Which predisposing factor would be implicated in the etiology of an avoidant personality disorder?

A client is being assessed for schizotypal personality disorder. The nurse would expect to note all of the following behaviors except:

The nurse expects to establish a supportive therapeutic relationship with a client diagnosed with schizotypal personality disorder. Which nursing intervention is most appropriate?

Which nursing intervention takes priority when caring for a client with a nursing diagnosis: risk for other-directed violence R/T rage reactions, negative role-modeling, and the inability to tolerate frustration?

True or False: Borderline personality disorder is characterized by a pattern of intense and chaotic relationships with affective instability and fluctuating attitudes toward other people.

A client is diagnosed with narcissistic personality disorder. All of the following symptoms must be present to be assigned to this diagnosis except:

An instructor is teaching students about clients diagnosed with borderline personality disorder. Which of the following student statements indicate(s) an understanding of the teaching.

A client is being assessed for dependent personality disorder. The nurse would expect to note all of the following behaviors except:

During group therapy, which client action should a nurse identify as the dramatic and extroverted behavior commonly associated with histrionic personality disorder?

When employing dialectal behavior therapy (DBT) for a client diagnosed with borderline personality disorder, all of the following would be included in this therapy except?

A client is being assessed for antisocial personality disorder. The nurse would expect to note all of the following behaviors except:

Obsessive-compulsive personality disorder is charac- terized by being perfectionistic, overly disciplined, and preoccupied with rules, whereas schizotypal personality disorder is characterized by being:

Which of the following is more likely to use a lethal method for suicide?

How would the nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)?

Which treatment should the nurse identify as most appropriate for clients diagnosed with GAD?

Arthur, who is diagnosed with Obsessive-Compulsive Disorder (OCD), reports to the nurse that he can’t stop thinking about all the potentially life-threatening germs in the environment. Which is the most accurate way for the nurse to document this symptom?

A cab driver stuck in traffic is suddenly lightheaded, tremulous, and diaphoretic and experiences tachycardia and dyspnea. An extensive work-up in an emergency department reveals no pathology. Which medical diagnosis is suspected, and which nursing diagnosis is the priority?

A nursing instructor is teaching about the medications used to treat panic disorder. Which student statement indicates that learning has occurred?

A family member is seeking advice about an elderly parent who seems to worry unnecessarily about everything. The family member asks, “Should I seek psychiatric help for my mother?” Which is the nurse’s most appropriate reply?

A client is experiencing a severe panic attack. Which nursing intervention would meet this client’s immediate need?

A client living on the beachfront seeks help with an extreme fear of crossing bridges, which interferes with daily life. A psychiatric nurse practitioner decides to try systematic desensitization. Which explanation of this therapy should the nurse convey to the client?

A client diagnosed with OCD is admitted to a psychiatric unit. The client has an elaborate routine for toileting activities. Which should be the initial client outcome during the first week of hospitalization?

A client diagnosed with OCD spends hours bathing and grooming. During a one-on-one interaction, the client discusses the rituals in detail, but avoids any feelings that the rituals generate. Which defense mechanism should the nurse identify?

A client is newly diagnosed with OCD and spends 45 minutes folding clothes and rearranging them in drawers. Which nursing intervention would best address this client’s problem?

A client is prescribed alprazolam (Xanax) for acute anxiety. Which client history should cause the nurse to question this order?

Warren’s college roommate actively resists going out with friends whenever they invite him. He says he can’t stand to be around other people and confides to Warren “They wouldn’t like me anyway.” Which disorder is Warren’s roommate likely suffering from?

How would the nurse best describe the major maladaptive client response to panic disorder?

In which way can anxiety be distinguished from fear?

During an assessment interview, a client diagnosed with Antisocial Personality Disorder spits, curses, and refuses to answer questions. Which is the most appropriate nursing statement to address this behavior?

A highly emotional client presents at an outpatient clinic appointment wearing flamboyant attire, spiked heels, and theatrical makeup. Which personality disorder should the nurse associate with these assessment data?

A client diagnosed with Borderline Personality Disorder (BPD) brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. Which approach is best for the nursing staff to implement?

Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with BPD?

Which adult client should the nurse recognize as exhibiting the characteristics of a dependent personality disorder?

Family members of a client ask the nurse to explain the difference between schizoid and avoidant personality disorders. Which is the appropriate nursing reply?

During an interview, which client statement indicates to the nurse that a potential diagnosis of Schizotypal Personality Disorder should be considered?

Which client situation statement should the nurse identify as reflective of the impulsive behavior that is commonly associated with BPD?

Using a behavioral approach, which nursing intervention is most appropriate when caring for a client diagnosed with BPD?

Looking at a slightly bleeding paper cut, the client screams, “Somebody help me, quick! I’m bleeding. Call 911!” The nurse should identify this behavior as characteristic of which personality disorder?

When planning care for clients diagnosed with personality disorders, which treatment outcome should the nurse anticipate?

Which client statement would demonstrate a common characteristic of a cluster B personality disorder?

Sammy is diagnosed with a trauma disorder and is being treated at an inpatient psychiatric unit. Which nursing short-term goal is most appropriate for Sammy?

A client is diagnosed with PTSD. Which treatment modality exposes the client to repeated and prolonged mental recounting of the traumatic event?

The nurse is working with a client diagnosed with Somatic Symptom Disorder. What predominant symptoms should the nurse expect to assess?

Which is considered an appropriate outcome when planning care for an inpatient client diagnosed with Somatic Symptom Disorder?

A nursing instructor is teaching about the etiology of dissociative disorders from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?

