ito yung may treatment sa personality disorder

Which disorder is characterized by pervasive mistrust and suspiciousness of others?

A. Paranoid personality disorder

B. Schizoid personality disorder

C. Histrionic personality disorder

D. Dependent personality disorder

Paranoid personality disorder

Of the following personality disorders, which are most likely related to lack of caring about others? Select all that apply.

A) Schizotypal personality disorder

B) Borderline personality disorder

C) Antisocial personality disorder

D) Narcissistic personality disorder

E) Obsessiveñcompulsive personality disorder

Schizotypal personality disorder

Antisocial personality disorder

Narcissistic personality disorder

Which would most likely be a type of behavior that would be manifested by a client who has histrionic personality disorder?

A) Insisting that others follow the rules of the unit

B) Wondering why others are being friendly to her

C) Having a tantrum if not getting enough attention

D) Getting others to make decisions for her

Having a tantrum if not getting enough attention

Which thought process would cause a client with antisocial personality disorder to want to do everything for himself?

A) Belief in his own self-worth

B) Inability to delay gratification

C) Rewards for competitive behavior

D) Sense of mistrust of others

Sense of mistrust of others

Which term describes the extent to which a person considers himself to be an integral part of the universe?

A) Cooperativeness

B) Self-directedness

C) Self-transcendence

D) Character

Self-transcendence

A person with temperament traits of high harm avoidance would most likely suffer from which personality disorder?

A) Schizoid

B) Avoidant

C) Narcissistic

D) Antisocial

Avoidant

Which of the following is a psychosocial explanation for the development of personality disorders?

A) Highly self-directed people reflect uncooperativeness and intolerance.

B) Cooperative people become increasingly helpless over time.

C) Failure to complete a developmental task jeopardizes future personality development.

D) Self-transcendence contributes to self-consciousness and materialism.

Failure to complete a developmental task jeopardizes future personality development.

The nurse is planning the type of approach that will be most effective in developing a therapeutic relationship with the client. The nurse should use a matter-of-fact approach with clients with which types of personality disorders? Select all that apply.

A) Paranoid

B) Antisocial

C) Schizotypal

D) Narcissistic

E) Avoidant

Paranoid

Antisocial

Narcissistic

The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action on him. Which is the best rationale for this intervention?

A) It will assist the client to start basing decisions and actions on reality.

B) It will help the client understand the origins of his or her paranoid thinking.

C) It will help the client learn to trust other people.

D) It will teach the client to differentiate when his or her suspicions are true.

It will assist the client to start basing decisions and actions on reality.

The nurse is teaching a client with schizoid personality to function more comfortably with others in the community. Which nursing intervention would be effective to improve the client's social skills?

A) Teach the client to make necessary requests in writing or over the phone.

B) Accompany the client during initial interactions in the community.

C) Suppress the display of any unusual behaviors in public.

D) Assist in developing an explanation for bizarre behaviors to offer to others in the community.

Teach the client to make necessary requests in writing or over the phone.

Which of the following is a realistic outcome for the care of a person with a personality disorder?

A) Outcomes that focus on satisfaction with daily life

B) Outcomes that focus on the client's perception of others

C) Outcomes that focus on increased client insight

D) Outcomes that focus on change in behavior

Outcomes that focus on change in behavior

A client with antisocial personality disorder is begging to use the phone to call his wife, even though it is against the unit rules. The client begs, ìIt is just this once, and she will be so hurt if I don't call her.î Which would be the most appropriate response by the nurse?

A) Only to help your wife, you can call this time.

B) I will get in trouble with my supervisor if I let you call.

C) You may not use the phone to call your wife.

D) You cannot call because you need to focus on your recovery while you are here, not your wife

You may not use the phone to call your wife

Which is the main reason why the periodic team meetings are important when caring for a client with antisocial personality?

A) The team needs to consider updating treatment recommendations as the client improves.

B) Rotating team members need to be apprised of the care planned for the client.

C) Staff frustrations in caring for the client need to be processed.

D) Team consistency is important to prevent manipulation by the client.

Team consistency is important to prevent manipulation by the client.

A client with borderline personality disorder says to the nurse, ìI feel so comfortable talking with you. You seem to have a special way about you that really helps me.î Which would be the most appropriate response by the nurse?

A) ìI'm glad you feel comfortable with me.î

B) ìI'm here to help you just as all the staffs are.î

C) ìYou feel others don't understand you?î

D) ìI cannot be your friend. We need to be clear on that.

