01.When working with the nurse during the orientation phase of the relationship, a client with a borderline personality disorder would probably have the most difficulty in:
a.Controlling anxiety
b.terminating the session on time
c.Accepting the psychiatric diagnosis
d.Setting mutual goals for the relationship
02. A nurse is caring for a client with borderline
personality disorder. Which interventions should the nurse perform?
a. Setting limits on manipulative behavior
b. Allowing the client to set limits
c. Using restraints judiciously
d. Encouraging acting out behavior
03.A person with antisocial personality disorder has difficulty relating to others because of never having learned to:
a.Count on others
b.Empathize with others
c.Be dependent on others
d.Communicate with others socially
04. A client who experiences panic disorder states that he’s frequently overwhelmed by feelings of powerlessness. In working with this client, the nurse should initiate which intervention?
a. Assist the client to recognize unnecessary risk-taking.
b. Explore with the client issues related to identity problems.
c. Teach the client problem-solving and decision-making skills.
d. Have the client discuss the things he desires in a relationship.
05.When caring for a client with a diagnosis of schizotypal personality disorder, the nurse should:
a.Set limits on manipulative behavior
b.encourage participation in group therapy
c.Respect the client’s needs for social isolation
d.Understand that seductive behavior is expected.
06. A nurse is caring for a client who is experiencing a panic attack. Which intervention is most appropriate?
a. Tell the client that there’s no need to panic.
b. Speak in short, simple sentences.
c. Explain that there’s no need to worry.
d. Give the client a detailed explanation of his panic reaction.
07. An adult client with a borderline personality disorder become nauseated and vomits immediately after drinking after drinking 2 ounces of shampoo as a suicide gesture. The most appropriate initial response by the nurse would be to:
a.Promptly notify the attending physician
b.Immediately initiate suicide precautions
c.Sit quietly with the client until nausea and vomiting subsides
d.Assess the client’s vital signs and administer syrup of ipecac.
08. A nurse notices that a client with paranoid personality disorder demonstrates some instances of spying behaviors on other
clients on the unit. Which nursing intervention should the nurse institute?
a. Address the client’s actions that interfere with creating social relationships.
b. Talk with the client about the need to follow the rules established for the unit.
c. Encourage the client to evaluate and change personal thinking patterns.
d. Tell the client that his negative feelings are causing personality changes.
09. Which of the following characteristics is expected for a client with paranoid personality disorder who receives bad news?
a. The client is overly dramatic after hearing the facts
b. The client focuses on self to not become over-anxious
c. The client responds from a rational, objective point of view
d. The client doesn’t spend time thinking about the information.
10. A nurse is teaching a client about healthy interpersonal relationships. Which characteristic should the nurse include?
a. Minimal self-revelation
b. Willingness to risk self-revelation
c. Ego-dystonic behavior
d. Intimacy and merging of identities
11. A nurse is caring for a client who reports that she feels a choking sensation in her throat, a racing heart, and fearfulness.
These symptoms have occurred almost daily for the past 3 months. Suspecting a psychological component the nurse anticipates
administering:
a. benzodiazepines.
b. proton pump inhibitors.
c. nitroprusside.
d. lithium carbonate.
12. A nurse notices other clients on the unit avoiding a client diagnosed with antisocial personality disorder. When discussing appropriate behavior in group therapy, which of the following comments is expected about this client by his peers?
a. Lack of honesty
b. Belief in superstitions
c. Show of temper tantrums
d. Constant need for attention
13.Which of the following characteristics or client histories substantiates a diagnosis of antisocial personality disorder?
a.Delusional thinking
b.Feelings of inferiority
c.Disorganized thinking
d.Multiple criminal charges
14.Which of the following assessment findings is seen in a client diagnosed with borderline personality disorder?
a.Abrasions in various healing stages
b.intermittent episodes of hypertension
c.Alternating tachycardia and bradycardia
d.Mild state of euphoria with disorientation
15. A nurse is caring for a client who has generalized anxiety disorder. Which statement about this client is true?
a. The client has regular obsessions.
b. Relaxation techniques are necessary for cure.
c. Nightmares and flashbacks are common in this client.
d. His anxiety lasts longer than months.
16.Which of the following conditions is likely to coexist in clients with a diagnosis of borderline personality disorder?
a.Avoidance
b.Delirium
c.Depression
d.Disorientation
17.Which of the following information must be included for the family of a client diagnosed with dependent personality disorder?
a.Address coping skills
b.Explore panic attacks
c.Promote exercise programs
d.Decrease aggressive outbursts
18. A nurse is observing a client on a medical unit who’s pacing the room, shaking his head from side to side, and clasping and
unclasping his hands. As the nurse reviews the client’s health history, she should be alert for information about which medication
that could be linked to the client’s behavior?
a. Anticholinergics
b. Vasodilators
c. Antiemetics
d. Steroids
19. A nurse is caring for a client diagnosed with paranoid personality disorder in an acute care facility. Which intervention should the nurse use to control the client’s suspiciousness?
a. Keeping messages clear and consistent,while avoiding deception
b. Providing pharmacologic therapy
c. Providing social interactions with others on the unit
d. Attending to basic daily needs of the client on a consistent basis
20. A client is court mandated to attend an anger management course. The client uses an aggressive tone to ask the nurse who’s teaching the educational session, “Why can’t I talk the way I want?” Which is the best therapeutic response from the nurse?
a. “Sometimes our words don’t adequately express the point we want to make.”
b. “There’s often a problem when an attitude of superiority is shown to others.”
c. “Tomorrow you may feel differently and you can’t change the way you spoke today.”
d. “The way a person speaks can be a way of acting out intense feelings.”
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