A client diagnosed with DID switches personalities when confronted with destructive behavior. The nurse recognizes that this dissociation serves which function?

A client is diagnosed with DID. What is the primary goal of therapy for this client?

Which of the following statements accurately describes dissociative fugue?

Which should the nurse recognize as an example of localized amnesia?

Neurological tests have ruled out pathology in a client’s sudden lower-extremity paralysis. Which nursing care should be included for this client?

The family of a client diagnosed with conversion disorder asks the nurse, “Will his paralysis ever go away?” Which of these responses by the nurse is evidence based?

The nurse is educating a patient diagnosed with Munchausen Syndrome (factitious disorder). Which statement made by the nurse is most correct?

The nurse documents assessment findings of a patient who is unable to recall all specifics related to compound childhood traumas. Which disorder is the patient experiencing?

The nurse is caring for a patient diagnosed with Conversion Disorder. Which statement made by the nurse is most therapeutic for this patient?

Janie is a healthy female adolescent with no history of substance abuse who presents to the mental health clinic. Janie tells the nurse that she has experienced several episodes where she feels like she is watching a movie of herself where she is floating above and watching herself as an outside observer. Janie asks the nurse what is wrong with her. Which statement made by the nurse is most appropriate?

A high-school senior is diagnosed with Anorexia Nervosa and is hospitalized for severe malnutrition. The treatment team is planning to use behavior modification. Which should the nurse identify as the reasoning behind this therapy choice?

Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which information related to a client’s home environment should the nurse associate with the development of this disorder?

The nurse observes dental deterioration when assessing a client diagnosed with Bulimia Nervosa. Which best explains this assessment finding?

Which indicates the reason behavior modification programs are the treatment of choice for clients diagnosed with eating disorders?

The family of a client diagnosed with anorexia nervosa becomes defensive when the treatment team calls for a family meeting. Which is the most appropriate nursing reply?

A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should the nurse identify as an appropriate indicator of a positive client behavioral change?

A morbidly obese client is prescribed an anorexiant medication. The nurse should prepare to teach the client about which medication?

A nursing instructor is teaching students about the differences between the symptoms of anorexia nervosa and the symptoms of bulimia nervosa. Which student statement indicates that learning has occurred?

A client diagnosed with Bulimia Nervosa is to receive fluoxetine (Prozac) by oral solution. The medication is supplied in a 100-mL bottle. The label reads 20 mg/5 mL. The doctor orders 60 mg q day. How much should the nurse dispense?

The nurse is seeing a client in an outpatient clinic for treatment of anorexia nervosa. Which is the most appropriate, correctly written, short-term outcome for this client?

A nursing diagnosis of ineffective coping R/T feelings of loneliness AEB binging then purging when alone is assigned to a client diagnosed with bulimia Nervosa. Which is the most appropriate outcome related to this nursing diagnosis?

Which nursing intervention is appropriate when caring for clients diagnosed with either Anorexia Nervosa or Bulimia Nervosa?

An elderly client who lives with a caregiver is admitted to an emergency department for a fractured arm. The client is soaked in urine and has dried fecal matter on the lower extremities. The client is 6 feet tall and weighs 120 pounds. Which condition should the nurse suspect?

An elderly, emaciated client is brought to an emergency department by the client’s caregiver. The client has bruises and abrasions on the shoulders and back in multiple stages of healing. When directly asked about these symptoms, which type of client response should a nurse anticipate?

An elderly client has met the criteria for a diagnosis of Major Depressive Disorder. The client does not respond to antidepressant medications. Which treatment should a nurse anticipate that the physician would prescribe for this client?

According to the U.S. Census Bureau criteria, how would a nurse classify a 70-year-old man?

Which psychoneurotic responses to severe anxiety are identified in the DSM-5?

A mental health nurse is assessing a client. Which behaviors indicate the client is experiencing moderate anxiety?

A nursing instructor is teaching about the didactic aspects of cognitive therapy. Which student statement indicates a deficit in meeting the learning objectives of this content?

A psychiatric nurse is counseling a client who has thought patterns consisting of rapid responses to a situation without rational analysis. Which assessment data will the nurse document?

A nursing student states, “The instructor gave me a failing grade on my research paper. I know it’s because the instructor doesn’t like me.” Which cognitive error does the nurse recognize in this student’s statement?

An advanced practice nurse recommends that a client participate in cognitive therapy. The client asks, “What’s cognitive therapy and how can it help me?” Which is the nurse’s best reply?

A nursing assistant failed a prerequisite course toward admission to nursing school and states, “I will always be only a nursing assistant and never an RN.” The nursing advisor understands this is an example of which automatic thought?

A nursing instructor is teaching about dichotomous thinking. Which student statement indicates learning has occurred?

Using a cognitive approach, which intervention would the nurse choose to assist clients to manage anger without the use of violence?

A client diagnosed with Borderline Personality Disorder states, “Get out of here. No one cares about me or my situation!” Which nursing reply is an example of a cognitive intervention?

Which stage of development is most unstable and challenging regarding the development of personal identity?

A mother of a three (3)-year-old tells a clinic nurse that the child is constantly rebelling and having temper tantrums. The nurse most appropriately tells the mother to:

A 16 year old boy is hospitalized, according to Erik Erikson, what is an appropriate intervention?

A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson’s psychosocial development stages. the child is in which stage?

A toddler is 26 months old and has been recently admitted to the hospital. According to Erikson. which of the following stages is the toddler in?

A young adult is 20 years old and has been recently admitted to the hospital. According to Erikson. which of the following stages is the adult in?