Which is a primary behavior of a client diagnosed with antisocial personality disorder?
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1 Show Family dynamics are thought to be a major influence in the development of anorexia nervosa. Which statement regarding a client's home environment should a nurse associate with the development of anorexia nervosa? 3. The home environment is overprotective and demands perfection. 2 A client's altered body image is evidenced by claims of "feeling fat," even though the client is emaciated. Which is the appropriate outcome criterion for this client's problem? 3. The client will perceive personal ideal body weight and shape as normal. 3 A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration. Which explanation for this complication of bulimia nervosa, should the nurse provide? 1. The emesis produced during purging is acidic and corrodes the tooth enamel. 4 A nurse is teaching a client diagnosed with an eating disorder about behavior-modification programs. Why is this intervention the treatment of choice? 4. It allows clients to maintain control 5 A potential Olympic figure skater collapses during practice and is hospitalized for severe malnutrition. Anorexia nervosa is diagnosed. Which client statement best reflects insight related to this disorder? 4. "I am angry at my mother. I can only get her approval when I win competitions." 6 The family of a client diagnosed with anorexia nervosa becomes defensive when the
treatment team calls for a family meeting. Which is the appropriate nursing response? 2. "Eating disorders have been correlated to certain familial patterns; without addressing these, your child's condition will not improve." 7 A client diagnosed with bulimia nervosa has been attending a mental health clinic for several months. Which factor should a nurse identify as an appropriate indicator of a positive
client behavioral change? 3. The client demonstrated healthy coping mechanisms that decreased anxiety. 8 A morbidly obese client is prescribed an anorexiant medication. The nurse should
expect to teach the client about which medication? 1. Phentermine (Mirapront) 9 A nurse is attempting to differentiate between the symptoms of anorexia nervosa and the symptoms of bulimia. Which statement delineates the difference between these two disorders? 1. Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not. 10 A client diagnosed with a history of anorexia nervosa comes to an outpatient clinic after being medically cleared. The client states, "My parents watch me like a hawk and never let me out of their sight." Which nursing diagnosis would take priority at this time? 4. Altered family processes 11 A nurse should identify topiramate (Topamax) as the drug of choice for which of the following conditions? (Select all that apply.) 1. Binge eating with a diagnosis of obesity 12 A nursing instructor is teaching about the DSM-5 criteria for the diagnosis of binge-eating disorder. Which of the following student statements indicates that further instruction is needed? (Select all that apply.) 1. "In this disorder, binge eating occurs exclusively during the course of bulimia nervosa." 3. "In this disorder, binge eating occurs, on average, at least two days a week for six months." 5. "In this disorder, distress regarding binge eating is absent." 13 Which of the following would contribute to a client's excessive weight gain? (Select all that apply.) 1. A hypothalamus lesion 3. Diabetes mellitus 4. Cushing's disease 14 The diagnosis of __________________ ___________________includes the symptoms of gross distortion of body image, preoccupation with food, and refusal to eat 15 The episodic, uncontrolled, compulsive, rapid ingestion of large quantities of food over a short period of time is termed ________________________. 16 To rid the body of excessive calories, a client diagnosed with bulimia nervosa may engage in ______________________ behaviors, which include self-induced vomiting, or the misuse of laxatives, diuretics, or enemas 17 1. During an assessment interview, a client diagnosed with antisocial personality disorder spits, curses, and refuses to answer questions. Which is the appropriate nursing response to this behavior? 2. "I understand that you are angry, but this behavior will not be tolerated." 18 2. At 11:00 p.m. a client diagnosed with antisocial personality disorder demands to phone a lawyer to file for a divorce. Unit rules state that no phone calls are permitted after 10:00
p.m. Which nursing response is most appropriate? 3. "It is after the 10:00 p.m. phone curfew. You will be able to call tomorrow." 19 3.
