Chapter 14: Personality Disorders

Chapter 14: Personality Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Patients with antisocial personality disorder:

A.	Generally must have immediate gratification.
B.	Display a great deal of responsibility toward others.
C.	Display a great deal of anxiety.
D.	Have obsessive thoughts when in a social situation.

 

 

____     2.   Barbara is a new patient on your floor who is being assessed for several disorders, including suicide potential. You learn she attempts suicide every 6 to 12 months because she cannot tolerate living alone. She is unable to see two sides of a situation or an individual; they are either all good or all bad. You consider which of the following as a potential diagnosis for Barbara?

A.	Borderline personality disorder
B.	Multiple personality disorder
C.	Narcissistic personality disorder
D.	Antisocial personality disorder

 

 

____     3.   A nice-looking male patient is making suggestive comments to the female nursing staff. When he asks you for your phone number, you therapeutically respond:

A.	“I do not believe in dating patients.”
B.	“It is against the rules for me to date patients.”
C.	“I’ll think about it and let you know.”
D.	“You are very nice but our relationship is a professional one only.”

 

 

____     4.   When planning care for an individual with borderline personality disorder, nurses realize that the patient:

A.	Will not be able to make decisions.
B.	Will expect special treatment.
C.	Will “act out” when feeling afraid or disrespected.
D.	Will withdraw and become uncommunicative.

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  A

Antisocial personality disorder is a pattern of irresponsible, exploitive, and guiltless behavior with tendency to fail to conform to the law and exploit and manipulate others for personal gain.

 

PTS:   1                    REF:   Chapter 14: Personality Disorders; Antisocial Personality; page 219

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Personality disorders | Cognitive Level: Comprehension | Client Need: Psychosocial Integrity: Mental health concepts

 

2. ANS:  A

Borderline personality disorder is associated with intense and chaotic relationships as well as self-destructive, impulsive, and dramatic coping.

 

PTS:   1                    REF:   Chapter 14: Personality Disorders; Borderline Personality Disorder; page 220

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Personality disorders | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts

 

3. ANS:  D

This response clarifies the inappropriateness of the patient’s request and sets clear limits.

 

PTS:   1

REF:   Chapter 14: Personality Disorders; Table 14-1 Nursing Interventions for Personality Disorders; page 224

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Therapeutic nursing process | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication

 

4. ANS:  C

This response demonstrates understanding of the dynamics behind the behavior.

 

PTS:   1                    REF:   Chapter 14: Personality Disorders; Borderline Personality; page 220

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Personality disorders | Cognitive Level: Application | Client Need: Psychosocial Integrity: Mental health concepts

 

5. ANS:  D

This response promotes the patient taking responsibility to follow through on her feelings. Response A takes the responsibility away from the patient. Response B ignores the patient’s feelings. Response C is less effective with a borderline patient who may not understand her feelings.

 

PTS:   1

REF:   Chapter 14: Personality Disorders; Table 14-1 Nursing Interventions for Personality Disorders; page 224

KEY:  Integrated Processes: Nursing Process: Analysis | Content Area: Mental Health: Personality disorders | Cognitive Level: Application | Client Need: Psychosocial Integrity: Therapeutic communication