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Psychiatric-Mental Health Nursing: Evidence-Based Concepts, Skills, and Practices

Wanda Mohr PhD RN FAAN

Chapter 25

Personality Disorders - all with Video Answers

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Chapter Questions

Problem 1

Which of the following concepts would the nurse incorporate into the plan of care for a client being treated for a personality disorder?
a. Psychoactive medications are prescribed to improve symptoms of the personality disorder.
b. Self-monitoring by the nurse is necessary to ensure an effective therapeutic relationship.
c. Group therapy, not individual therapy, is the preferred approach.
d. Comorbid issues are not addressed because the personality disorder is the major cause of other psychiatric symptoms.

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Problem 2

The nursing instructor teaches a group of students about the different clusters of personality disorders. For the instructor to determine that the teaching has been successful, which of the following disorder(s) would the students identify as belonging to Cluster C? Select all that apply.
a. Avoidant personality disorder.
b. Histrionic personality disorder.
c. Borderline personality disorder.
d. Antisocial personality disorder.
e. Paranoid personality disorder.
f. Obsessive-compulsive personality disorder.

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02:44

Problem 3

A 20-year-old client displays behaviors such as fighting, lying, and stealing. The client has been arrested several times for attempted burglary and assault. Review of his medical record reveals that he was diagnosed with a conduct disorder at 15 years of age. The nurse suspects which personality disorder?
a. Borderline personality disorder.
b. Antisocial personality disorder.
c. Narcissistic personality disorder.
d. Histrionic personality disorder.

Dennis Howard
Dennis Howard
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Problem 4

While interviewing a client diagnosed with schizoid personality disorder, the nurse notes that the client has a flat affect and is not communicative. The nurse accurately attributes this behavior to which of the following causes?
a. The comorbid major depression associated with schizoid personality disorder.
b. The failure to conform associated with schizoid personalities.
c. The severely limited social interest associated with schizoid personality disorder.
d. The paranoid delusions associated with schizoid personality disorder.

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Problem 5

A client with narcissistic personality disorder is terminating treatment soon. The nurse considers the plan of care effective when the client exhibits which of the following outcomes?
a. The client can see others as people.
b. The client can make social contacts.
c. The client no longer expresses suicidal thoughts.
d. The client agrees to participate in assertiveness training.

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