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TOP RANK REVIEW ACADEMY, INC. Page 3 | A. ASD has a longer duration than PTSD. B. The interval from trauma to symptoms is of shorter duration for ASD. C. The client with ASD has at least one dissociated manifestation. D. The ASD client with the dissociative symptoms does have problems coping. Situation – To be able to design care plans to help those with personality disorders, the nurse must be familiar with the various types of PDs and the major characteristics of each. 31. A dependent personality is characterized by: A. Mistrust of the significant others B. Incessant demands for attention and support from others C. Inability to postpone gratification D. Lack of enthusiasm for the ordinary activities of life 32. The nurse caring for a client with antisocial personality disorder would place highest priority on which nursing diagnosis? A. Disturbed personal identity B. Fear C. Risk for violence directed at others D. Social isolation 33. A client arrives for her mental health appointment wearing a cocktail dress and theatrical makeup. She announces dramatically and flirtatiously that she needs to be seen immediately because she is experiencing overwhelming psychological distress. The nurse should recognize behaviors suggestive of which axis II diagnosis? A. Borderline personality disorder B. Narcissistic personality disorder C. Histrionic personality disorder D. Antisocial personality disorder 34. A client has been diagnosed with borderline personality disorder. The client is impulsive, shows labile affect, displays frequent angry outbursts and has difficulty tolerating angry feelings without self-injury. The nurse selects which of the following as the priority nursing diagnosis for this client? A. Anxiety B. Risk for self-mutilation C. Risk for violence toward others D. Ineffective coping 35. The mental health nurse is reviewing a 35 year old client’s history before conducting an interview. The client’s history indicates fear of criticism and rejection from others, having few friends and withholding information about thoughts and feelings in anticipation of rejection by others. Based on the data, the nurse suspects that the client may have which personality disorder? A. Schizotypal B. Paranoid C. Avoidant D. Schizoid 36. A patient is having difficulties in establishing and maintaining relationships with others; he does not exhibit psychotic symptoms. The psychiatrist is considering a diagnosis of personality disorder. Based on the above symptoms and her knowledge of the disorder, the nurse would suspect the patient to have what type of personality disorder? A. Schizoid B. Schizotypal C. Borderline D. Dependent SITUATION – Nurse Bob is taking care of different patients having dementia of varied types. She is concerned with the sequelae of the disorder to his patient’s physical, mental and social health. 37. On a 24-hour assessment, Nurse Bob documents that Lola Johana, a client diagnosed with Alzheimer’s disease presents with aphasia. Which client behavior supports this finding? A. Lola Johana is sad and has no ability to experience pleasure. B. Lola Johana is extremely emaciated and appears to be wasting away. C. Lola Johana is no longer able to speak. D. Lola Johana is having difficulty in forming words. 38. In planning her treatment plan, which intervention would be most important in managing Lola Johana’s condition? A. Avoid the use of touch B. Provide a stimulating environment C. Provide a safe environment D. Use restraints whenever necessary 39. The nurse suspects a client is experiencing delirium. A specific assessment information that would support this suspicion includes: A. Slow onset of confusion and agitation. B. Onset is insidious and relentless. C. Sudden onset of confusion. D. The symptoms last for 1 month or longer. 40. She is observed to be repeating the same word over and over again. This symptom is known as: A. Palilalia B. Confabulation C. Aphasia D. Apraxia 41. Discharge plan is being prepared. The family should be instructed to place highest priority to this need in caring for Aling Mrs. Cruz: A. Nutrition B. Safety C. Hygiene D. Comfort 42. Psychiatric nurses may describe a psychopathological condition as: A. a state of emotional balance B. a disturbance in the persons thoughts, feelings and behavior C. always hereditary D. not treatable SITUATION – Society and culture have a great deal of influence on eating behaviors and perceptions of ideal weight. Eating patterns are developed based on attempts to meet these societal norms. 43. The nurse is teaching a group of young adolescents about eating disorders. The nurse consider the sessions effective if the participants state that anorexia nervosa is best as an eating disorder that occurs: A. Only in young girls who are depressed B. Mainly in young girls who perceive themselves to be grossly overweight C. Primarily in young gays who live in chaotic families D. In young boys and girls alike 44. The nurse is conducting an in-service education session about the relationship between anxiety and bulimia nervosa. The nurse best describes the relationship by saying, “When the client has bulimia nervosa, an increase in the anxiety level will generally result in: A. Rigidly controlling what he or she eats. B. Binging and purging C. Overeating D. Consuming alcohol 45. A characteristic that would suggest to the nurse that an adolescent may have bulimia would be: A. Redness on knuckles B. A positive body image C. A previous history of gastritis D. Frequent regurgitation and re-swallowing of food 46. The following are the characteristics of anorexia nervosa, except: A. Preoccupied with weight loss B. Thinks she’s fat C. Afraid of gaining weight D. Aware of her eating problem 47. The nurse traces the history of the client to identify the probable cause of her condition. You know that families of anorexia nervosa clients: A. Tends to be chaotic and place high value on achievement B. Often have a history of substance abuse C. Are usually closed systems that discourage outside relationship D. Have an inability to collaborate with others 48. When taking care of a client diagnosed with bulimia nervosa, the least appropriate action of a nurse is: