Valfre Ch 30 Personality Disorders

Infants who experience nurturing environments develop the ability to:

a. Test others.

b. Trust others.

c. Manipulate others.

d. Model others behaviors.

b. Trust others.

Behavioral theorists see personality disorders as the result of:

a. Social stressors

b. Conditioned responses

c. Neurophysical problems

d. An imbalance among the three forces of the personality

b. Conditioned responses

Paranoid personality disorders are diagnosed more often in:

a. Men

b. Women

c. Children

d. Adolescents

a. Men

Studies of families, twins, and relatives with personality disorders have demonstrated that the developing personality is influenced by:

a. Genetics

b. Order of birth

c. Financial factors

d. Number of siblings

a. Genetics

The group of personality disorders characterized by odd or strange behaviors is known as the ____ cluster.

a. Erratic

b. Fearful

c. Eccentric

d. Obsessive-compulsive

c. Eccentric

The central feature of one of our most pressing mental health problems today is a pervasive pattern of disregard for, and violation of, the rights of others. This personality disorder is called:

a. Avoidant

b. Paranoid

c. Dependent

d. Antisocial

d. Antisocial

The client relies on deceit and manipulation to get his own way. He seems to have a complete lack of conscience. His goal is always self- gratification at the other persons expense. He is referred to as:

a. A nerd

b. A psychotic

c. A psychopath

d. Narcissistic

c. A psychopath

The childhood trait that increases the risk for developing an antisocial personality disorder is:

a. Poor impulse control

b. Frequent reading in solitude

c. Poor preschool learning practices

d. Difficulty controlling others in the environment

a. Poor impulse control

The client is a 38-year-old woman with a diagnosis of narcissistic personality disorder. Behaviors associated with this diagnosis are:

a. Avoidant

b. Odd or eccentric

c. Attention seeking

d. Reflective of lack of trust in others

c. Attention seeking

The client is unable to make a decision by herself. She clings to her husband and quickly moves to fill his requests. Although she sometimes appears angry, her emotions are not expressed. The clients diagnosis is:

a. Neuroticism

b. Paranoid personality disorder

c. Dependent personality disorder

d. Narcissistic personality disorder

c. Dependent personality disorder

The nurse is planning goals for a male client with the diagnosis of personality disorder. What is the main goal of the clients therapy?

a. To adjust to his medications

b. To learn to get along with others

c. To learn to control his environment

d. To become aware of how his behavior affects his life

d. To become aware of how his behavior affects his life

In treating clients with personality disorders, compliance with prescribed medications must be monitored frequently and safeguards must be put in place to prevent or reduce the risk for:

a. Deceit

b. Suicide

c. Homicide

d. Manipulation

b. Suicide

A male client has schizotypal personality disorder. A female client compliments him on his style of dressing, and he interprets this as her caring deeply for him and desiring to date him. What is the client experiencing?

a. Paranoia

b. Ideas of reference

c. Inappropriate affect

d. Delusions of grandeur

b. Ideas of reference

A wife is discussing her co-worker with her husband. The wife states, I am so tired of her. She is always dressing in flamboyant clothing and pretends to have an accent. She doesnt relate well to any of our co-workers because she is so superficial. Which personality disorder is being described?

a. Paranoid

b. Impulsive

c. Histrionic

d. Narcissistic

c. Histrionic

Medications are used with extreme caution in clients with personality disorders because of their questionable effectiveness. If a client is receiving an antipsychotic medication, it is especially important for the nurse to monitor the client for side effects of:

a. Increased thirst and urination, nausea, and anorexia

b. Dry mouth, altered taste, sexual dysfunction, and dizziness

c. Bone marrow depression, gastrointestinal symptoms, and confusion

d. Extrapyramidal movements, dry mouth, blurred vision, and photophobia

d. Extrapyramidal movements, dry mouth, blurred vision, and photophobia

The daughter of an elderly man notices that her father has stopped seeing his friends for their daily walk and acts in an aggressive manner when anyone comes to his house. She states that he normally looks forward to interacting with his friends on a daily basis, and his general demeanor is friendly and caring. What does the nurse advise?

a. This is a normal part of aging and there should be no reason for concern.

b. The change in personality and behavior should be ignored as it is manipulative.

c. The change in personality and behavior should be evaluated.

d. The change in personality and behavior indicates it is time for nursing home placement.

c. The change in personality and behavior should be evaluated.

The 40-year-old woman who works at the same entry level job for many years without seeking advancement and politely declines when friends ask her to try new vacation spots or hobbies may be suffering from which personality disorder?

a. Histrionic

b. Paranoid

c. Schizoid

d. Avoidant

d. Avoidant

Two nurses are discussing a new patient during report. They discover that she has the staff divided on their opinion of her. One group has had very positive interactions with her and find her to be very cooperative. The other group has had a difficult time in gaining her compliance in treatment interventions. What action would be most appropriate in dealing with this situation?

a. Provide consistent limit setting with the client.

b. Assign the staff with the positive interactions to the clients care.

c. Work with the group experiencing the negative interactions to maintain an accepting attitude.

d. Take away privileges from the client until she changes her behavior.

a. Provide consistent limit setting with the client.

19. Clients suffering from a personality disorder usually do not seek treatment because they:

a. Do not have identifiable impairments

b. Cannot be treated

c. Are unable to recognize their problems

d. Often do not have health insurance

c. Are unable to recognize their problems