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Psych |/NUR |/ 211 |/Practice |/Questions |/with
|/answers
The |/nursing |/diagnosis |/that |/would |/be |/most |/appropriate |/for |/a |/22-year |/old |/client |/who |/uses |/ritualistic |/behavior |/would |/be: A Ineffective |/coping B Impaired |/adjustment C Personal |/identity |/disturbance D Sensory/perceptual |/alterations |/- |/CORRECT |/ANSWERS |/✔✔A |/ Ineffective |/coping |/is |/the |/impairment |/of |/a |/person's |/adaptive |/behaviors |/and |/problem-solving |/abilities |/in |/meeting |/life's |/demands; |/ritualistic |/behavior |/fits |/under |/this |/category |/as |/a |/defining |/characteristic. A |/20-year |/old |/college |/student |/has |/been |/brought |/to |/the |/psychiatric |/hospital |/by |/her |/parents. |/Her |/admitting |/diagnosis |/is |/borderline |/personality |/disorder. |/When |/talking |/with |/the |/parents, |/which |/information |/would |/the |/nurse |/expect |/to |/be |/included |/in |/the |/client's |/history? |/Select |/all |/that |/apply.
A
Impulsiveness B Lability |/of |/mood C Ritualistic |/behavior D psychomotor |/retardation E Self-destructive |/behavior |/- |/CORRECT |/ANSWERS |/✔✔A,B,E A |/hospitalized |/client, |/diagnosed |/with |/a |/borderline |/personality |/disorder, |/consistently |/breaks |/the |/unit's |/rules. |/This |/behavior |/should |/be |/confronted |/because |/it |/will |/help |/the |/client: A Control |/anger B Reduce |/anxiety C Set |/realistic |/goals D Become |/more |/self-aware |/- |/CORRECT |/ANSWERS |/✔✔D
|/considers |/them |/all |/to |/be |/"bad." |/The |/nurse |/understands |/this |/defense |/is |/known |/as: A Splitting B Ambivalence C Passive |/aggression D Reaction |/formation |/- |/CORRECT |/ANSWERS |/✔✔A Splitting |/is |/the |/compartmentalization |/of |/opposite-affect |/states |/and |/failure |/to |/integrate |/the |/positive |/and |/negative |/aspects |/of |/self |/or |/others. The |/client |/with |/antisocial |/personality |/disorder: A Suffers |/from |/a |/great |/deal |/of |/anxiety B Is |/generally |/unable |/to |/postpone |/gratification C Rapidly |/learns |/by |/experience |/and |/punishment D
Has |/a |/great |/sense |/of |/responsibility |/toward |/others |/- |/CORRECT |/ANSWERS |/✔✔B Individuals |/with |/this |/disorder |/tend |/to |/be |/self-centered |/and |/impulsive. |/They |/lack |/judgment |/and |/self-control |/and |/do |/not |/profit |/from |/their |/mistakes. A |/person |/with |/antisocial |/personality |/disorder |/has |/difficulty |/relating |/to |/others |/because |/of |/never |/having |/learned |/to: A Count |/on |/others B Empathize |/with |/others C Be |/dependent |/on |/others D Communicate |/with |/others |/socially |/- |/CORRECT |/ANSWERS |/✔✔B The |/lack |/of |/superego |/control |/allows |/the |/ego |/and |/the |/id |/to |/control |/the |/behavior. |/Self-motivation |/and |/self-satisfaction |/are |/of |/paramount |/concern. A |/young, |/handsome |/man |/with |/a |/diagnosis |/of |/antisocial |/personality |/disorder |/is |/being |/discharged |/from |/the |/hospital |/next |/week. |/He |/asks |/the |/nurse |/for |/her |/phone |/number |/so |/that |/he |/can |/call |/her |/for |/a |/date. |/The |/nurse's |/best |/response |/would |/be:
C
Tell |/the |/interrupting |/client |/to |/sit |/down |/and |/be |/patient, |/stating, |/"I'll |/be |/back |/as |/soon |/as |/possible." D Introduce |/the |/two |/clients |/and |/suggest |/that |/the |/client |/join |/the |/new |/client |/and |/the |/nurse |/on |/the |/tour |/- |/CORRECT |/ANSWERS |/✔✔C This |/sets |/realistic |/limits |/on |/behavior |/without |/rejecting |/the |/client A |/client |/with |/a |/diagnosis |/of |/narcissistic |/personality |/disorder |/has |/been |/given |/a |/day |/pass |/from |/the |/psychiatric |/hospital. |/The |/client |/is |/due |/to |/return |/at |/6pm. |/At |/5pm |/the |/client |/telephones |/the |/nurse |/in |/charge |/of |/the |/unit |/and |/says |/"6 |/o'clock |/is |/too |/early. |/I |/feel |/like |/coming |/back |/at |/7:30." |/The |/nurse |/would |/be |/most |/therapeutic |/by |/telling |/the |/client |/to: A Return |/immediately, |/to |/demonstrate |/control B Return |/on |/time |/or |/restrictions |/will |/be |/imposed C Come |/back |/at |/6:45, |/as |/a |/compromise |/to |/set |/limits D Come |/back |/as |/soon |/as |/possible |/or |/the |/police |/will |/be |/sent |/- |/CORRECT |/ANSWERS |/✔✔B
