PSYCHIATRIC MENTAL HEALTH NURSING BY
MARY C TOWNSEND ALL CHAPTERS 2026
ACTUAL PAPER FULL QUESTIONS AND
ANSWERS 100 PERCENT CORRECT
◉ Narcissistic PD. Answer: arrogance w/ grandiose view of self-
importance. Has the need for constant admiration, along w/ a lack of
empathy for others, which strains relationships. results in
exploitation of others. Underneath this personality is a person w/
intense shame and fear of abandonment.
◉ Nursing Guidelines for Narcissistic PD. Answer: 1. Remain neutral;
avoid engaging in power struggles or becoming defensive in
response to the patient's disparaging remarks.
2. Convey unassuming self-confidence.
◉ obsessive-compulsive PD. Answer: characteristics of
perfectionism w/ a focus on orderliness and control. These people
become so preoccupied w/ details and rules that they may not be
able to accomplish a given task.
,◉ Nursing Guidelines for Obsessive-Compulsive PD. Answer: 1.
Guard against power struggles with patient. Need for control is very
high.
2. Intellectualization, rationalization, reaction formation, isolation,
and undoing are the most common defense mechanisms.
◉ paranoid PD. Answer: characterized by distrust and
suspiciousness toward others based on the belief that others want to
exploit, harm, or deceive the person. these people are hypervigilant,
anticipate hostility, and may provoke hostile responses by initiating
a "counterattack." demonstrate jealousy, controlling behaviors, and
unwillingness to forgive
◉ Nursing Guidelines for Paranoid PD. Answer: 1. Avoid being too
"nice" or "friendly."
2. Give clear and straightforward explanations of tests and
procedures beforehand.
3. Use simple, clear language; avoid ambiguity.
4. Project a neutral but kind affect.
5. Warn about any changes, side effects of medication, and reasons
for delay. Such interventions may help allay anxiety and minimize
suspiciousness. A written plan may help encourage cooperation.
◉ Schizoid PD. Answer: Emotionally detached! Does not seek out or
enjoy close relationships. this individual may be able to function in a
,solitary occupation but shows indifference to praise or criticism
from others. Depersonalization may occur.
◉ Nursing Guidelines for Schizoid PD. Answer: 1. Avoid being too
"nice" or "friendly."
2. Do not try to increase socialization.
3. Perform thorough diagnostic assessment as needed to identify
symptoms or disorders the patient is reluctant to discuss.
◉ schizotypal PD. Answer: expressed in strikingly odd
characteristics, including magical thinking, derealization, perceptual
distortions, and rigid, peculiar ideas. speech patterns may be
distinctive and bizarre.
◉ Nursing Guidelines for Schizotypal PD. Answer: 1. Respect
patient's need for social isolation.
2. Be aware of patient's suspiciousness, and employ appropriate
interventions.
3. As with schizoid patient, perform careful diagnostic assessment as
needed to uncover any other medical or psychological symptoms
that may need intervention (e.g., suicidal thoughts).
◉ personality disorder. Answer: an enduring pattern of experience
and behavior that deviates significantly from the expectations w/in
the individuals culture.
, ◉ Cluster A personality disorders. Answer: characteristics of
eccentric and odd behaviors, such as social isolation and
detachment. may also be perception distortions, unusual levels of
suspiciousness, Paranoid PD, Schizoid OD, & Schizotypal PD
◉ Cluster B Personality Disorders. Answer: Dramatic, emotional,
erratic behavior; problems with impulse control and emotional
processing, and relationships; manipulations and acting out;
Antisocial PD, Borderline PD, Histrionic PD, and Narcissistic PD
◉ Cluster C Personality Disorders. Answer: Anxious or fearful
behavior; rigid patterns of social shyness, hypersensitivity, need for
orderliness, and relationship dependency; Avoidant PD, Dependent
PD, Obsessive-Compulsive PD
◉ A nurse caring for a client who has been diagnosed with a
personality disorder should expect that the client *will* exhibit
which of the following characteristics?
