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Test Bank for Davis Advantage for Townsend's Psychiatric Mental
Health Nursing, 11th Edition by Karyn I. Morgan All Chapters | Instant
Download
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?" - ANSWER-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.
2. A client diagnosed with antisocial personality disorder comes to the
nurses' station at 11:00
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p.m., requesting to phone a lawyer to discuss filing for a divorce. The
unit rules state that no
phone calls are permitted after 10:00 p.m. Which nursing reply is most
appropriate?
1. "Go ahead and use the phone. I know this pending divorce is
stressful."
2. "You know better than to break the rules. I'm surprised at you."
3. "It is after the 10:00 p.m. phone curfew. You will be able to call
tomorrow."
4. "The decision to divorce should not be considered until you have had
a good night's sleep." - ANSWER-3. This is correct. The most
appropriate response by the staff is to restate the unit rules
in a calm, assertive manner. One of the most distinctive characteristics
of individuals with antisocial personality disorder is their tendency to
ignore conventional authority
and rules. They act as though established social norms and guidelines
for selfdiscipline and cooperative behavior do not apply to them
3. A client diagnosed with paranoid personality disorder becomes
violent on a unit. Which
nursing intervention is most appropriate?
1. Provide objective evidence that violence is unwarranted.
2. Initially restrain the client to maintain safety.
3. Use clear, calm statements and a confident physical stance.
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4. Empathize with the client's paranoid perceptions. - ANSWER-3. This
is correct. The most appropriate nursing intervention is to use clear,
calm
statements and to assume a confident physical stance. A calm attitude
provides the
client with a feeling of safety and security and avoids escalating the
aggressive
behavior. The nurse should also have sufficient staff available to
present a show of
strength to the client if necessary. This conveys to the client evidence of
control over
the situation and provides some physical security for the staff.
4. A highly emotional client presents at an outpatient clinic
appointment wearing flamboyant
attire, spiked heels, and theatrical makeup. Which personality disorder
should the nurse associate
with these assessment data?
1. Compulsive personality disorder
2. Schizotypal personality disorder
3. Histrionic personality disorder (HPD)
4. Manic personality disorder - ANSWER-3. This is correct. The client
exhibits characteristics of HPD. Individuals diagnosed
with HPD tend to be self-dramatizing, attention seeking, overly
gregarious, and
Test Bank for Davis Advantage for Townsend's Psychiatric Mental
Health Nursing, 11th Edition by Karyn I. Morgan All Chapters | Instant
Download
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?" - ANSWER-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.
2. A client diagnosed with antisocial personality disorder comes to the
nurses' station at 11:00
,2|Page
p.m., requesting to phone a lawyer to discuss filing for a divorce. The
unit rules state that no
phone calls are permitted after 10:00 p.m. Which nursing reply is most
appropriate?
1. "Go ahead and use the phone. I know this pending divorce is
stressful."
2. "You know better than to break the rules. I'm surprised at you."
3. "It is after the 10:00 p.m. phone curfew. You will be able to call
tomorrow."
4. "The decision to divorce should not be considered until you have had
a good night's sleep." - ANSWER-3. This is correct. The most
appropriate response by the staff is to restate the unit rules
in a calm, assertive manner. One of the most distinctive characteristics
of individuals with antisocial personality disorder is their tendency to
ignore conventional authority
and rules. They act as though established social norms and guidelines
for selfdiscipline and cooperative behavior do not apply to them
3. A client diagnosed with paranoid personality disorder becomes
violent on a unit. Which
nursing intervention is most appropriate?
1. Provide objective evidence that violence is unwarranted.
2. Initially restrain the client to maintain safety.
3. Use clear, calm statements and a confident physical stance.
, 3|Page
4. Empathize with the client's paranoid perceptions. - ANSWER-3. This
is correct. The most appropriate nursing intervention is to use clear,
calm
statements and to assume a confident physical stance. A calm attitude
provides the
client with a feeling of safety and security and avoids escalating the
aggressive
behavior. The nurse should also have sufficient staff available to
present a show of
strength to the client if necessary. This conveys to the client evidence of
control over
the situation and provides some physical security for the staff.
4. A highly emotional client presents at an outpatient clinic
appointment wearing flamboyant
attire, spiked heels, and theatrical makeup. Which personality disorder
should the nurse associate
with these assessment data?
1. Compulsive personality disorder
2. Schizotypal personality disorder
3. Histrionic personality disorder (HPD)
4. Manic personality disorder - ANSWER-3. This is correct. The client
exhibits characteristics of HPD. Individuals diagnosed
with HPD tend to be self-dramatizing, attention seeking, overly
gregarious, and
