(Test Bank) Psychiatric Nursing: Contemporary Practice

Boyd, 6

Nursing

Test Bank

6th Edition

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Test Bank for Psychiatric Nursing: Contemporary Practice, The downloadable file consists of 161 pages, and the total size of the file is 0.75 MB. Purchase now only for highly discounted price.

Author(s): Boyd

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3s Report this Question A 36-year-old client demonstrates a pattern of overexpressiveness with emotions. The client has a relationship history in which the client is attention seeking. The client has recently been experiencing difficulty maintaining appropriate boundaries with colleagues at a new job. The nurse would most likely suspect which disorder? You Selected: Schizotypal personality disorder Correct response: Histrionic personality disorder Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 519. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 519 Add a Note Question 13 See full question 3s Report this Question A nurse working in a children’s hospital is mindful of those at greatest risk of developing dependent personality disorder as adults. A child with which diagnosis is at highest risk of developing this disorder? You Selected: Inflamed tonsils Correct response: Cystic fibrosis Explanation: Reference: oyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 524. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 524 Add a Note Question 14 See full question 4s Report this Question Which is the main reason why the periodic team meetings are important when caring for a client with antisocial personality? You Selected: Team consistency is important to prevent manipulation by the client. Correct response: Team consistency is important to prevent manipulation by the client. Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 518. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 518 Add a Note Question 15 See full question 3s Report this Question For a person to be diagnosed with antisocial personality disorder, the individual must be a minimum of what age? You Selected: 21 years Correct response: 18 years Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 509. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 509 Add a Note Question 16 See full question 3s Report this Question A client presents to a mental health clinic. The nurse notes that the client is grandiose and brags that that they earn "a six-figure income" and tells the nurse that they are more well known that the president. Which diagnosis is grandiosity associated with? You Selected: Narcissistic personality disorder Correct response: Narcissistic personality disorder Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 520. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 520 Add a Note Question 17 See full question 3s Report this Question A nurse is working with a group of school-age children diagnosed with disruptive behavior disorders. Based on the nurse's understanding of these disorders, which would the nurse identify as the most effective psychosocial intervention for this group? You Selected: Parent education Correct response: Parent education Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 528. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 528 Add a Note Question 18 See full question 6s Report this Question The nurse in a medical setting provides care for a client with histrionic personality disorder concurrent with their medical challenges. During the initial assessment with the client, the nurse identifies an altered expression of sexuality. To guide further assessment, what factor does the nurse anticipate from the client? You Selected: Having success in establishing social intimacy Correct response: Demonstration of seductive behavior Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 519. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 519 Add a Note Question 19 See full question 2s Report this Question The nurse provides education about antisocial personality disorder (ASPD) to a group of vocational support workers involved with former inmates entering the workforce. Which description outlines how ASPD is defined? You Selected: Unstable employment history and a pattern of being fired from jobs Correct response: A pattern of disregard for and violation of the rights of others Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 509. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 509 Add a Note Question 20 See full question 3s Report this Question A school-age child has a diagnosis of disruptive behavior disorder. The school nurse conducts an education session to help the parents understand the diagnosis and to teach skills that the parents can implement to help address disruptive behavior. What can parents do to help? Select all that apply. You Selected: Make behavioral expectations clear and consistently enforce them Correct response: Teach problem-solving skills Use time out for disruptive behavior Make behavioral expectations clear and consistently enforce them Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018,Question 1 See full question 3s Report this Question When teaching a client with antisocial personality disorder (ASPD), which approach would be most appropriate for the nurse to use? You Selected: Challenging Correct response: Direct Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 517. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 517 Add a Note Question 2 See full question 4s Report this Question A nurse is preparing a presentation for a group of staff nurses on personality disorders. When describing antisocial personality disorders (ASPD), the nurse would explain that for a person to be diagnosed with the disorder, the person must be at least which age? You Selected: 15 years Correct response: 18 years Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 510. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 510 Add a Note Question 3 See full question 3s Report this Question A nurse is reviewing information about the different types of personality disorders. Which type would the nurse identify as most likely being involved with a lack of caring about others? Select all that apply. You Selected: Antisocial personality disorder Correct response: Schizotypal personality disorder Antisocial personality disorder Narcissistic personality disorder Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 509. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 509 Add a Note Question 4 See full question 3s Report this Question A nurse is assessing a client diagnosed with a narcissistic personality disorder. Which characteristics would the nurse expect to find? Select all that apply. You Selected: Unrealistic grandiosity Correct response: Patronizing attitude Snobbish appearance Unrealistic grandiosity Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 519. