Chapter 14: Personality Disorders

Chapter 14: Personality Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When analyzing the behaviors of a 23-year-old who meets the criteria for antisocial personality disorder, the nurse recognizes that which nursing diagnosis would be pertinent to his care?

a.	Risk for self-mutilation
b.	Disturbed personal identity
c.	Impaired social interaction
d.	Social isolation

 

ANS: C

The patient with antisocial personality disorder is impulsive, manipulative, and dishonest. Patients with this disorder are frequently involved in illegal matters. Self-mutilation and disturbed identity are more appropriate for patients with borderline personality disorder. Social isolation would apply more readily to Cluster A disorders.

 

DIF:   Cognitive Level: Comprehension  REF:  Page 306        TOP:  Nursing Process: Diagnosis

MSC: NCLEX: Psychosocial Integrity

 

2. Which observation is supportive of a diagnosis of avoidant personality disorder?

a.	Talks about “my three failed marriages”
b.	Cries loudly whenever requests are denied
c.	Fears criticism from others, including staff
d.	Shows no remorse when accidentally breaking another patient’s bracelet

 

ANS: C

Symptoms suggesting an avoidant personality disorder include fear of rejection, avoidance of relationships, and censorship of expression of thoughts and feelings because of fear of a negative reaction. Borderline personality disorder presents with unstable interpersonal relationships, labile affect, and complaints of emptiness. Patients with histrionic personality disorders are overly dramatic, manipulative, and attention-seeking. Patients with schizoid personality disorder are indifferent to and lack concern for interpersonal contacts.

 

DIF:   Cognitive Level: Application        REF:  Page 305 | Page 307

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

 

3. Which behavior is supportive of a diagnosis of dependent personality disorder?

a.	Perceives personal behavior to be embarrassing
b.	Believes they are incapable of functioning independently
c.	Tends to exaggerate the potential dangers of ordinary situations
d.	Demands excessive attention from others whenever in a group situation

 

ANS: B

The dependent person must rely on others to make decisions and assume responsibility of major areas of his or her life. Low self-esteem and exaggeration are seen in avoidant personality disorder. Attention seeking is seen in narcissistic personality disorder.

 

DIF:   Cognitive Level: Application        REF:  Page 307

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

 

4. When planning care for a patient with antisocial personality disorder, which consideration has greatest importance?

a.	Addressing the demand for constant attention
b.	Teaching coping skills related to frustration tolerance
c.	Identifying behaviors related to well-developed superegos
d.	Managing the manipulative behaviors resulting from a charming persona

 

ANS: D

Patients with antisocial personality disorder are described as charming because of their ability to size up and manipulate others. Narcissistic patients demand constant attention. Patients with histrionic personality disorder do not tolerate delay of gratification or frustration. Patients with personality disorder have poorly developed superegos.

 

DIF:   Cognitive Level: Application        REF:  Page 306        TOP:  Nursing Process: Planning

MSC: NCLEX: Psychosocial Integrity

 

5. When a patient diagnosed with borderline personality disorder experiences the death of a beloved parent, which characteristic response will the nurse anticipate?

a.	Denies the death for a protracted period of time
b.	Exhibits several different psychotic thought processes
c.	Expresses extreme anger and rage by burning the parent’s clothes
d.	Becomes uncharacteristically helpful and attends to the funeral arrangements

 

ANS: C

If a significant person in the patient’s life dies, the patient with borderline personality disorder cannot mourn but often exhibits one or more of the six constituent states that include anger and rage. The other options are not characteristically seen as mourning behaviors in individuals with this diagnosis.

 

DIF:   Cognitive Level: Application        REF:  Page 304

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity