Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
Principles And Practice of Psychiatric Nursing,10th Edition by Gail Wiscarz Stuart
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Chapter 21: Social Responses and Personality Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | narcissistic. |
| b. | enmeshed. |
| c. | disconnected. |
| d. | interdependent. |
ANS: D
Interdependent relationships allow reliance on others as well as independence. Each lets the other be dependent or independent without needing to control the person’s behavior.
DIF: Cognitive Level: Comprehension REF: Text Page: 382
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | The patient’s coping skills are severely impaired by cognitive impairment. |
| b. | The patient’s maladaptive behaviors involve only a single aspect of personality. |
| c. | The patient has enduring ways of relating that often provoke negative reactions. |
| d. | The patient has considerable resilience when faced with stressful life situations. |
ANS: C
The three features of personality disorders are (1) the individual has acquired few strategies for relating, and his or her approaches are inflexible and maladaptive; (2) the individual’s needs, perceptions, and behavior tend to foster vicious circles that continue unhelpful patterns and provoke negative reactions from others; and (3) the individual’s adaptation is characterized by tenuous stability, fragility, and lack of resilience when faced with stress. The patient’s treatment plan is directed toward improvement of patient condition, but it does not guarantee improvement or cure.
DIF: Cognitive Level: Comprehension REF: Text Page: 385
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | “The only reason for interacting is to take advantage of others.” |
| b. | “‘Live and let live’ is as good a philosophy as any to live by.” |
| c. | “I’ve always found that ‘help one another’ is a good policy.” |
| d. | “I’ll be your doormat. Feel free to take advantage of me.” |
ANS: A
Antisocial individuals are exploitative and manipulative. They prefer to control others to avoid being controlled. The attitudes of “live and let live” and “help one another” are not reflective of an individual with antisocial personality disorder since they are incapable of empathy or sympathy. Being a “doormat” reflects a poor sense of self-esteem and personal worth.
DIF: Cognitive Level: Application REF: Text Page: 386
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | risk for self-directed injury. |
| b. | impaired social interaction. |
| c. | disturbed personal identity. |
| d. | disturbed sensory perception. |
ANS: B
Impaired social interaction describes a state in which the person participates in insufficient, excessive, or ineffective social exchange. The remaining options are not typically exhibited by a patient with antisocial personality disorder.
DIF: Cognitive Level: Application REF: Text Page: 386
TOP: Nursing Process: Diagnosis|Nursing Process: Analysis
MSC: NCLEX: Psychosocial Integrity
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