ce of our mental health? A) Our ability to function well with others B) Our ability to defend what we believe C) Our ability to perform demanding tasks on the job D) Our ability to defend those weaker than we are 2. A mental health nurse is teaching a class in anger management. She teaches the patients that recognizing what triggers their anger response allows them to do which of the following? A) Manipulate the situation to get what you want B) Stand up for ones beliefs against the cultural beliefs of a community C) Gives them the opportunity to gain control of their anger D) Control the things that trigger their anger 3. Which of the following are factors that could be part of a persons cultural identity? (Select all that apply.) A) Common family customs B) Common language C) Common stressors D) Gender E) Adaptive resources 4. What would a culturally competent nurse know that some cultural and ethnic groups feel that mental illness is caused by? A) Demon possession B) Pretense C) The stars D) Hypnosis 5. A staff educator is discussing stress and its impact on a disease process, whether it is physical or mental. What would be the best statement about stress that the educator could give? A) Stress can be prostress or distress. B) Stress can never enhance the feeling of well-being. C) Stress can be either physically or emotionally exhausting, but not both. D) Distress is actually harmful to ones health. 6. A patient comes to the clinic to see the Mental Health Nurse Practitioner. The patient states, I seem to be miserable and upset all the time. My marriage is crumbling because my wife refuses to understand how I feel. What does the nurse practitioner understand about the factors contributing to the patients stress? A) Internal situations often make us miserable and upset B) External situations often make us miserable and upset C) We choose to make ourselves miserable and upset D) We choose to live with chronic stress 7. As a mental health nurse, you know that when a person feels insulted, mental images of resentment and animosity may be formed. These images generate what? A) The need to fight back B) The need to change their behavior C) The need to project blame onto the other person D) The need to manipulate the situation 8. Mental health nurses know that stress management is an important part of patient care. What is one way a mental health nurse could help the patient cope with stress? A) Teach mentalization B) Teach hypnosis C) Teach imagination D) Teach visualization 9. To help patients deal with their stress, nurses must also learn to cope with their own. Which of the following is an adaptive coping strategy that might be used by the nurse? A) Reframing B) Mediation C) Asset training D) Mental blocking 10. An 18-year-old college student is very anxious about auditioning for the schools famous chorale. Which of the following ways of dealing with this anxiety would the nurse recognize as being maladaptive? A) Arranging for voice lessons B) Practicing the songs used in the audition C) Going to a concert D) Singing with a group of friends 11. Several steps occur in the crisis sequence. What is one of these steps? A) Organization recurs B) Violence C) Autonomic response D) Peripheral nervous system response 12. A 70-year-old man is admitted to the hospital in a severe state of malnutrition. The nurse learns that he lost his wife 3 months ago and is living alone in a rural area. His family lives at a great distance and rarely visits him. He is not eating for several days at a time and is not paying his bills. He is now without electricity and phone service at his home. When his son asks the nurse what is wrong with his father, what would be the nurses best response? A) He is grieving for his wife. B) He has colon cancer and is dying. C) He has a malabsorption disorder. D) He feels alone and useless. 13. A 28-year-old woman, whose husband and two children were killed in a hurricane 3 years ago, has dated several men in the past 18 months. She has never allowed a serious relationship to develop, always finding a reason to end the relationship after a couple of months. What is a reason that this woman may not be able to form a serious, lasting relationship with a man? A) Unresolved grieving from a loss when she was 15 years old B) The patient has had multiple losses C) Guilt with regard to circumstances at or near the time of loss D) The patient has ambivalent feelings toward the lost person 14. A new nurse has just begun work in a mental health facility. During orientation, the nurse learns about chronic sorrow. What should this nurse learn that is considered chronic sorrow? A) Twelve continuous months of coping with a loss B) Inability to complete the coping process C) A prolonged and intensified resolution D) A prolonged and intensified reaction 15. A patient who responds to acute stress by fleeing from the situation is demonstrating the fight-or-flight response. Which of the following describes this response? A) A surge of adrenalin into the bloodstream in response to an immediate threat B) A lapse of judgment that causes a person to avoid consequences C) A positive response to an insulting situation D) A result of chronic stress 16. The nurse is caring for a patient whose husband is dying. The patient says that the doctors caring for her husband are very good and that she knows her husband will recover. The nurse recognizes that the patient is likely in which stage of grief? A) Anger B) Denial C) Acceptance D) Bargaining 17. As a mental health nurse, you are initiating therapeutic strategies for a patient who is in psychological crisis. You initiate therapeutic strategies that are designed to do what? A) Teach the person in crisis a lesson B) Assist in preventing future emotional states of dysfunction C) Assist in identifying future behaviors D) Teach the person in crisis how to diffuse the anger 18. During the mental health clinical rotation, a student nurse asks what types of triggers increase stress levels. What would be the most likely answer the student nurse could get? A) Expected triggers B) One-time triggers C) Intense triggers D) Controllable triggers 19. A patient