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 519 Add a Note Question 5 See full question 2s Report this Question Which would a nurse assess in a client suspected of having paranoid personality disorder? Select all that apply. You Selected: Suspiciousness and guarded behavior Correct response: Need to be in a position of power in a relationship Suspiciousness and guarded behavior Outwardly argumentative Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 521. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 521 Add a Note Question 6 See full question 3s Report this Question After reviewing information about the various impulse control disorders, a nurse demonstrates understanding of the information by identifying which disorder as involving a persistent pattern of disobedience and argumentativeness? You Selected: Kleptomania Correct response: Oppositional defiant disorder Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 526. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 526 Add a Note Question 7 See full question 2s Report this Question Upon admission, a client with a personality disorder identifies areas of concern for which the client would like help. The nurse is aware that which will most likely be addressed by the health care team? You Selected: Sexual expression Correct response: Psychological distress Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 508. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 508 Add a Note Question 8 See full question 4s Report this Question After teaching a group of nurses about different personality disorders, the group leader determines that the education was successful when the nurses identify which characteristic of schizotypal personality disorder? You Selected: Appear indistinct from the general population Correct response: Increased eccentricity Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 522. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 522 Add a Note Question 9 See full question 3s Report this Question The nurse is talking to a client with schizoid personality disorder about finding a job. Which suggestion by the nurse would be most helpful? You Selected: "There is a job posting at the hospital for a file clerk in medical records." Correct response: "There is a job posting at the hospital for a file clerk in medical records." Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 522. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 522 Add a Note Question 10 See full question 3s Report this Question A nurse prepares an educational program for women during antenatal care. An outcome of the teaching is to lower the risk of antisocial personality disorder (ASPD) in the population who access the program. Which is a priority teaching need? You Selected: Getting moderate exercise during pregnancy Correct response: Ensuring attachment after birth Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 512. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 512 Add a Note Question 11 See full question 3s Report this Question The nurse is working in a prison setting with a client diagnosed with Antisocial Personality Disorder (ASPD). The client has identified impulse control issues particularly around urges for sexual intimacy. The client has assaulted people who have interfered with their gratification. What is the priority intervention for the nurse? You Selected: Encouraging adherence to medication treatment Correct response: Helping to express anger in an adaptive and non-violent manner Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 517. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 517 Add a Note Question 12 See full question 3s Report this Question The nurse caring for a client with avoidant personality disorder identifies increased self-esteem in social situations as the primary outcome for the plan of care. Which program does the nurse recommend? You Selected: Social skills training Correct response: Social skills training Explanation: Reference: oyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 524. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 524 Add a Note Question 13 See full question 2s Report this Question An attractive and engaging client with antisocial personality disorder (ASPD) asks a nurse providing inpatient care to go out on a date. Which is the nurse’s best response? You Selected: “We can discuss that later, closer to discharge.” Correct response: “No, my code of ethics prohibits me from dating clients.” Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 514. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 514 Add a Note Question 14 See full question 3s Report this Question It is 2000 hrs and a voluntary client with the diagnosis of antisocial personality disorder (ASPD) is out on a leave from the inpatient unit. The leave is supported by the treatment plan. The psychiatrist’s order states the client is to return at 2100 hrs. The client calls the unit, speaks with the nurse and states, “2000 hrs doesn’t give me enough time.” What is the nurse’s best response? You Selected: “That’s fine, come back at 2030 hrs.” Correct response: “Return on time or future restrictions will be imposed.” Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 517. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 517 Add a Note Question 15 See full question 4s Report this Question A prison nurse teaches a group of nursing students about personality disorders. Which finding serves as an example of pervasive pattern of disregard for and violation of the rights of others? You Selected: Experiences periods of depression and elated mood Correct response: Manipulates by advancing personal interests at another's expense Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 509. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 509 Add a Note Question 16 See full question 3s Report this Question A client with a diagnosis of dependent personality disorder is recovering from surgery. The nurse considers the importance of avoiding some interventions that could be therapeutic for another client without a personality disorder. Which intervention will the nurse avoid? You Selected: Identifying resources to aid in meal planning Correct response: Telling the client what to do Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 525. