NCLEX: Fundamentals Of Psychiatric Nursing
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Situation: Clients with personality disorders have difficulties in their social and occupational functions. Clients with personality disorder will most likely:
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Recover with therapeutic intervention
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Respond to antianxiety medication
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Manifest enduring patterns of inflexible behaviors
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Seek treatment willingly from some personally distressing symptoms
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Are you a nursing student? Our ' NCLEX: Fundamentals Of Psychiatric Nursing ' is right for you! The quiz deals with an extremely noble profession in psychiatric nursing, which is the occupation of someone who specializes in mental health and cares for people who suffer from mental illness and distress. What do you know about their responsibilities? Make sure to See morepick the option that's correct according to you and attempt all the questions. You can take our practice test to prepare yourself better for your exams. Make sure to share the quiz with people who need it. Good luck & study well!
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- 2.
A client tends to be insensitive to others, engages in abusive behaviors and does not have a sense of remorse. Which personality disorder is he likely to have?
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Narcissistic
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Paranoid
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Histrionic
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Antisocial
Correct Answer
A. AntisocialExplanation
Antisocial
These are the characteristics of an individual with antisocial personality. A. Narcissistic personality disorder is characterized by grandiosity and a need for constant admiration from others. B. Individuals with paranoid personality demonstrate a pattern of distrust and suspiciousness and interprets others motives as threatening. C. Individuals with histrionic have excessive emotionality, and attention-seeking behaviors.Rate this question:
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- 3.
The client joins a support group and frequently preaches against abuse, is demonstrating the use of:
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Denial
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Reaction formation
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Rationalization
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Projection
Correct Answer
A. Reaction formationExplanation
reaction formation
Reaction formation is the adoption of behavior or feelings that are exactly opposite of one’s true emotions. A. Denial is refusal to accept a painful reality. C. Rationalization is attempting to justify one’s behavior by presenting reasons that sounds logical. D. Projection is attributing of one’s behaviors and feelings to another person.Rate this question:
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- 4.
A teenage girl is diagnosed to have borderline personality disorder. Which manifestations support the diagnosis?
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Lack of self esteem, strong dependency needs and impulsive behavior
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Social withdrawal, inadequacy, sensitivity to rejection and criticism
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Suspicious, hypervigilance and coldness
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Preoccupation with perfectionism, orderliness and need for control
Correct Answer
A. Lack of self esteem, strong dependency needs and impulsive behaviorExplanation
Lack of self esteem, strong dependency needs and impulsive behavior
These are the characteristics of client with borderline personality. B. This describes the avoidant personality. C. These are the characteristics of a client with paranoid personality D. This describes the obsessive compulsive personalityRate this question:
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- 5.
The plan of care for clients with borderline personality should include:
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Limit setting and flexibility in schedule
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Giving medications to prevent acting out
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Restricting her from other clients
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Ensuring she adheres to certain restrictions
Correct Answer
A. Ensuring she adheres to certain restrictionsExplanation
Ensuring she adheres to certain restrictions
The client is manipulative. The client must be informed about the policies, expectations, rules and regulation upon admission. A. Limits should be firmly and consistently implemented. Flexibility and bargaining are not therapeutic in dealing with a manipulative client. B. There is no specific medication prescribed for this condition. C. This is not part of the care plan. Interaction with other clients are allowed but the client should be observed and given limits in her attempt to manipulate and dominate others.Rate this question:
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- 6.
Situation: A 42 year old male client, is admitted in the ward because of bizarre behaviors. He is given a diagnosis of schizophrenia paranoid type.
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Trust vs. mistrust
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Industry vs. inferiority
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Generativity vs. stagnation
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Ego integrity vs. despair
Correct Answer
A. Generativity vs. stagnationExplanation
Trust vs. Mistrust is the first stage, typically occurring in infancy.
Industry vs. Inferiority is associated with school-age children.
Ego Integrity vs. Despair is the stage associated with older adults, typically in late adulthood.
Generativity vs. Stagnation is the stage experienced in middle adulthood, usually between the ages of 40 and 65, where the individual focuses on contributing to society and helping guide the next generation.Rate this question:
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- 7.
Clients who are suspicious primarily use projection for which purpose:
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Deny reality
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To deal with feelings and thoughts that are not acceptable
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To show resentment towards others
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Manipulate others
Correct Answer
A. To deal with feelings and thoughts that are not acceptableExplanation
to deal with feelings and thoughts that are not acceptable
Projection is a defense mechanism where one attributes ones feelings and inadequacies to others to reduce anxiety. A. This is not true in all instances of projection C and D. This focuses on the self rather than othersRate this question:
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- 8.
The client says “ the NBI is out to get me.” The nurse’s best response is:
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“The NBI is not out to catch you.”
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“I don’t believe that.”
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“I don’t know anything about that. You are afraid of being harmed.”
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“ What made you think of that.”
Correct Answer
A. “I don’t know anything about that. You are afraid of being harmed.”Explanation
“I don’t know anything about that. You are afraid of being harmed.”
This presents reality and acknowledges the clients feeling A and B. are not therapeutic responses because these disagree with the client’s false belief and makes the client feel challenged D. unnecessary exploration of the falseRate this question:
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- 9.
The client on Haldol has pill rolling tremors and muscle rigidity. He is likely manifesting:
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Tardive dyskinesia
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Pseudoparkinsonism
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Akinesia
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Dystonia
Correct Answer
A. PseudoparkinsonismExplanation
Pseudoparkinsonism
Pseudoparkinsonism is a side effect of antipsychotic drugs characterized by mask-like facies, pill rolling tremors, muscle rigidity A. Tardive dyskinesia is manifested by lip smacking, wormlike movement of the tongue C. Akinesia is characterized by feeling of weakness and muscle fatigue D. Dystonia is manifested by torticollis and rolling back of the eyesRate this question:
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- 10.
The client is very hostile toward one of the staff for no apparent reason. The client is manifesting:
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Splitting
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Transference
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Countertransference
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Resistance
Correct Answer
A. TransferenceExplanation
Transference
Transference is a positive or negative feeling associated with a significant person in the client’s past that are unconsciously assigned to another A. Splitting is a defense mechanism commonly seen in a client with personality disorder in which the world is perceived as all good or all bad C. Counterttransference is a phenomenon where the nurse shifts feelings assigned to someone in her past to the patient D. Resistance is the client’s refusal to submit himself to the care of the nurseRate this question:
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Aug 27, 2024Quiz Edited by
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Jan 28, 2012Quiz Created by
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