I'm here to help you just as all the staffs are

When establishing a relationship with a client who has borderline personality disorder, which is most important for the nurse to do?

A) Aggressively confront the client about boundary violations.

B) Limit interactions to 10 minutes at a time.

C) Respect the client's boundaries at all times.

D) Tell the client the relationship will last as long as the client wishes.

Respect the client's boundaries at all times.

When planning care for a client with passive-aggressive personality disorder, the nurse will need to include interventions for which behavior?

A) Avoidance of anxiety-provoking situations

B) Compulsive needs for perfection and praise

C) Dependence on others for decisions

D) Procrastination and intentional inefficiency

Procrastination and intentional inefficiency

Which nursing interventions are most important in a plan of care for a client with histrionic personality disorder? Select all that apply.

A) Teach social skills.

B) Assist the client to eliminate passive behavior.

C) Provide factual feedback about behavior.

D) Try to meet the client's needs for attention.

E) Acceptance of the behavior.

Teach social skills.

Provide factual feedback about behavior.

A client with dependent personality disorder has a goal to increase her problem-solving skills. Which client behavior would indicate progress toward meeting that goal?

A) Asking questions

B) Being polite

C) Controlling emotional outbursts

D) Requesting assistance appropriately

Asking questions

The nurse is talking to a client with schizoid personality disorder about finding a job. Which suggestion by the nurse would be most helpful?

A) ìBeing a loner really limits your employment opportunities.î

B) ìMaybe your friend could see if there is a night position available at the

convenience store.î

C) ìPerhaps working part-time at a fast-food restaurant would be something you

could do.î

D) ìThere is a job posting at the hospital for a file clerk in medical records.î

There is a job posting at the hospital for a file clerk in medical records.

Which are important in the limit-setting technique to deal with manipulative behavior? Select all that apply.

A) Stating the behavioral limit

B) Identifying the consequences if the limit is exceeded

C) Identifying the expected or desired behavior

D) Providing choices

E) Allowing flexibility

Stating the behavioral limit

Identifying the consequences if the limit is exceeded

Identifying the expected or desired behavior

The nurse teaches an antisocial client to take a time-out in his room when challenged by another person instigating an argument. What is the main reason for the time-out?

A) It allows time for the instigator to leave the area.

B) It allows adequate space between the client and the instigating individual.

C) It prevents the client from experiencing negative consequences of behavior.

D) It allows an opportunity for the client to regain control of emotions.

It allows an opportunity for the client to regain control of emotions.

A nurse is teaching a client with borderline personality disorder to reshape thinking patters. Which is an example of a cognitive restructuring technique that would be helpful for this client?

A) When negative thoughts begin, tell yourself ìstop.î

B) Learn to look at situations realistically rather than assuming the worst.

C) Recognize negative thoughts and replace them with positive ones.

D) Express needs using ìIî statements.

Recognize negative thoughts and replace them with positive ones.

Upon admission, a client with a personality disorder identified the following as areas of concern for which the client would like help. According to studies, which will most likely be addressed by the health-care team?

A) Psychological distress

B) Self-care

C) Sexual expression

D) Budgeting

Psychological distress

A female client with borderline personality was formerly cooperative with the treatment regimen. Suddenly, the client believes the staff is working against her and is refusing all interaction and participation in treatment. The nurse feels very frustrated by this client's behavior. What is the best action for the nurse to take regarding personal frustration with this client?

A) Discuss the feelings of frustration with the client in a one-to-one interaction.

B) Discuss the frustration with a colleague or supervisor in a private setting.

C) Set aside the frustration and focus on reassessing the client's needs.

D) Research the client's diagnosis further to better understand the client's behaviors.

Discuss the frustration with a colleague or supervisor in a private setting.

Which challenges are posed when working with clients with personality disorders? Select all that apply.

A) Clients with personality disorders are obviously unable to function more

effectively.

B) It can take a long time to change their behaviors, attitudes, or coping skills.

C) The nurse can easily but mistakenly believe the client simply lacks motivation or the willingness to make changes.

D) Clients with personality disorders challenge the ability of therapeutic staff to work as a team.

E) Team members may have differing opinions about individual

It can take a long time to change their behaviors, attitudes, or coping skills

The nurse can easily but mistakenly believe the client simply lacks motivation or the willingness to make changes.

