private
room in a quiet location that can easily be monitored
The client states " I just cant 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 - answerB. The nurse is allowing the client to
elaborate or clear up misunderstanding
A client is experiencing command hallucinations and appears to be frightened. Which of
the following actions are appropriate nursing interventions?
A. Keep the clients physically safe
B. Ignore the clients feelings in response to altered perceptions
C. Assure the client that they are not experiencing something real
D. Inform he client that their hallucinations are just bad dreams - answerA. Keep the
clients physically safe
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
B. Anhedonia
C. Waxy Posture
D. Anergia - answerA. Somatic Delusions
A 28 year old client with body dysmorphic disorder (BDD) tells the nurse that they plan
to have a surgical procedure that will affect their appearance. The nurse understands
that this plan is an effort to ?
A. Suppress intrusive thoughts
B. Deal with multiple physical complaints
C. Treat associated depression
D. Cure the imagined defect - answerD. Cure the imagined defect
An unlicensed assistive personnel (UAP) is working with clients that have diagnosis of
obsessive compulsive disorder. The UAP understands the reason not to stop the
carrying out of compulsions is:
A. If this is not done therapeutically the client will have an escalation in anxiety
B. The RNs dont trust the UAPs
C. Stopping compulsions is not part of the treatment plan
D. The obsessions are the clients problems not the compulsions - answerA. If this is not
done therapeutically the client will have an escalation in anxiety
A client is pacing the hall near the nurses station, swearing loudly. An appropriate initial
intervention for the nurse would be to address the client by name and say:
A."please quiet down."
B. " you seem upset. would you like to tell me about it?"
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
A 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 - answerC. Indifference to social situations
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 - answerC. Manipulative
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 clients activity level becomes more subdued
B. A semi-private room with a roommate who has similar diagnosis
C. A private room away from the nursing station
D. A private room in a quiet location that can easily be monitored - answerD. A private
room in a quiet location that can easily be monitored
The client states " I just cant 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 - answerB. The nurse is allowing the client to
elaborate or clear up misunderstanding
A client is experiencing command hallucinations and appears to be frightened. Which of
the following actions are appropriate nursing interventions?
A. Keep the clients physically safe
B. Ignore the clients feelings in response to altered perceptions
C. Assure the client that they are not experiencing something real
D. Inform he client that their hallucinations are just bad dreams - answerA. Keep the
clients physically safe
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
B. Anhedonia
C. Waxy Posture
D. Anergia - answerA. Somatic Delusions
A 28 year old client with body dysmorphic disorder (BDD) tells the nurse that they plan
to have a surgical procedure that will affect their appearance. The nurse understands
that this plan is an effort to ?
A. Suppress intrusive thoughts
B. Deal with multiple physical complaints
C. Treat associated depression
D. Cure the imagined defect - answerD. Cure the imagined defect
An unlicensed assistive personnel (UAP) is working with clients that have diagnosis of
obsessive compulsive disorder. The UAP understands the reason not to stop the
carrying out of compulsions is:
A. If this is not done therapeutically the client will have an escalation in anxiety
B. The RNs dont trust the UAPs
C. Stopping compulsions is not part of the treatment plan
D. The obsessions are the clients problems not the compulsions - answerA. If this is not
done therapeutically the client will have an escalation in anxiety
A client is pacing the hall near the nurses station, swearing loudly. An appropriate initial
intervention for the nurse would be to address the client by name and say:
A."please quiet down."
B. " you seem upset. would you like to tell me about it?"