A client diagnosed with paranoid personality disorder becomes violent on a unit. Which nursing intervention is most appropriate? 3. Use clear, calm statements and a confident physical stance. 20 4. A client diagnosed with borderline personality disorder brings up a conflict with the staff in a community meeting and develops a following of clients who unreasonably demand modification of unit rules. How can the nursing staff best handle this situation? 2. Maintain consistency of care by open communication to avoid staff manipulation. 21 Which nursing approach should be used to maintain a therapeutic relationship with a client diagnosed with borderline personality disorder? 1. Being firm, consistent, and empathic, while addressing specific client behaviors 22 6. Which adult client should a nurse identify as exhibiting the characteristics of a dependent personality disorder? 3. A physically healthy client who lives with parents and depends on public transportation 23 A client expresses low self-worth, has much difficulty making decisions, avoids positions of responsibility, and has a behavioral pattern of "suffering" in silence. Which statement best explains the etiology of this client's personality disorder? 2. Childhood nurturance was provided exclusively from one source, and independent behaviors were discouraged. 24 Family members of a client ask the nurse to explain the difference between schizoid and avoidant personality
disorders. Which is the appropriate nursing response? 1. Clients diagnosed with avoidant personality disorder desire intimacy but fear it, and clients diagnosed with schizoid personality disorder prefer to be alone. 25 Which nursing diagnosis should a nurse identify as appropriate when
working with a client diagnosed with schizoid personality disorder? 4. Social isolation R/T inability to relate to others 26 Looking at a slightly bleeding paper cut, the client screams, "Somebody help me quick! I'm bleeding. Call
911!" A nurse should identify this behavior as characteristic of which personality disorder? 3. Histrionic personality disorder 27 When planning care for a client diagnosed with borderline personality disorder, which self-harm behavior should a nurse expect the client to exhibit? 2. The use of suicidal gestures to elicit a rescue response from others 28 A nurse tells a client that the nursing staff will start alternating weekend shifts. Which response should a nurse
identify as characteristic of clients diagnosed with obsessive-compulsive personality disorder? 4. "You can't make these kinds of changes! Isn't there a rule that governs this decision?" 29 Which reaction to a compliment from another client should a nurse identify as a typical response from a client diagnosed with avoidant personality disorder? 3. Being grateful for the compliment but fearing later rejection and humiliation 30 Which factors differentiate a client diagnosed with social phobia from a client diagnosed with schizoid personality disorder? 3. Clients diagnosed with social phobia avoid attending birthday parties, whereas clients diagnosed with schizoid personality disorder would isolate self on a continual basis. 31 Which client symptoms should lead a nurse to suspect a diagnosis of obsessive-compulsive personality disorder? 3. The client experiences inflexibility and lack of spontaneity when dealing with others. 32 Which client is a nurse most likely to admit to an inpatient facility for self-destructive behaviors? 2. A client diagnosed with borderline personality disorder 33 When planning care for clients diagnosed with personality disorders, what should be the goal of treatment? 3. To reduce personality trait inflexibility that interferes with functioning and relationships 34 Which client situation would reflect the impulsive behavior that is commonly associated with borderline personality
disorder? 4. As the day-shift nurse leaves the unit, the client suddenly shows the nurse a bloody arm and states, "I cut myself because you are leaving me." 35 Which nursing diagnosis should be prioritized when providing nursing care to a client diagnosed with paranoid personality disorder? 1. Risk for violence: directed toward others R/T paranoid thinking 36 From a behavioral perspective, which nursing intervention is appropriate when caring for a client diagnosed with borderline personality disorder? 2. Contract with the client to reinforce positive behaviors with unit privileges. 37 A highly emotional client presents at an outpatient clinic appointment and
states, "My dead husband returned to me during a séance." Which personality disorder should a nurse associate with this behavior? 2. Schizotypal personality disorder 38 A nursing instructor is teaching students about clients diagnosed with histrionic personality disorder and the
quality of their relationships. Which student statement indicates that learning has occurred? 2. "Their interpersonal relationships tend to be shallow and fleeting, serving their dependency needs." 39 During an interview, which client statement should indicate to a nurse a potential diagnosis of schizotypal personality disorder? 4. "I am getting a message from the beyond that we have been involved with each other in a previous life." 40 Which nursing diagnosis should be prioritized when providing nursing care to a client diagnosed with
avoidant personality disorder? 4. Social isolation R/T inability to relate to others 41 A nurse is admitting a client with a new diagnosis of a personality disorder. Which of the following would make the nurse
question this diagnosis? (Select all that apply.) 1. The client has been diagnosed with sickle cell anemia. 3. The client has a history of a substance use disorder. 5. The client has an intellectual developmental disorder. 42 Which statements represent positive outcomes for clients diagnosed with narcissistic personality disorder? (Select all that apply.) 1. The client will relate one empathetic statement to another client in group by day two. 43 A nurse is caring for a client diagnosed with antisocial personality
disorder. Which factors should the nurse consider when planning this client's care? (Select all that apply.) 1. This client has personality traits that are deeply ingrained and difficult to modify. 3. This client uses manipulation, making the implementation of treatment problematic. 44 A client is being assessed for
