Chapter 28- Antisocial Personality and Other Personality and Impulse My Nursing Test Banks

 

1.

The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the clients affect and behavior will most likely be which of the following?

A)

Angry and hostile

B)

Flirtatious and seductive

C)

Fearful and anxious

D)

Friendly and open

2.

The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include?

A)

Social skills training

B)

Anger management training

C)

Relaxation techniques

D)

Coping skills training

3.

A nursing instructor is preparing a teaching plan for a class of nursing students about antisocial personality disorder. Which of the following would the nurse include as a term often used to describe the behaviors associated with this condition? Select all that apply.

A)

Psychopath

B)

Manipulator

C)

Criminality

D)

Sociopath

E)

Psychotic

4.

A nurse is reading a journal article about the various theories associated with the development of antisocial personality disorder. The article mentions difficult temperament as a possible theory. The nurse demonstrates understanding of this concept when identifying which of the following as a key behavior associated with a difficult temperament? Select all that apply.

A)

Aggression

B)

Inattention

C)

Hyperactivity

D)

Impulsivity

E)

Depression

F)

Paranoia

5.

A nurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which of the following would the nurse most likely include? Select all that apply.

A)

Developing a therapeutic relationship

B)

Bargaining about the unit rules

C)

Holding the client responsible for behavior

D)

Discouraging client from discussing thoughts

E)

Using a firm, lecture-like approach for teaching

6.

A nurse is working with the family of a client who has been diagnosed with antisocial personality disorder. Which of the following would be most important for the nurse to focus on when teaching the family about this disorder?

A)

Anger management

B)

Boundary setting

C)

Medication therapy

D)

Self-responsibility

7.

A group of nursing students is reviewing information about antisocial personality disorder. The students demonstrate understanding of this disorder when they state which of the following?

A)

The disorder occurs more frequently in women.

B)

The individual must be at least 18 years of age.

C)

The disorder is found primarily in Asian individuals.

D)

Alcohol abuse disorder rarely accompanies this disorder.

8.

A nurse is providing care to a client with antisocial personality disorder. As part of the plan of care, the client is to participate in a problem-solving group. The nurse understands that this intervention is effective based on which rationale?

A)

It requires the client to develop attachments.

B)

It sets up specific boundaries for the client.

C)

It helps reinforce self-responsibility.

D)

It avoids confrontation about dysfunctional patterns.

9.

The nurse is reviewing the medical record of a client diagnosed with antisocial personality disorder. The nurse notes that the client has had numerous episodes involving irritability, aggressiveness, and impulsivity and has exhibited callousness toward others. Based on this information, which nursing diagnosis would the nurse most likely identify as a priority?

A)

Risk for Other-Directed Violence

B)

Risk for Self-Injury

C)

Risk for Suicide

D)

Risk for Self-Directed Violence

10.

A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply.

A)

Magical beliefs

B)

Hallucinations

C)

Paranoia

D)

Avoidance of eye contact

E)

Meticulous dress

11.

A nurse is assessing a client diagnosed with avoidant personality disorder. Which of the following would the nurse most likely expect to find? Select all that apply.

A)

Shyness

B)

Feelings of inadequacy

C)

Feelings of superiority

D)

Perfectionism

E)

Detail oriented

12.

A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?

A)

Depression

B)

Substance abuse

C)

Avoidant personality disorder

D)

Anxiety

13.

A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurses suspicions?

A)

I have a very important position in life; everyone I know wants to be like me.

B)

My wife is poisoning my food so she can get rid of me and marry her boss.

C)

I like to work alone because then I can let my thoughts wander.

D)

Im always the life of the party, making new friends all the time.

14.

A nurse is developing a teaching plan for a client with an impulse-control disorder. The nurse is planning to explain the emotional aspects associated with the behavior as part of the plan. Which of the following would the nurse describe as occurring first before the individual commits the act?

A)

Remorse

B)

Tension

C)

Regret

D)

Pleasure

15.

A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hair ball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?

A)

Kleptomania

B)

Trichotillomania

C)

Pyromania

D)

Intermittent explosive disorder

16.

A nurse is working with a client who is a compulsive gambler. Which of the following would the nurse emphasize as crucial for relapse prevention? Select all that apply

A)

Medication therapy

B)

Family involvement

C)

Identification of triggers

D)

Anger management

E)

Milieu management

17.

A nursing instructor is describing depressive and negativistic personality traits to a group of nursing students. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of negativistic personality traits? Select all that apply.

A)

Anhedonia

B)

Hostility

C)

Pessimism

D)

Oppositionality

E)

Guilt

Answer Key

1.

A

2.

A

3.

A, D

4.

A, B, C, D

5.

A, C

6.

B

7.

B

8.

C

9.

A

10.

A, C, D

11.

A, B

12.

C

13.

A

14.

B

15.

B

16.

B, C

17.

B, D, E

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