Clients with personality disorders challenge the ability of therapeutic staff to work as a team.

Team members may have differing opinions about individual

Which techniques are important for nurses caring for clients with personality disorders to use in order to effectively provide care? Select all that apply.

A) Discuss feelings of anger or frustration with colleagues to help them recognize and cope with their own feelings.

B) Considering the client to be a personal friend.

C) Employ ongoing communication with team members to remain firm and

consistent about expectations for clients.

D) Solving the problems of the client.

E) Understanding that behavior changes in clients with personality disorders can occur quickly

Discuss feelings of anger or frustration with colleagues to help them recognize and cope with their own feelings.

Employ ongoing communication with team members to remain firm and

consistent about expectations for clients.

When working with a client with a narcissistic personality disorder, the nurse would use which approach?

a.Cheerful

b.Friendly

c.Matter-of-fact

d.Supportive

Matter-of-fact

Which underlying emotion is commonly seen in an avoidant personality disorder?

a.Depression

b.Fear

c.Guilt

d.Insecurity

Fear

Cognitive restructuring techniques include all of the following, except

a.decatastrophizing.

b.positive self-talk.

c.reframing.

d.relaxation.

relaxation

Transient psychotic symptoms that occur with borderline personality disorder are most likely treated with which type of drug?

a.Anticonvulsant mood stabilizers

b.Antipsychotics

c.Benzodiazepines

d.Lithium

Antipsychotics

Clients with a schizotypal personality disorder are most likely to benefit from which nursing intervention?

a.Cognitive restructuring techniques

b.Improving community functioning

c.Providing emotional support

d.Teaching social skills

Improving community functioning

When interviewing any client with a personality disorder, the nurse would assess for which?

a.Ability to charm and manipulate people

b.Desire for interpersonal relationships

c.Disruption in some aspects of his or her life

d.Increased need for approval from others

Disruption in some aspects of his or her life

The nurse would assess for which characteristics in a client with narcissistic personality disorder?

a.Entitlement

b.Fear of abandonment

c.Hypersensitivity

d.Suspiciousness

Entitlement

The most important short-term goal for the client who tries to manipulate others would be to

a.acknowledge own behavior.

b.express feelings verbally.

c.stop initiating arguments.

d.sustain lasting relationships.

acknowledge own behavior.

When working with a client with a personality disorder, the nurse would expect to assess which?

a.High levels of self-awareness

b.Impaired interpersonal relationships

c.Inability to empathize with others

d.Minimal insight

e.Motivation to change

f.Poor reality testing

Impaired interpersonal relationships

Inability to empathize with others

Minimal insight

The nurse working with a client with antisocial personality disorder would expect which behaviors?

a.Compliance with expectations and rules

b.Exploitation of other clients

c.Seeking special privileges

d.Superficial friendliness toward others

e.Utilization of rituals to allay anxiety

f.Withdrawal from social activities

Exploitation of other clients

Seeking special privileges

Superficial friendliness toward others

What is the most effective therapy for Borderline Personality Disorder (BPD)?
A. Cognitive Behavioral Therapy (CBT)
B. Dialectical Behavior Therapy (DBT)
C. Exposure Therapy
D. Family Therapy

Dialectical Behavior Therapy (DBT)

Which therapy is especially effective for treating core childhood schemas in Avoidant Personality Disorder?
A. Dialectical Behavior Therapy (DBT)
B. Mentalization-Based Therapy (MBT)
C. Schema Therapy
D. Exposure Therapy

Schema Therapy and CBT

The best-supported therapy for Narcissistic Personality Disorder is:
A. Psychodynamic Therapy
B. Schema Therapy
C. DBT
D. Behavioral Activation

Schema Therapy and Psychodynamic Therapy

Which approach is best for treating Obsessive-Compulsive Personality Disorder (OCPD)?

CBT

A person with Histrionic Personality Disorder is most likely to benefit from:
A. Group Therapy
B. CBT or Psychodynamic Therapy
C. Narrative Therapy
D. Behavior Modification

B. CBT or Psychodynamic Therapy

For someone with Dependent Personality Disorder, the most effective approach is:
A. DBT
B. Behavioral Therapy
C. CBT with assertiveness training
D. Narrative Therapy

Which approach is best for treating Paranoid Personality Disorder?
A. Group Therapy
B. Exposure Therapy
C. Supportive Psychotherapy + CBT
D. DBT

Supportive Psychotherapy + CBT