antisocial personality disorder. According to the DSM-5, which of the following symptoms must the client meet in order to be assigned this diagnosis? (Select all that apply.) 1. Ego-centrism and goal setting based on personal gratification. 4. Disregard for and failure to honor financial and other obligations. 45 Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual developmental disorder (IDD)? 4. The client communicates wants and needs by "acting out" behaviors. 46 Which nursing intervention related to self-care would be most appropriate for a teenager diagnosed with moderate IDD? 2. Providing simple directions and praising client's independent self-care efforts 47 A child has been diagnosed with autistic spectrum disorder. The distraught mother cries out,
"I'm such a terrible mother. What did I do to cause this?" Which nursing response is most appropriate? 2. "Poor parenting doesn't cause autistic spectrum disorder. Research has shown that abnormalities in brain structure or function are to blame. This is beyond your control." 48 In planning care for a child diagnosed
with autistic spectrum disorder, which would be a realistic client outcome? 3. The client will establish trust with at least one caregiver by day five. 49 After
an adolescent diagnosed with attention deficit-hyperactivity disorder (ADHD) begins methylphenidate (Ritalin) therapy, a nurse notes that the adolescent loses 10 pounds in a 2-month period. What is the best explanation for this weight loss? 1. The pharmacological action of Ritalin causes a decrease in appetite. 50 A nurse assesses an adolescent client diagnosed with conduct disorder who, at the age of 8, was sentenced to juvenile detention. How should the nurse interpret this assessment data? 1. Childhood-onset conduct disorder is more severe than the adolescent-onset type, and these individuals likely develop antisocial personality disorder in adulthood. 51 Which finding should a nurse expect when assessing a child diagnosed with separation anxiety disorder? 2. The child's mother is diagnosed with an anxiety disorder. 52 A child has been recently diagnosed with mild IDD. What information about this diagnosis should the nurse include when teaching the child's mother? 2. Children with mild IDD develop academic skills up to a sixth-grade level. 53 A nursing instructor is teaching about the developmental characteristics of clients diagnosed with moderate intellectual developmental disorder (IDD). Which student statement indicates that further instruction is needed? 4. "These clients can successfully complete elementary school." 54 A preschool child is admitted to a psychiatric unit with the diagnosis autistic spectrum disorder. To help the child feel more secure on
the unit, which intervention should a nurse include in this client's plan of care? 2. Provide consistent caregivers. 55 A preschool child diagnosed with autistic spectrum disorder has been engaging in constant head-banging behavior. Which nursing intervention is
appropriate? 3. Hold client's head steady and apply a helmet. 56 When planning care for a client, which medication classification should a nurse recognize as effective in the treatment of Tourette's syndrome? 1. Neuroleptic medications 57 Which behavioral approach should a nurse use when caring for children diagnosed with disruptive behavior disorders? 2. Reinforcing positive actions to encourage repetition of desirable behaviors 58 A child diagnosed with severe autistic spectrum disorder has the nursing diagnosis disturbed personal identity. Which outcome would best address this client diagnosis? 1. The client will name own body parts as separate from others by day five. 59 A nursing instructor presents a case study in which a three-year-old child is in constant motion and is unable
to sit still during story time. She asks a student to evaluate this child's behavior. Which student response indicates an appropriate evaluation of the situation? 1. "This child's behavior must be evaluated according to developmental norms." 60 A client has an IQ of 47. Which nursing diagnosis best addresses a client problem associated with this degree of IDD? 2. Altered social interaction R/T non-adherence to social convention 61 A physician orders methylphenidate (Ritalin) for a child diagnosed with ADHD. Which information about this medication should the nurse provide to the parents? 2. Administer Ritalin to the child after breakfast. 62 Which should be the priority nursing intervention when caring for a child diagnosed with conduct disorder? 3. Recognize escalating aggressive behavior and intervene before violence occurs. 63 A mother questions the decreased effectiveness of methylphenidate (Ritalin), prescribed for her child's ADHD. Which nursing response best addresses the mother's concern? 3. "Your child has probably developed a tolerance to Ritalin and may need a higher dosage." 64 After studying the DSM-5 criteria for oppositional defiant disorder (ODD), which listed symptom would a student nurse
recognize? 4. Arguing with authority figures for more than six months 65 Which of the following risk factors, if noted during a family history assessment, should a nurse associate with the development of IDD?
(Select all that apply.) 1. A family history of Tay-Sachs disease 66 Which of the following findings should a
nurse identify that would contribute to a client's development of ADHD? (Select all that apply.) 2. The client was born 7 weeks premature. 4. The client has a sibling diagnosed with ADHD. Which behavior is characteristic of a patient diagnosed with antisocial personality disorder?Antisocial personality disorder is a particularly challenging type of personality disorder characterised by impulsive, irresponsible and often criminal behaviour. Someone with antisocial personality disorder will typically be manipulative, deceitful and reckless, and will not care for other people's feelings.
Which of the following is a key characteristic of antisocial personality disorder?Antisocial personality disorder (ASPD) is a condition characterized by a lack of empathy and regard for other people.
Which of the following is a definitive characteristic of antisocial personality disorder?Which of the following is the most definitive characteristic of antisocial personality disorder? lack of concern for what is right and wrong.
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