Chapter 12 My Nursing Test Banks
Name: __________________________ Date: _____________
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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