This |/sets |/limits, |/points |/out |/reality, |/and |/places |/responsibility |/for |/behavior |/on |/the |/client. An |/adult |/client |/with |/a |/borderline |/personality |/disorder |/become |/nauseated |/and |/vomits |/immediately |/after |/drinking |/after |/drinking |/ 2 |/ounces |/of |/shampoo |/as |/a |/suicide |/gesture. |/The |/most |/appropriate |/initial |/response |/by |/the |/nurse |/would |/be |/to: A Promptly |/notify |/the |/attending |/physician B Immediately |/initiate |/suicide |/precautions C Sit |/quietly |/with |/the |/client |/until |/nausea |/and |/vomiting |/subsides D Assess |/the |/client's |/vital |/signs |/and |/administer |/syrup |/of |/ipecac |/- |/CORRECT |/ANSWERS |/✔✔C This |/intervention |/demonstrates |/the |/nurse's |/caring |/presence |/which |/is |/vital |/for |/this |/client. |/(1) |/Although |/the |/treatment |/team |/does |/need |/to |/know |/about |/the |/event, |/notification |/is |/not |/the |/immediate |/concern. |/(2) |/This |/is |/premature |/and |/it |/reinforces |/the |/client's |/predisposition |/to |/manipulative |/behavior. |/(4) |/This |/medication |/is |/inappropriate |/in |/this |/situation; |/vomiting |/would |/be |/expected |/after |/the |/ingestion |/of |/shampoo.
Hypersensitive D Seductive |/- |/CORRECT |/ANSWERS |/✔✔C People |/with |/paranoid |/personality |/disorders |/are |/hypersensitive |/to |/perceived |/threats. |/Schizotypal |/personalities |/appear |/eccentric |/and |/engage |/in |/activities |/others |/find |/perplexing. |/Clients |/with |/narcissistic |/personality |/disorder |/are |/interpersonally |/exploitative |/to |/enhance |/themselves |/or |/indulge |/in |/their |/own |/desires. |/A |/client |/with |/histrionic |/personality |/disorder |/can |/be |/extremely |/seductive |/when |/in |/search |/of |/stimulation |/and |/approval. A |/client |/with |/antisocial |/personality |/is |/trying |/to |/convince |/a |/nurse |/that |/he |/deserves |/special |/privileges |/and |/that |/an |/exception |/to |/the |/rules |/should |/be |/made |/for |/him. |/Which |/of |/the |/following |/responses |/is |/the |/most |/appropriate? A "I |/believe |/we |/need |/to |/sit |/down |/and |/talk |/about |/this." B "Don't |/you |/know |/better |/than |/to |/try |/to |/bend |/the |/rules?" C "What |/you're |/asking |/me |/to |/do |/is |/unacceptable." D "Why |/don't |/you |/bring |/this |/request |/to |/the |/community |/meeting?" |/- |/CORRECT |/ANSWERS |/✔✔C
These |/clients |/often |/try |/to |/manipulate |/the |/nurse |/to |/get |/special |/privileges |/or |/make |/exceptions |/to |/the |/rules |/on |/their |/behalf. |/By |/informing |/the |/client |/directly |/when |/actions |/are |/inappropriate, |/the |/nurse |/helps |/the |/client |/learn |/to |/control |/unacceptable |/behaviors |/by |/setting |/limits. |/By |/sitting |/down |/to |/talk |/about |/the |/request, |/the |/nurse |/is |/telling |/the |/client |/there's |/room |/for |/negotiating |/when |/there |/is |/none. A |/nurse |/notices |/other |/clients |/on |/the |/unit |/avoiding |/a |/client |/diagnosed |/with |/antisocial |/personality |/disorder. |/When |/discussing |/appropriate |/behavior |/in |/group |/therapy, |/which |/of |/the |/following |/comments |/is |/expected |/about |/this |/client |/by |/his |/peers? A Lack |/of |/honesty B Belief |/in |/superstitions C Show |/of |/temper |/tantrums D Constant |/need |/for |/attention |/- |/CORRECT |/ANSWERS |/✔✔A Clients |/with |/antisocial |/personality |/disorder |/tend |/to |/engage |/in |/acts |/of |/dishonesty, |/shown |/by |/lying.
