NURS 2872 Unit 3 Test With
Complete Solution
A person shoplifts merchandise from a community cancer thrift shop.
When confronted, the thief replies, "All this stuff was donated, so I can
take it." This comment suggests features of which personality disorder?
a. Antisocial
b. Histrionic
c. Borderline
d. Schizotypal - ANSWER a. Antisocial
The correct response shows callousness, entitlement, lack of remorse, and
disregard for the rights of others. These characteristics are common in
persons diagnosed with antisocial personality disorder.
After a power outage, a facility must serve a dinner of sandwiches and
fruit to patients. Which comment is most likely from a patient diagnosed
with a narcissistic personality disorder?
a. "These sandwiches are probably contaminated with bacteria."
b. "I suppose it's the best we can hope for under these circumstances."
c. "You should have ordered a to-go meal from a local restaurant for me."
,d. "I would rather wait to eat until the dietary department can prepare a
meal." - ANSWER c. "You should have ordered a to-go meal from a local
restaurant for me."
People diagnosed with narcissistic personality disorder consider
themselves special and expect special treatment. Their demeanor is
arrogant and haughty. They have a sense of entitlement.
A nurse plans care for a patient diagnosed with borderline personality
disorder. Which nursing diagnosis is most likely to apply to this patient?
a. Ineffective relationships related to frequent splitting
b. Social isolation related to fear of embarrassment or rejection
c. Ineffective impulse control related to violence as evidenced by cruelty
to animals
d. Disturbed thought processes related to recurrent suspiciousness of
people and situations - ANSWER a. Ineffective relationships related to
frequent splitting
People diagnosed with borderline personality disorder frequently use the
defense of splitting, which strains personal relationships. Splitting is the
inability to integrate both the positive and the negative qualities of an
individual into one person.
The nurse assesses a new patient suspected of having a schizotypal
personality disorder. Which assessment question is this patient most
,likely to answer affirmatively?
a. "Do some types of situations frighten you?"
b. "Do you often have episodes of prolonged crying?"
c. "Is anyone in your family diagnosed with a mental illness?"
d. "Is it ever very important for you to do everything correctly?" -
ANSWER c. "Is anyone in your family diagnosed with a mental illness?"
Genetics seem to play a significant role in the development of schizotypal
personality disorder, which is more common in families with a history of
schizophrenia.
A mental health nurse assesses a patient diagnosed with an antisocial
personality disorder. Which comorbid problem is most important for the
nurse to include in the assessment?
a. Generalized anxiety
b. Alcohol use and abuse
c. Compulsions and phobias
d. Dysfunctional sleep patterns - ANSWER b. Alcohol use and abuse
Alcohol abuse is a commonly occurring problem in persons diagnosed
with antisocial personality disorder.
A 28-year-old second-grade teacher is diagnosed with major depressive
, disorder. She grew up in Texas but moved to Alaska 10 years ago to
separate from an abusive mother. Her father died by suicide when she
was 12 years old. Which combination of factors in this scenario best
demonstrates the stress-diathesis model?
a. Cold climate coupled with history of abuse
b. Current age of 28 coupled with family history of depression
c. Family history of mental illness coupled with history of abuse
d. Female gender coupled with the stressful profession of teaching -
ANSWER c. Family history of mental illness coupled with history of abuse
The stress-diathesis model explains depression from an environmental,
interpersonal, and life events perspective combined with biological
vulnerability or predisposition (diathesis). Psychosocial stressors and
interpersonal events, such as abuse, trigger certain neurophysical and
neurochemical changes in the brain. Early life trauma is a significant
component in the stress reaction.
A patient tells the nurse, "No matter what I do, I feel like there's always a
dark cloud following me." Select the nurse's initial action.
a. Assess the patient's current sleep and eating patterns.
b. Explain to the patient, "Everyone feels down from time to time."
c. Suggest alternative activities for times when the patient feels
Complete Solution
A person shoplifts merchandise from a community cancer thrift shop.
When confronted, the thief replies, "All this stuff was donated, so I can
take it." This comment suggests features of which personality disorder?
a. Antisocial
b. Histrionic
c. Borderline
d. Schizotypal - ANSWER a. Antisocial
The correct response shows callousness, entitlement, lack of remorse, and
disregard for the rights of others. These characteristics are common in
persons diagnosed with antisocial personality disorder.
After a power outage, a facility must serve a dinner of sandwiches and
fruit to patients. Which comment is most likely from a patient diagnosed
with a narcissistic personality disorder?
a. "These sandwiches are probably contaminated with bacteria."
b. "I suppose it's the best we can hope for under these circumstances."
c. "You should have ordered a to-go meal from a local restaurant for me."
,d. "I would rather wait to eat until the dietary department can prepare a
meal." - ANSWER c. "You should have ordered a to-go meal from a local
restaurant for me."
People diagnosed with narcissistic personality disorder consider
themselves special and expect special treatment. Their demeanor is
arrogant and haughty. They have a sense of entitlement.
A nurse plans care for a patient diagnosed with borderline personality
disorder. Which nursing diagnosis is most likely to apply to this patient?
a. Ineffective relationships related to frequent splitting
b. Social isolation related to fear of embarrassment or rejection
c. Ineffective impulse control related to violence as evidenced by cruelty
to animals
d. Disturbed thought processes related to recurrent suspiciousness of
people and situations - ANSWER a. Ineffective relationships related to
frequent splitting
People diagnosed with borderline personality disorder frequently use the
defense of splitting, which strains personal relationships. Splitting is the
inability to integrate both the positive and the negative qualities of an
individual into one person.
The nurse assesses a new patient suspected of having a schizotypal
personality disorder. Which assessment question is this patient most
,likely to answer affirmatively?
a. "Do some types of situations frighten you?"
b. "Do you often have episodes of prolonged crying?"
c. "Is anyone in your family diagnosed with a mental illness?"
d. "Is it ever very important for you to do everything correctly?" -
ANSWER c. "Is anyone in your family diagnosed with a mental illness?"
Genetics seem to play a significant role in the development of schizotypal
personality disorder, which is more common in families with a history of
schizophrenia.
A mental health nurse assesses a patient diagnosed with an antisocial
personality disorder. Which comorbid problem is most important for the
nurse to include in the assessment?
a. Generalized anxiety
b. Alcohol use and abuse
c. Compulsions and phobias
d. Dysfunctional sleep patterns - ANSWER b. Alcohol use and abuse
Alcohol abuse is a commonly occurring problem in persons diagnosed
with antisocial personality disorder.
A 28-year-old second-grade teacher is diagnosed with major depressive
, disorder. She grew up in Texas but moved to Alaska 10 years ago to
separate from an abusive mother. Her father died by suicide when she
was 12 years old. Which combination of factors in this scenario best
demonstrates the stress-diathesis model?
a. Cold climate coupled with history of abuse
b. Current age of 28 coupled with family history of depression
c. Family history of mental illness coupled with history of abuse
d. Female gender coupled with the stressful profession of teaching -
ANSWER c. Family history of mental illness coupled with history of abuse
The stress-diathesis model explains depression from an environmental,
interpersonal, and life events perspective combined with biological
vulnerability or predisposition (diathesis). Psychosocial stressors and
interpersonal events, such as abuse, trigger certain neurophysical and
neurochemical changes in the brain. Early life trauma is a significant
component in the stress reaction.
A patient tells the nurse, "No matter what I do, I feel like there's always a
dark cloud following me." Select the nurse's initial action.
a. Assess the patient's current sleep and eating patterns.
b. Explain to the patient, "Everyone feels down from time to time."
c. Suggest alternative activities for times when the patient feels
