Psychiatric/Mental Health Nursing Exam|
Questions and Essays with 100% Verified
Answers
How could the nurse handle this situation while setting limits and demonstrating
concern? - ✔️✔️By maintaining a neutral affect and working with Cherie in a
matter-of-fact manner, the nurse will demonstrate that she is not responding to
the personal attacks by the patient. This will aid in maintaining a therapeutic
relationship as much as possible.
A patient complains that most staff do not like
her or care what happens to her, but you are
special and she can tell that you are a caring pe
rson. She talks with you about being unsure of
what she wants to do with her life and her "m
ixed-up feelings" about relationships. When you
tell her that you will be on vacat
ion next week, she becomes very angry. Two hours later, she is
found using a curling iron to burn her underarms
and explains that it "makes the numbness stop."
Given this presentation, you would deduce that th
is patient most likely has which personality
disorder? - ✔️✔️Persons with borderline personality disorder have an unstable
sense of self (identity); tend to "split" their view of others into black or white,
good or bad (rather than being able to see the person as something in between or
as having both good and bad features); have difficulty coping with perceived
rejection or strong emotions; cope by "numbing" and relieve numbing (or self-
,sooth) via self-injurious behavior; and tend to be highly sensitive to perceived
rejection or abandonment (here, the nurse's leaving was perceived as
abandonment).
... - ✔️✔️Although some personality disorders are not associated with an
increased risk of suicide, several, particularly those involving mood instability and
an impaired ability to cope with strong emotions (such as borderline personality
disorder and antisocial personality disorder)
are associated with a significantly greater risk of suicide. Most persons with
personality disorders tend not to see themselves as being in a position to benefit
from changing. Instead they tend to attribute their distress to the behavior of
others and as a result may not seek treatment for themselves (and instead tend
to enter treatment at the request or order of a loved one, employer,
or court). Although the early focus in theories about personality disorders
emphasized intrapersonal and interpersonal responses to early life events, more
recent research also addresses genetic and biological factors as playing a role in
the etiology of these disorders. Persons with cluster B disorders, the group most
likely to be found in inpatient treatment centers, tend to be very demanding of
staff, often idealizing some staff at the expense of others, leading to discord
among colleagues and strife about how best to care for the patient.
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? -
✔️✔️Inflexible and maladaptive responses to stress. Personality patterns persist
unmodified over long periods of time. Characteristics of inflexible and
maladaptive response to stress is one of these characteristics for individuals with
personality disorder.
Which statement is descriptive of clients with personality disorders? - ✔️✔️They
are resistant to behavioral change. Personality disorders are deeply ingrained and
,pervasive. Clients with personality disorders find it very difficult, if not nearly
impossible, to change. Change proceeds very slowly.
Research has indicated that antisocial personality may be characterized by: -
✔️✔️The antisocial personality exhibits a lack of remorse when confronted with the
results of their thoughtless, irresponsible behavior towards others.
The primary goal of milieu therapy for clients with personality disorders is -
✔️✔️The primary goal of milieu therapy is affect management in a group context.
Characteristic behaviors the nurse will assess in the narcissistic client are -
✔️✔️grandiose, exploitive, and rage-filled behavior. Narcissistic clients give the
impression of being invulnerable and superior to others to protect their fragile
self-esteem.
Which client with a personality disorder is most likely to be admitted to a
psychiatric unit? - ✔️✔️Ms. C, with borderline personality disorder who is
impulsive. lients with borderline disorder can decompensate into psychotic states
under stress. Hospitalization is needed at these times.
Characteristics the nurse will assess in the client with antisocial personality
disorder are - ✔️✔️deceitfulness, impulsiveness, and lack of empathy. Antisocial
clients have no conscience. Their sense of right and wrong is impaired, and they
tend to do whatever serves them best without consideration for the rights or
feelings of others.
Playing one staff member against another is an example of - ✔️✔️Splitting involves
setting up individuals or groups to disagree. While the two parties are busy
, disagreeing, they are too busy to maintain consistent limits for the manipulative
client. The client can enjoy the spectacle and do as he or she pleases.
Splitting is a process in which the client - ✔️✔️sees things as divided into "all good"
or "all bad." Splitting demonstrates the failure to integrate the positive and
negative into a cohesive whole. An individual is not seen as a person with good
and bad traits, but rather as all good or all bad.
A 16-year-old has stolen money from his invalid grandmother, uses drugs and
alcohol, and frequently beats up acquaintances who disagree with him. Arrested
for an assault in which he beat a classmate and caused brain damage, he stated in
court "The guy deserved everything he got." The behaviors described are most
consistent with the clinical picture of - ✔️✔️Clients with antisocial personality act
out feelings without consideration for the rights of others. They feel no remorse
for their antisocial acts.
A nurse is assigned to work with a client with borderline personality disorder. The
nurse will need to consider strategies for dealing with the client's - ✔️✔️mood
shifts, impulsivity, and splitting. Borderline personality disorder has the central
characteristic of instability in affect, identity, and relationships. Borderline
individuals desperately seek relationships to avoid feeling abandoned. But they
often drive others away with excessive demands, impulsive behavior, or
uncontrolled anger. Their frequent use of the defense of splitting strains personal
relationships and creates turmoil in health care settings.