D
Encourage |/the |/client |/to |/understand |/why |/he |/blames |/others |/- |/CORRECT |/ANSWERS |/✔✔A After |/promoting |/safety, |/the |/nurse |/establishes |/a |/rapport |/with |/the |/client |/to |/facilitate |/appropriate |/expression |/of |/feelings. |/At |/this |/time, |/the |/client |/isn't |/ready |/to |/address |/unhealthy |/behavior. |/A |/therapeutic |/relationship |/must |/be |/established |/before |/the |/nurse |/can |/effectively |/work |/with |/the |/client |/on |/self-destructive |/tendencies |/and |/the |/issues |/of |/splitting. Which |/of |/the |/following |/characteristics |/or |/situations |/is |/indicated |/when |/a |/client |/with |/borderline |/personality |/disorder |/has |/a |/crisis? A Antisocial |/behavior B Suspicious |/behavior C Relationship |/problems D Auditory |/hallucinations |/- |/CORRECT |/ANSWERS |/✔✔C Relationship |/problems |/can |/precipitate |/a |/crisis |/because |/they |/bring |/up |/issues |/of |/abandonment. |/Clients |/with |/borderline |/personality |/disorder |/aren't |/usually |/suspicious; |/they're |/more |/likely |/to |/be |/depressed |/or |/highly |/anxious.
Which |/of |/the |/following |/assessment |/findings |/is |/seen |/in |/a |/client |/diagnosed |/with |/borderline |/personality |/disorder? A Abrasions |/in |/various |/healing |/stages B Intermittent |/episodes |/of |/hypertension C Alternating |/tachycardia |/and |/bradycardia D Mild |/state |/of |/euphoria |/with |/disorientation |/- |/CORRECT |/ANSWERS |/✔✔A Clients |/with |/borderline |/personality |/disorder |/tend |/to |/self-mutilate |/and |/have |/abrasions |/in |/various |/stages |/of |/healing. In |/planning |/care |/for |/a |/client |/with |/borderline |/personality |/disorder, |/a |/nurse |/must |/be |/aware |/that |/this |/client |/is |/prone |/to |/develop |/which |/of |/the |/following |/conditions? A Binge |/eating B Memory |/loss C
|/clients |/to |/make |/a |/change. |/They |/tend |/to |/be |/demanding |/and |/impulsive |/in |/relationships. |/There's |/no |/thought |/given |/to |/what |/one |/wants |/or |/needs |/from |/a |/relationship. |/Because |/they |/tend |/to |/blame |/others |/for |/problems, |/it's |/unlikely |/they |/would |/express |/a |/desire |/to |/learn |/communication |/skills. Which |/of |/the |/following |/conditions |/is |/likely |/to |/coexist |/in |/clients |/with |/a |/diagnosis |/of |/borderline |/personality |/disorder? A Avoidance B Delirium C Depression D Disorientation |/- |/CORRECT |/ANSWERS |/✔✔C Chronic |/feelings |/of |/emptiness |/and |/sadness |/predispose |/a |/client |/to |/depression. |/About |/40% |/of |/the |/clients |/with |/borderline |/struggle |/with |/depression. Which |/of |/the |/following |/nursing |/interventions |/has |/priority |/for |/a |/client |/with |/borderline |/personality |/disorder? A Maintain |/consistent |/and |/realistic |/limits
B