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 525 Add a Note Question 17 See full question 3s Report this Question The nurse in a community setting develops a harm reduction program for people with personality disorders and concurrent substance abuse issues. What factor does the harm reduction plan target as its outcome? You Selected: Fentanyl use Correct response: Mortality and morbidity Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 511. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 511 Add a Note Question 18 See full question 3s Report this Question A client in a psychiatric unit is diagnosed with antisocial personality disorder (ASPD). The client becomes aggressive and hits another client on the unit in a disagreement over the TV remote. Staff gains control of the situation. When planning for the next day, what is the priority intervention for the client? You Selected: Encourage all clients to negotiate a strategy to share the remote Correct response: Reinforce strategies to express anger in an adaptive manner Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 516. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 516 Add a Note Question 19 See full question 5s Report this Question The nurse is teaching parents of infants about the importance of autonomy and instilling coping skills in children. The nurse explains that these abilities can fail to develop in children whose parents offer high levels of affection as the parents overprotect their children. Which disorder is associated with overprotection in children? You Selected: Attention deficit hyperactivity disorder Correct response: Dependent personality disorder Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 524. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 524 Add a Note Question 20 See full question 2s Report this Question The nurse is assigned a client diagnosed with obsessive compulsive personality disorder. The client asks what can be done to get to a point where it is possible to adapt to flexible routines without anxiety. What intervention does the nurse recommend to the client to reach this level of recovery? You Selected: Long-term psychotherapy Correct response: Long-term psychotherapy Explanation: Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 525. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 525 Add a Note Take Another Quiz View Overall Performance Question 1 See full question 4s Report this Question A 35-year-old client with a diagnosis of antisocial personality disorder is being seen by a psychiatrist. He has been arrested three times for aggravated battery within the last year. Which disorder may have been seen in this client prior to age 18? You Selected: Schizoid Personality Correct response: Conduct Explanation: Antisocial behavior is usually seen in clients between the ages of 15 and 40 years. The diagnosis of conduct disorder is given to clients who exhibit clinical symptoms before the age of 18 years. Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 527. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 527 Add a Note Question 2 See full question 3s Report this Question To be diagnosed with antisocial personality disorder (APD) as an adult, characteristics of which mental health disorder must be met? You Selected: Obsessive-compulsive disorder Correct response: Conduct disorder Explanation: To be diagnosed with APD, the individual must be at least 18 years old and have exhibited one or more childhood behavioral characteristics of conduct disorder before the age of 15 years, such as aggression to people or animals, destruction of property, deceitfulness or theft, or serious violation of rules. Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 509. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 509 Add a Note Question 3 See full question 2s Report this Question A nurse is assessing a client diagnosed with obsessive-compulsive personality disorder (OCPD). Which would the nurse expect to find? Select all that apply. You Selected: Ease in ability to complete tasks Correct response: Need for perfection Adherence to a highly structured life Overly moralistic Explanation: Behaviorally, individuals with OCPD are perfectionists, maintaining a regulated, highly structured, strictly organized life. A need to control others and situations is common in their personal and work lives. They are prone to repetition and have difficulty making decisions and completing tasks because they become so involved in the details. They can be overly conscientious about morality and ethics and value polite, formal, and correct interpersonal relationships. They also tend to be rigid, stubborn, and indecisive and are unable to accept new ideas and customs. Their mood is tense and joyless. Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 526. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 526 Add a Note Question 4 See full question 2s Report this Question Upon admission, a client with a personality disorder identifies areas of concern for which the client would like help. The nurse is aware that which will most likely be addressed by the health care team? You Selected: Sexual expression Correct response: Psychological distress Explanation: Even though clients with personality disorders have diverse and multiple needs, psychotic symptoms and psychological distress are often the only areas addressed by health-care providers. In many cases, important needs such as self-care, sexual expression and budgeting go unaddressed in the health care system. Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 508. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 508 Add a Note Question 5 See full question 3s Report this Question After teaching a group of nurses about different personality disorders, the group leader determines that the education was successful when the nurses identify which characteristic of schizotypal personality disorder? You Selected: Normal mannerisms Correct response: Increased eccentricity Explanation: Individuals with schizotypal personality disorder are dramatic. These individuals are perceived as strikingly odd or strange in appearance and behavior, even to laypersons. They may have unusual mannerisms, an unkempt manner of dress that does not quite “fit together,” and inattention to usual social conventions (e.g., avoiding eye contact, wearing clothes that are stained or ill-fitting, and being unable to join in the give-and-take banter of coworkers). Reference: Boyd, M. A. Psychiatric Nursing: Contemporary Practice, 6th ed., Philadelphia: Wolters Kluwer, 2018, Chapter 29: Antisocial Personality and Disruptive, Impulse Control and Conduct Disorders, p. 522. Chapter 29: Antisocial Personality & Disruptive, Impulse Control & Conduct Disorders - Page 522 Add a Note Question 6 See full question 2s Report this Question