Chapter 12 My Nursing Test Banks
Name: __________________________ Date: _____________
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1. |
The nurse is caring for a client who is exhibiting manipulative behaviors. The nurse would be correct in implementing which of the following? | |
| A) | Allowing for expression of feelings by the client | |
| B) | Negative reinforcement | |
| C) | Limit setting | |
| D) | Emphasis-guided imagery | |
|
2. |
The nurse is interviewing a client diagnosed with avoidant personality disorder. The nurse would expect this client to exhibit which of the following behaviors? | |
| A) | Preoccupation with details | |
| B) | Extreme shyness | |
| C) | Inability to make decisions | |
| D) | Manipulation | |
|
3. |
Which of the following would be listed as a cluster A personality disorder according to the DSM-IV-TR? | |
| A) | Paranoid | |
| B) | Obsessive-compulsive | |
| C) | Dependent | |
| D) | Avoidant | |
|
4. |
Which of the following would be inconsistent with the diagnosis of obsessive-compulsive personality disorder? | |
| A) | Focus on details | |
| B) | Stubbornness | |
| C) | Insecurity | |
| D) | Hoarding of items | |
|
5. |
A client diagnosed with borderline personality disorder who is self-mutilating has been admitted to the inpatient medical unit. Which of the following interventions would take priority for this client? | |
| A) | Identify the triggers of acting-out behaviors. | |
| B) | Develop a no-harm contract. | |
| C) | Explain the rules of the unit. | |
| D) | Encourage the client to participate in unit activities. | |
|
6. |
Which of the following behaviors would the nurse expect to assess in the client diagnosed with narcissistic personality disorder? | |
| A) | Sense of entitlement | |
| B) | Attention-seeking behavior | |
| C) | Unstable relationships | |
| D) | Blood stains on clothing | |
|
7. |
A client is upset with a nurse on the inpatient mental health unit. She states to another client, That nurse is mean and hates me. I want to have another nurse take care of me because that nurse is nice all the time. The client is exhibiting which manifestation of borderline personality disorder? | |
| A) | Dissociation | |
| B) | Impulse | |
| C) | Manipulation | |
| D) | Splitting | |
|
8. |
A client is diagnosed with histrionic personality disorder. The interventions should focus on which of the following behaviors? | |
| A) | Preoccupation with orderliness | |
| B) | Fear of disapproval | |
| C) | Dependency needs | |
| D) | Extreme egocentricity | |
|
9. |
Which of the following behaviors by the client diagnosed with dependent personality disorder would show progression toward increasing ability to problem solve? | |
| A) | Utilizing appropriate manners | |
| B) | Asking questions of the nurse | |
| C) | Exhibiting a relaxed posture | |
| D) | Gaining control over impulses | |
|
10. |
When assessing a client diagnosed with antisocial personality disorder, the nurse would expect to observe which of the following? | |
| A) | Deceit and dishonesty | |
| B) | Grandiose view of self | |
| C) | Inability to make self-care decisions | |
| D) | Preoccupation with orderliness | |
|
11. |
Which of the following thought patterns is consistent with the diagnosis of schizotypal personality disorder? | |
| A) | Self-absorbed thoughts | |
| B) | Magical thinking | |
| C) | Egocentric | |
| D) | Preoccupation with perfection | |
|
12. |
Which cluster of personality disorders exhibits anxious and fearful types of behavior? | |
| A) | Cluster A | |
| B) | Cluster B | |
| C) | Cluster C | |
| D) | Cluster D | |
|
13. |
A nurse is caring for a client diagnosed with borderline personality disorder. The nurse would expect which priority nursing diagnosis in the care plan? | |
| A) | Self-esteem disturbance, related to unmet dependency needs | |
| B) | Risk for violence, self-directed, related to self-mutilating behaviors | |
| C) | Impaired communication, related to social withdrawal | |
| D) | Impaired social interaction, related to indifference toward others | |
|
14. |
A client is being seen in the mental health clinic. When taking the health history, the nurse notes that the client has a history of vandalism, verbal assaults, and truancy. These behaviors are consistent with which of the following personality disorders? | |
| A) | Dependent personality disorder | |
| B) | Narcissistic personality disorder | |
| C) | Antisocial personality disorder | |
| D) | Borderline personality disorder | |
|
15. |
Which of the following clients diagnosed with a personality disorder feels a sense of entitlement? | |
| A) | Antisocial | |
| B) | Narcissistic | |
| C) | Histrionic | |
| D) | Dependent | |
|
16. |
Which personality disorder would be consistent with the nursing diagnosis of impaired social interaction, related to indifference toward others? | |
| A) | Schizoid personality disorder | |
| B) | Histrionic personality disorder | |
| C) | Dependent personality disorder | |
| D) | Antisocial personality disorder | |
|
17. |
When assessing a client diagnosed with borderline personality disorder, it would be most important for the nurse to assess for which of the following? | |
| A) | Inconsistencies between vocalizations and behaviors | |
| B) | Scars or cuts | |
| C) | Nonverbal behaviors | |
| D) | Resistance to questioning | |
|
18. |
A client diagnosed with antisocial personality disorder is being seen in the health clinic. Which of the following would be the most appropriate outcome for this client? | |
| A) | Increases interactions with others | |
| B) | Exhibits relaxed posture | |
| C) | Decreases manipulative behaviors | |
| D) | Gains control over impulses | |
|
19. |
Which of the following clusters of personality disorders is associated with odd or eccentric behaviors? | |
| A) | Cluster A | |
| B) | Cluster B | |
| C) | Cluster C | |
| D) | Cluster D | |
|
20. |
Which of the following personality disorders has an increased risk of abuse associated with it? | |
| A) | Histrionic | |
| B) | Dependent | |
| C) | Schizoid | |
| D) | Borderline | |
Answer Key
|
1. |
C |
|
2. |
B |
|
3. |
A |
|
4. |
C |
|
5. |
B |
|
6. |
A |
|
7. |
D |
|
8. |
D |
|
9. |
B |
|
10. |
A |
|
11. |
B |
|
12. |
C |
|
13. |
B |
|
14. |
C |
|
15. |
B |
|
16. |
A |
|
17. |
B |
|
18. |
D |
|
19. |
A |
|
20. |
B |
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