Question: A therapist recently convicted of multiple counts of Medicare fraud says, “Sure I overbilled. Why not? Everyone takes advantage of the government, so I did too.” These statements demonstrate which personal characteristic?
Answer Choices: a. Shame b. Anxiousness c. Superficial remorse d. Absence of guilt
Answer: d
Question: Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently manipulates others?
Answer Choices: a. Refer the patient’s requests to one designated staff member. b. Provide negative reinforcement for acting-out behavior. c. Isolate the patient from other patients. d. Ignore, rather than confront, inappropriate behavior.
Answer: a
Question: As a nurse prepares to administer an oral medication to a patient diagnosed with a borderline personality disorder, the patient says, “Just leave it on the table. I’ll take it when I finish combing my hair.” What is the nurse’s best response?
Answer Choices: a. “Alright. I’ll be back to make sure you’ve taken it.” b. “I’m worried that you might not take it. I will come back later.” c. “I must watch you take the medication. Please take it now.” d. “Why don’t you want to take your medication now?”
Answer: c
Question: What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others?
Answer Choices: a. The patient will identify when feeling angry. b. The patient will use manipulation only to get legitimate needs met. c. The patient will acknowledge manipulative behavior when it is called to their attention. d. The patient will accept fulfillment of their requests within an hour rather than immediately.
Answer: c
Question: Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder: “You’re a better nurse than the day shift nurse said you were”; “Another nurse said you don’t do your job right”; “You think you’re perfect, but I’ve seen you make three mistakes.” Collectively, these interactions can be appropriately assessed using what term?
Answer Choices: a. Paranoia b. Entitlement c. Manipulation d. Pathological lying
Answer: c
Question: A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting?
Answer Choices: a. Flattering the nurse b. Lying to other patients c. Verbal abuse of another patient d. Detached superficiality during counseling
Answer: c
Question: A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. The treatment team suggests the use of a medication. Which type of medication should the nurse expect?
Answer Choices: a. Selective serotonin reuptake inhibitor (SSRI) b. Monoamine oxidase inhibitor (MAOI) c. Benzodiazepine d. Antipsychotic
Answer: a
Question: A person’s partner filed charges of battery. The person has a long history of acting-out behaviors and several arrests. Which statement by the person suggests an antisocial personality disorder?
Answer Choices: a. “I have a quick temper, but I can usually keep it under control.” b. “I’ve done some stupid things in my life, but I’ve learned a lesson.” c. “I’m feeling terrible about the way my behavior has hurt my family.” d. “I get tired of being nagged. They deserved the beating.”
Answer: d
Question: What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?
Answer Choices: a. Disturbed sensory perception—auditory b. Risk for other-directed violence c. Ineffective denial d. Ineffective coping
Answer: b
Question: A patient diagnosed with a personality disorder has used manipulation to get their needs met. The staff decides to apply limit setting interventions. What is the correct rationale for this action?
Answer Choices: a. It provides an outlet for feelings of anger and frustration. b. It respects the patient’s wishes so assertiveness will develop. c. External controls are necessary while internal controls are developed. d. Anxiety is reduced when staff members assume responsibility for the patient’s behavior.
Answer: c
Question: A patient diagnosed with borderline personality disorder and a history of self-mutilation has now begun dialectical behavior therapy (DBT) on an outpatient basis. Today the patient telephones to say, “I’m feeling empty and want to cut myself.” The nurse should implement what intervention?
Answer Choices: a. Arrange for emergency inpatient hospitalization. b. Send the patient to the crisis intervention unit for 8 to 12 hours. c. Assist the patient to identify the trigger situation and choose a coping strategy. d. Advise the patient to take an antianxiety medication to decrease the anxiety level.
Answer: c
Question: A therapist recently convicted of multiple counts of Medicare fraud says, “Sure I overbilled. Why not? Everyone takes advantage of the government, so I did too.” These statements demonstrate which personal characteristic?
Answer Choices: a. Shame b. Anxiousness c. Superficial remorse d. Absence of guilt
Answer: d. Absence of guilt
Question: Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently manipulates others?
Answer Choices: a. Provide negative reinforcement for acting out behavior. b. Refer the patient’s requests to another staff member. c. Isolate the patient from peers to decrease opportunities for manipulation. d. Ignore, rather than confront, inappropriate behavior.
Answer: a. Provide negative reinforcement for acting out behavior.
Question: As a nurse prepares to administer an oral medication to a patient diagnosed with a borderline personality disorder, the patient says, “Just leave it on the table. I’ll take it when I finish combing my hair.” What is the nurse’s best response?
Answer Choices: a. “Alright. I’ll be back to make sure you’ve taken it.” b. “I’m worried that you might not take it. I will come back later.” c. “I must watch you take the medication. Please take it now.” d. “Why don’t you want to take your medication now?”
Answer: c. “I must watch you take the medication. Please take it now.”
Question: What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others?
Answer Choices: a. The patient will identify when feeling angry. b. The patient will use manipulation only to get legitimate needs met. c. The patient will acknowledge manipulative behavior when it is called to their attention. d. The patient will accept fulfillment of their requests within an hour rather than immediately.
Answer: c. The patient will acknowledge manipulative behavior when it is called to their attention.
Question: Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder: “You’re a better nurse than the day shift nurse said you were”; “Another nurse said you don’t do your job right”; “You think you’re perfect, but I’ve seen you make three mistakes.” Collectively, these interactions can be appropriately assessed using what term?
Answer Choices: a. Paranoia b. Entitlement c. Manipulation d. Pathological lying
Answer: c. Manipulation
Question: A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and superficial during counseling sessions. Which behavior most clearly warrants limit setting?
Answer Choices: a. Flattering the nurse b. Lying to other patients c. Verbal abuse of another patient d. Detached superficiality during counseling
Answer: c. Verbal abuse of another patient
Question: A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient reveals feelings of depression and anger with life. The treatment team suggests the use of a medication. Which type of medication should the nurse expect?
Answer Choices: a. Selective serotonin reuptake inhibitor (SSRI) b. Monoamine oxidase inhibitor (MAOI) c. Benzodiazepine d. Antipsychotic
Answer: a. Selective serotonin reuptake inhibitor (SSRI)
Question: A person’s partner filed charges of battery. The person has a long history of acting-out behaviors and several arrests. Which statement by the person suggests an antisocial personality disorder?
Answer Choices: a. “I have a quick temper, but I can usually keep it under control.” b. “I’ve done some stupid things in my life, but I’ve learned a lesson.” c. “I’m feeling terrible about the way my behavior has hurt my family.” d. “I get tired of being nagged. They deserved the beating.”
Answer: d. “I get tired of being nagged. They deserved the beating.”
Question: What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?
Answer Choices: a. Disturbed sensory perception—auditory b. Risk for other-directed violence c. Ineffective denial d. Ineffective coping
Answer: b. Risk for other-directed violence