Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 14: Personality Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
| 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
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