A. Frequent episodes of psychosis
B. Constant involvement with the needs of significant others
C. Inflexible and maladaptive responses to stress
D. Abnormal ego functioning. Answer: Inflexible and maladaptive
responses to stress
MARY C TOWNSEND ALL CHAPTERS 2026
ACTUAL PAPER FULL QUESTIONS AND
ANSWERS 100 PERCENT CORRECT
◉ Narcissistic PD. Answer: arrogance w/ grandiose view of self-
importance. Has the need for constant admiration, along w/ a lack of
empathy for others, which strains relationships. results in
exploitation of others. Underneath this personality is a person w/
intense shame and fear of abandonment.
◉ Nursing Guidelines for Narcissistic PD. Answer: 1. Remain neutral;
avoid engaging in power struggles or becoming defensive in
response to the patient's disparaging remarks.
2. Convey unassuming self-confidence.
◉ obsessive-compulsive PD. Answer: characteristics of
perfectionism w/ a focus on orderliness and control. These people
become so preoccupied w/ details and rules that they may not be
able to accomplish a given task.
,◉ Nursing Guidelines for Obsessive-Compulsive PD. Answer: 1.
Guard against power struggles with patient. Need for control is very
high.
2. Intellectualization, rationalization, reaction formation, isolation,
and undoing are the most common defense mechanisms.
◉ paranoid PD. Answer: characterized by distrust and
suspiciousness toward others based on the belief that others want to
exploit, harm, or deceive the person. these people are hypervigilant,
anticipate hostility, and may provoke hostile responses by initiating
a "counterattack." demonstrate jealousy, controlling behaviors, and
unwillingness to forgive
◉ Nursing Guidelines for Paranoid PD. Answer: 1. Avoid being too
"nice" or "friendly."
2. Give clear and straightforward explanations of tests and
procedures beforehand.
3. Use simple, clear language; avoid ambiguity.
4. Project a neutral but kind affect.
5. Warn about any changes, side effects of medication, and reasons
for delay. Such interventions may help allay anxiety and minimize
suspiciousness. A written plan may help encourage cooperation.
◉ Schizoid PD. Answer: Emotionally detached! Does not seek out or
enjoy close relationships. this individual may be able to function in a
,solitary occupation but shows indifference to praise or criticism
from others. Depersonalization may occur.
◉ Nursing Guidelines for Schizoid PD. Answer: 1. Avoid being too
"nice" or "friendly."
2. Do not try to increase socialization.
3. Perform thorough diagnostic assessment as needed to identify
symptoms or disorders the patient is reluctant to discuss.
◉ schizotypal PD. Answer: expressed in strikingly odd
characteristics, including magical thinking, derealization, perceptual
distortions, and rigid, peculiar ideas. speech patterns may be
distinctive and bizarre.
◉ Nursing Guidelines for Schizotypal PD. Answer: 1. Respect
patient's need for social isolation.
2. Be aware of patient's suspiciousness, and employ appropriate
interventions.
3. As with schizoid patient, perform careful diagnostic assessment as
needed to uncover any other medical or psychological symptoms
that may need intervention (e.g., suicidal thoughts).
◉ personality disorder. Answer: an enduring pattern of experience
and behavior that deviates significantly from the expectations w/in
the individuals culture.
, ◉ Cluster A personality disorders. Answer: characteristics of
eccentric and odd behaviors, such as social isolation and
detachment. may also be perception distortions, unusual levels of
suspiciousness, Paranoid PD, Schizoid OD, & Schizotypal PD
◉ Cluster B Personality Disorders. Answer: Dramatic, emotional,
erratic behavior; problems with impulse control and emotional
processing, and relationships; manipulations and acting out;
Antisocial PD, Borderline PD, Histrionic PD, and Narcissistic PD
◉ Cluster C Personality Disorders. Answer: Anxious or fearful
behavior; rigid patterns of social shyness, hypersensitivity, need for
orderliness, and relationship dependency; Avoidant PD, Dependent
PD, Obsessive-Compulsive PD
◉ A nurse caring for a client who has been diagnosed with a
personality disorder should expect that the client *will* exhibit
which of the following characteristics?
A. Frequent episodes of psychosis
B. Constant involvement with the needs of significant others
C. Inflexible and maladaptive responses to stress
D. Abnormal ego functioning. Answer: Inflexible and maladaptive
responses to stress
