Chapter 29: Personality Disorders

Chapter 29: Personality Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which statement accurately applies to personality disorders?

a.	One aspect of personality is usually involved.
b.	Personality traits are dysfunctional and inflexible.
c.	Patients have subjective distress, but not impaired functioning.
d.	Symptoms have a short duration and are responsive to treatment.

 

 

ANS:  B

Patients with personality disorders suffer lifelong inflexible and dysfunctional patterns of relating and behaving. The patient experiences subjective distress, usually based on others’ reactions to him or her, and functioning is impaired. More than one aspect of personality is involved: personality disorders are described as pervasive. Behaviors are complex and difficult to manage.

 

DIF:    Cognitive level: Understanding        REF:   p. 356             TOP:   Nursing process: Planning

MSC:  NCLEX: Psychosocial Integrity

 

2. A patient demonstrating borderline personality disorder says, “When I met him, he was perfect and gave me everything. Now I know how bad he really is. He left me alone tonight to go out with others, so I had to cut myself.” Which feature is evident?

a.	Splitting
b.	Paranoia
c.	Grandiosity
d.	Submissiveness

 

 

ANS:  A

Splitting involves the inability to integrate the good and bad aspects of an object, so her boyfriend is seen as perfect or entirely bad, not as a person with some traits that she likes and some that she dislikes. Paranoid tendencies involve feelings of persecution. There is no indication that the patient is submissive or grandiose.

 

DIF:    Cognitive level: Applying                REF:   p. 359-360      TOP:   Nursing process: Evaluation

MSC:  NCLEX: Psychosocial Integrity

 

3. A patient has had long-term conflicts with two siblings over their parents’ wills. The patient reacts quickly with anger, suspicious that the siblings are plotting to take all the inheritance. These characteristics are most consistent with which personality disorder?

a.	Schizoid
b.	Paranoid
c.	Borderline
d.	Narcissistic

 

 

ANS:  B

The characteristics mentioned in the scenario fit the description of paranoid personality disorder. Schizoid personality is characterized by shyness, withdrawal, and poor social relationships. Borderline personality is characterized by problems with identity, self-image, mood, and impulsivity. Narcissistic personality is characterized by self-importance, grandiosity, and a sense of entitlement.

 

DIF:    Cognitive level: Applying                REF:   p. 357             TOP:   Nursing process: Evaluation

MSC:  NCLEX: Psychosocial Integrity

 

4. The nurse working with a patient diagnosed with borderline personality disorder expects:

a.	grief and social isolation.
b.	withdrawal and social avoidance.
c.	mood shifts, impulsivity, and manipulation.
d.	seductiveness, grandiosity, and overreaction.

 

 

ANS:  C

Characteristic behaviors of individuals with borderline personality disorder include rapid mood shifts, impulsive acting out, and manipulation of others, as well as problems with identity, dependency, self-mutilation, and unstable, intense interpersonal relationships.

 

DIF:    Cognitive level: Applying                REF:   p. 357             TOP:   Nursing process: Planning

MSC:  NCLEX: Psychosocial Integrity