Give |/instructions |/for |/meeting |/basic |/self-care |/needs C Engage |/in |/daytime |/activities |/to |/stimulate |/wakefulness D Have |/the |/client |/attend |/group |/therapy |/on |/a |/daily |/basis |/- |/CORRECT |/ANSWERS |/✔✔A Clients |/with |/borderline |/who |/are |/needy, |/dependent, |/and |/manipulative |/will |/benefit |/greatly |/from |/maintaining |/consistent |/and |/realistic |/limits. |/They |/don't |/tend |/to |/have |/difficulty |/meeting |/their |/self-care |/needs. |/They |/enjoy |/attending |/group |/therapy |/because |/they |/often |/attempt |/to |/use |/the |/opportunity |/to |/become |/the |/center |/of |/attention. |/They |/don't |/tend |/to |/have |/sleeping |/difficulties. A |/nurse |/is |/assessing |/a |/client |/diagnosed |/with |/dependent |/personality |/disorder. |/Which |/of |/the |/following |/characteristics |/is |/a |/major |/component |/to |/this |/disorder? A Abrasive |/to |/others B Indifferent |/to |/others C Manipulative |/of |/others D
Which |/of |/the |/following |/behaviors |/by |/a |/client |/with |/dependent |/personality |/disorder |/shows |/the |/client |/has |/made |/progress |/toward |/the |/goal |/of |/increasing |/problem |/solving |/skills? A The |/client |/is |/courteous B The |/client |/asks |/questions C The |/client |/stops |/acting |/out D The |/client |/controls |/emotions |/- |/CORRECT |/ANSWERS |/✔✔B The |/client |/with |/dependent |/personality |/disorder |/is |/passive |/and |/tries |/to |/please |/others. |/By |/asking |/questions, |/the |/client |/is |/beginning |/to |/gather |/information, |/the |/first |/step |/of |/decision |/making. A |/client |/with |/schizotypal |/personality |/disorder |/is |/sitting |/in |/a |/puddle |/of |/urine. |/She's |/playing |/in |/it, |/smiling, |/and |/softly |/singing |/a |/child's |/song. |/Which |/action |/would |/be |/best? A Admonish |/the |/client |/for |/not |/using |/the |/bathroom B Firmly |/tell |/the |/client |/that |/her |/behavior |/is |/unacceptable C
Ask |/the |/client |/if |/she's |/ready |/to |/get |/cleaned |/up |/now D Help |/the |/client |/to |/the |/shower, |/and |/change |/the |/bedclothes. |/- |/CORRECT |/ANSWERS |/✔✔D A |/client |/with |/schizotypal |/personality |/disorder |/can |/experience |/high |/levels |/of |/anxiety |/and |/regress |/to |/childlike |/behaviors. |/This |/client |/may |/require |/help |/needing |/self-care |/needs. |/The |/client |/may |/not |/respond |/to |/the |/other |/options |/or |/those |/options |/may |/generate |/more |/anxiety. A |/client |/with |/avoidant |/personality |/disorder |/says |/occupational |/therapy |/is |/boring |/and |/doesn't |/want |/to |/go. |/Which |/action |/would |/be |/best? A State |/firmly |/that |/you'll |/escort |/him |/to |/OT. B Arrange |/with |/OT |/for |/the |/client |/to |/do |/a |/project |/on |/the |/unit. C Ask |/the |/client |/to |/talk |/about |/why |/OT |/is |/boring D Arrange |/for |/the |/client |/not |/to |/attend |/OT |/until |/he |/is |/feeling |/better |/- |/CORRECT |/ANSWERS |/✔✔A If |/given |/the |/chance, |/a |/client |/with |/avoidant |/personality |/disorder |/typically |/elects |/to |/remain |/immobilized. |/The |/nurse |/should |/insist |/that |/the |/client |/participate |/in |/OT. |/Arranging |/for |/the |/client |/to |/do |/a |/project