A client has been diagnosed with dependent personality disorder. Which behavior
descriptions can the nurse expect to assess? - ✔️✔️Anxious, fearful Dependent
personality disorder has a primary feature of extreme dependency in a close
relationship, with an urgent search to find a replacement when one relationship
ends. These individuals have difficulty making independent decisions and are
constantly seeking reassurance. They have deeply held convictions of personal
Questions and Essays with 100% Verified
Answers
How could the nurse handle this situation while setting limits and demonstrating
concern? - ✔️✔️By maintaining a neutral affect and working with Cherie in a
matter-of-fact manner, the nurse will demonstrate that she is not responding to
the personal attacks by the patient. This will aid in maintaining a therapeutic
relationship as much as possible.
A patient complains that most staff do not like
her or care what happens to her, but you are
special and she can tell that you are a caring pe
rson. She talks with you about being unsure of
what she wants to do with her life and her "m
ixed-up feelings" about relationships. When you
tell her that you will be on vacat
ion next week, she becomes very angry. Two hours later, she is
found using a curling iron to burn her underarms
and explains that it "makes the numbness stop."
Given this presentation, you would deduce that th
is patient most likely has which personality
disorder? - ✔️✔️Persons with borderline personality disorder have an unstable
sense of self (identity); tend to "split" their view of others into black or white,
good or bad (rather than being able to see the person as something in between or
as having both good and bad features); have difficulty coping with perceived
rejection or strong emotions; cope by "numbing" and relieve numbing (or self-
,sooth) via self-injurious behavior; and tend to be highly sensitive to perceived
rejection or abandonment (here, the nurse's leaving was perceived as
abandonment).
... - ✔️✔️Although some personality disorders are not associated with an
increased risk of suicide, several, particularly those involving mood instability and
an impaired ability to cope with strong emotions (such as borderline personality
disorder and antisocial personality disorder)
are associated with a significantly greater risk of suicide. Most persons with
personality disorders tend not to see themselves as being in a position to benefit
from changing. Instead they tend to attribute their distress to the behavior of
others and as a result may not seek treatment for themselves (and instead tend
to enter treatment at the request or order of a loved one, employer,
or court). Although the early focus in theories about personality disorders
emphasized intrapersonal and interpersonal responses to early life events, more
recent research also addresses genetic and biological factors as playing a role in
the etiology of these disorders. Persons with cluster B disorders, the group most
likely to be found in inpatient treatment centers, tend to be very demanding of
staff, often idealizing some staff at the expense of others, leading to discord
among colleagues and strife about how best to care for the patient.
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? -
✔️✔️Inflexible and maladaptive responses to stress. Personality patterns persist
unmodified over long periods of time. Characteristics of inflexible and
maladaptive response to stress is one of these characteristics for individuals with
personality disorder.
Which statement is descriptive of clients with personality disorders? - ✔️✔️They
are resistant to behavioral change. Personality disorders are deeply ingrained and
,pervasive. Clients with personality disorders find it very difficult, if not nearly
impossible, to change. Change proceeds very slowly.
Research has indicated that antisocial personality may be characterized by: -
✔️✔️The antisocial personality exhibits a lack of remorse when confronted with the
results of their thoughtless, irresponsible behavior towards others.
The primary goal of milieu therapy for clients with personality disorders is -
✔️✔️The primary goal of milieu therapy is affect management in a group context.
Characteristic behaviors the nurse will assess in the narcissistic client are -
✔️✔️grandiose, exploitive, and rage-filled behavior. Narcissistic clients give the
impression of being invulnerable and superior to others to protect their fragile
self-esteem.
Which client with a personality disorder is most likely to be admitted to a
psychiatric unit? - ✔️✔️Ms. C, with borderline personality disorder who is
impulsive. lients with borderline disorder can decompensate into psychotic states
under stress. Hospitalization is needed at these times.
Characteristics the nurse will assess in the client with antisocial personality
disorder are - ✔️✔️deceitfulness, impulsiveness, and lack of empathy. Antisocial
clients have no conscience. Their sense of right and wrong is impaired, and they
tend to do whatever serves them best without consideration for the rights or
feelings of others.
Playing one staff member against another is an example of - ✔️✔️Splitting involves
setting up individuals or groups to disagree. While the two parties are busy
, disagreeing, they are too busy to maintain consistent limits for the manipulative
client. The client can enjoy the spectacle and do as he or she pleases.
Splitting is a process in which the client - ✔️✔️sees things as divided into "all good"
or "all bad." Splitting demonstrates the failure to integrate the positive and
negative into a cohesive whole. An individual is not seen as a person with good
and bad traits, but rather as all good or all bad.
A 16-year-old has stolen money from his invalid grandmother, uses drugs and
alcohol, and frequently beats up acquaintances who disagree with him. Arrested
for an assault in which he beat a classmate and caused brain damage, he stated in
court "The guy deserved everything he got." The behaviors described are most
consistent with the clinical picture of - ✔️✔️Clients with antisocial personality act
out feelings without consideration for the rights of others. They feel no remorse
for their antisocial acts.
A nurse is assigned to work with a client with borderline personality disorder. The
nurse will need to consider strategies for dealing with the client's - ✔️✔️mood
shifts, impulsivity, and splitting. Borderline personality disorder has the central
characteristic of instability in affect, identity, and relationships. Borderline
individuals desperately seek relationships to avoid feeling abandoned. But they
often drive others away with excessive demands, impulsive behavior, or
uncontrolled anger. Their frequent use of the defense of splitting strains personal
relationships and creates turmoil in health care settings.
A client has been diagnosed with dependent personality disorder. Which behavior
descriptions can the nurse expect to assess? - ✔️✔️Anxious, fearful Dependent
personality disorder has a primary feature of extreme dependency in a close
relationship, with an urgent search to find a replacement when one relationship
ends. These individuals have difficulty making independent decisions and are
constantly seeking reassurance. They have deeply held convictions of personal
