1) Which of the following statements is typical for a client diagnosed with a paranoid personality disorder? a) “I understand you’re the one to blame.” b) “I must be seen first; it’s not negotiable.” c) “I see nothing humorous in this situation.” d) “I wish someone would select the outfit for me.” 2) A nurse notices that a client is mistrustful and shows hostile behavior. Which of the following types of personality disorder is associated with these characteristics? a) Antisocial b) Avoidant c) Paranoid d) Borderline 3) A client with a diagnosis of narcissistic personality disorder has been given a day pass from the psychiatric hospital. The client is due to return at 6 pm. At 5 pm the client telephones the nurse in charge of the unit and says “6 o’clock is too early. I feel like coming back at 7:30.” The nurse would be most therapeutic by telling the client to: a) Return immediately, to demonstrate control. b) Return on time or restrictions will be imposed. c) Come back at 6:45, as a compromise to set limits. d) Come back as soon as possible or the police will be sent. 4) A nurse is orienting a new client to the unit when another client rushes down the hallway and asks the nurse to sit down and talk. The client requesting the nurse’s attention is extremely manipulative and uses socially acting-out behaviors when demands are unmet. The nurse should: a) Suggest that the client requesting attention speak with another staff member. b) Leave the new client and talk with the other client to avoid precipitating acting out behavior. c) Tell the interrupting client to sit down and be patient, stating, “I’ll be back as soon as possible.” d) Introduce the two clients and suggest that the client join the new client and the nurse on the tour. 5) 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. 6) A young, handsome man with a diagnosis of antisocial personality disorder is being discharged from the hospital next week. He asks the nurse for her phone number so that he can call her for a date. The nurse’s best response would be: a) “We are not permitted to date clients.” b) “No, you are a client and I am a nurse.” c) “I appreciate you, but our relationship is professional.” d) “It’s against my professional ethics to date clients.” 7) 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. 8) A client with a diagnosis of borderline personality disorder has negative feelings toward the other clients on the unit and considers them all to be “bad.” The nurse understands this defense is known as: a) Splitting b) Ambivalent c) Passive agression d) Reaction formation 9) The nursing diagnosis that would be most appropriate for a 22-year old client who uses ritualistic behavior would be: a) Ineffective coping b) Impaired adjustment c) Personal identity disturbance d) Sensory/perceptual alterations 10) A psychiatrist prescribes an anti-obsessional agent for a client who is using ritualistic behavior. A common anti-anxiety medication used for this type of client would be: a) fluvoxamine (Luvox) b) benztropine (Cogentin) c) amantadine (Symmetrel) d) diphenhydramine (Benadryl)

Personality disorders

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