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MH Final Exam 7-10

Quiz by Heather Silvani

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87 questions
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  • Q1
    Which predisposing factor would be implicated in the etiology of an avoidant personality disorder?
    Parental rejection and censure
    Parental approval only when behaviors met parental expectations
    Parental bleakness and pervasive, unfeeling coldness
    Parents were demanding and perfectionist with unrealistic expectations
  • Q2
    A client is being assessed for schizotypal personality disorder. The nurse would expect to note all of the following behaviors except:
    The client is extremely vulnerable and constantly on the defensive. The client has an intense fear of making mistakes, leading to difficulty with decision-making.
    Under stress, the client may decompensate and demonstrate various psychotic behaviors.
    The client experiences magical thinking and ideas of reference.
    The client is aloof and may have an affect that is bland or inappropriate.
  • Q3
    The nurse expects to establish a supportive therapeutic relationship with a client diagnosed with schizotypal personality disorder. Which nursing intervention is most appropriate?
    Encourage client to gradually verbalize hostile feelings.
    Present reality when client is experiencing magical thinking.
    Remove all dangerous objects from the environment.
    Set limits on acting-out behaviors and explain consequences.
  • Q4
    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?
    Assess for self-injurious intent and available means.
    Observe the client’s behavior frequently.
    Place the client in strict seclusion.
    Help the client identify situations that provoke defensiveness.
  • Q5
    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.
  • Q6
    A client is diagnosed with narcissistic personality disorder. All of the following symptoms must be present to be assigned to this diagnosis except:
    The client’s relationships are largely superficial and exist to serve self-esteem.
    The client’s personal standards are unreasonably high based on a sense of entitlement.
    The client is reluctant to get involved with people unless certain of being liked.
    The client’s exaggerated self-appraisal may be inflated, deflated, or vacillate between extremes. The client’s goal setting is based on gaining approval from others.
  • Q7
    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.
    “Individuals consider relationships to be more intimate then they actually are.”
    “Individuals read hidden threatening meanings into benign remarks.”
    “Individuals always seem to be in a state of crisis.” “Individuals have little tolerance for being alone and have chronic fear of abandonment.” “Individuals manifest an inability to integrate and accept both positive and negative feelings.”
  • Q8
    A client is being assessed for dependent personality disorder. The nurse would expect to note all of the following behaviors except:
    The client has an ability to work diligently and patiently at tasks that require accuracy and discipline. The client is unable to tolerate being alone.
    The client is overly generous and thoughtful and underplays his or her own attractiveness and achievements.
    The client lacks confidence in his or her ability to care for self.
    The client may appear to others to “see the world through rose-colored glasses.”
  • Q9
    During group therapy, which client action should a nurse identify as the dramatic and extroverted behavior commonly associated with histrionic personality disorder?
    The client laughingly declares that her cat is actually her grandmother reincarnated.
    The client suddenly cuts her wrist with a broken light-bulb shard.
    The client lights up a cigarette and demands the right to receive special consideration for her habit.
    The client suddenly lifts her blouse and exposes her breasts to her peers.
  • Q10
    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?
    Symptom relief psychopharmacology
    Individual psychotherapy Telephone contact
    Group skills training
    Therapist consultation/team meeting
  • Q11
    A client is being assessed for antisocial personality disorder. The nurse would expect to note all of the following behaviors except:
    The client is socially irresponsible, exploitive, and exhibits guiltless behavior.
    The client attempts suicide and self-injurious behaviors.
    The client lacks warmth and compassion and displays a brusque and belligerent manner.
    The client has difficulty sustaining consistent employment and stable relationships. The client exhibits a low tolerance for frustration and is unable to delay gratification.
  • Q12
    Obsessive-compulsive personality disorder is charac- terized by being perfectionistic, overly disciplined, and preoccupied with rules, whereas schizotypal personality disorder is characterized by being:
    Extremely sensitive to rejection, which leads to a socially withdrawn life
    Aloof, isolative, while behaving in a bland and apathetic manner
    Overly self-centered, while exploiting others to fulfill own desires
    Overly generous and thoughtful while underplaying own worth
  • Q13
    Which of the following is more likely to use a lethal method for suicide?
  • Q14
    How would the nurse differentiate a client diagnosed with panic disorder from a client diagnosed with generalized anxiety disorder (GAD)?
    Chest pain is a common GAD symptom, whereas this symptom is absent in panic disorders.
    Depersonalization is commonly seen in panic disorder and absent in GAD.
    GAD is acute in nature, and panic disorder is chronic.
    Hyperventilation is a common symptom in GAD and rare in panic disorder.
  • Q15
    Which treatment should the nurse identify as most appropriate for clients diagnosed with GAD?
    Long-term treatment with diazepam (Valium)
    Long-term treatment with buspirone (BuSpar)
    Acute symptom control with citalopram (Celexa)
    Acute symptom control with ziprasidone (Geodon)

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