a. b. c. d.
nonadherence. impaired social interaction. disturbed personal identity. diversional activity deficit.
ANS: B
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Without exception, individuals with personality disorders have problems with social interaction with others; hence, the diagnosis of “impaired social interaction.” For example, some individuals are suspicious and lack trust, others are avoidant, and still others are manipulative. None of the other diagnoses are universally applicable to patients with personality disorders; each might apply to selected clinical diagnoses, but not to others. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 24-2, 3 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
27. A new psychiatric technician says, “Schizophrenia … schizotypal! What’s the difference?”
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The nurse’s response should include which information? a. A patient diagnosed with schizophrenia is not usually overtly psychotic. b. In schizotypal personality disorder, the patient remains psychotic much longer. c. With schizotypal personality disorder, the person can be made aware of misinterpretations of reality. d. Schizotypal personality disorder causes more frequent and more prolonged hospitalizations than schizophrenia. ANS: C
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The patient with schizotypal personality disorder might have problems thinking, perceiving, and communicating and might have an odd, eccentric appearance; however, they can be made aware of misinterpretations and overtly psychotic symptoms are usually absent. The individual with schizophrenia is more likely to display psychotic symptoms, remain ill for longer periods, and have more frequent and prolonged hospitalizations.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 24-12 TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
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28. Personality traits most likely to be documented regarding a patient demonstrating
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characteristics of an obsessive-compulsive personality disorder are a. affable, generous. b. perfectionist, inflexible. c. suspicious, holds grudges. d. dramatic speech, impulsive. ANS: B
The individual with obsessive-compulsive personality disorder is perfectionist, rigid, preoccupied with rules and procedures, and afraid of making mistakes. The other options refer to behaviors or traits not usually associated with OCPD.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 24-21, 22 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
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