on the medical/psychiatric unit has been seen pacing back and forth in his room. The nurse asks him what is wrong. The patient responds, I dont know. What is this an example of? A) Stress B) Anxiety C) Distress D) Grief 20. A nurse is collecting data on a new patient in the clinic. What is the best question the nurse might ask the patient to elicit data on the patients mental health? A) What family members do you live with? B) Do you often change things in your life? C) How do you feel about yourself? D) What do you do for a living? Chapter 2 The Delivery of Mental Health Care 1. Who was the first nurse trained in mental health nursing in the United States? A) Florence Nightingale B) Linda Richards C) Harriet Bailey D) Dorothea Dix 2. A 19th century school teacher worked to expose the conditions of patients with mental problems. Because of this person, mental hospitals that had standards of care were constructed. Who was this person? A) Benjamin Rush B) Linda Richards C) Harriet Bailey D) Dorothea Dix 3. What act of legislation provided funds for research, advanced nursing degree programs, and improved community service for individuals with mental illness? A) Joint Commission on Mental Illness and Health in 1955 B) National League for Nursing 1953 C) National Institute of Mental Health 1949 D) National Mental Health Act of 1946 4. In the mid 1950s, antipsychotic drugs were introduced. As medications made caring for the mentally ill somewhat easier, what movement gained momentum? A) The move to deinstitutionalize mentally ill clients B) The move to use electric shock therapy for depressed clients C) The move to use antipsychotic drugs instead of restraints D) The move to improve the conditions in mental health hospitals 5. Research has shown that people in minority groups do not always receive the care they need for mental illness. The barriers to accessing mental health care include what? (Mark all that apply.) A) High abuse rate in family B) Low socioeconomic status C) Low educational levels D) Limited income E) High physical needs of family 6. The nurse is admitting a 36-year-old Arabic female diagnosed with severe postpartum depression to the mental health unit. The culturally sensitive nurse is aware that cultural incompetence among mental health providers and professionals is what? A) The reason minorities do not seek health care B) Nonexistent in the United States C) The single most pivotal barrier to equality in delivery of mental health care D) Rampant in third world countries 7. When admitting a patient to a mental health setting, what does the nurse do to aid in preserving the rights of the client? A) Give the client the opportunity to read the Mental Health Systems Act Bill of Rights B) Send a copy of the Mental Health Systems Act Bill of Rights home with a family member C) Read the client the Mental Health Systems Act Bill of Rights D) Tell the client of his or her rights 8. In the child behavioral unit on which you work with the family of a prospective patient, you are having a discussion with the mother. The mother asks you how she knows her child will not be mistreated when he misbehaves. What is the best statement in the Patient Bill of Rights to discuss with this mother regarding her childs treatment? A) Be treated with dignity, concern, and respect at all times B) Expect quality care provided by trained and competent professional providers C) Be treated in the least restrictive setting D) Receive explanations of treatment and be involved in the planning of care 9. A client is admitted on an emergent basis to a local mental health facility after being detained by the police when he was found walking naked down the middle of a four-lane highway. The nurse knows that the client can be held for what length of time? A) 7284 hours B) 4872 hours C) 3648 hours D) 2436 hours 10. You work in a mental health facility and are admitting a client who has been brought to the emergency department of a local hospital after being picked up while attempting to jump from the rail of a bridge. The physician feels that the patient is serious about attempting suicide and so sends the patient to you for admission. What type of admission would you document this as? A) Emergent B) Routine C) Voluntary D) Involuntary 11. On admittance to a mental health unit, a client tells the nurse that he or she does not want anyone to know that he or she is a patient there. The next day the nurse receives a phone call requesting information about the client. The nurse refuses to acknowledge that the client is a patient on the unit. What is the best way to describe how this nurse is acting? A) Confidently B) Legally C) Ethically D) Privately 12. What does the Health Insurance Portability and Accountability Act (HIPAA) of 1996 hold mental health care professionals legally and ethically responsible for? A) Portability of medical records B) Accurate documentation C) Correct billing of insurance companies D) Client confidentiality 13. As a student nurse, you are accountable for the care that you provide. Where would you find the scope and minimum standard of practice for the care you provide? A) Student Nurses Practice act for the United States B) American Nurses Association website C) Student Nurses Association website D) Nurse practice act of your state 14. While providing care to a client who has moderate to severe Alzheimer disease, a mental health nurse has what responsibility? A) Protecting the clients rights B) Disclosing information only to family members C) Keeping the patient on a locked unit D) Being within arms length of the patient at all times 15. Federal regulations and Joint Commission standards regulate the use of seclusion and restraints by health care workers. What do these regulations mandate with regard to the use of restraints? A) Restraints can only be applied in the presence of a physician B) Restraints can be applied under the supervision of a licensed nurse C) Restraints can only be applied under the supervision of a registered nurse D) Restraints can only be applied if nursing orders are on the chart 16. You are caring for a client who is under 24-hour suicide watch when the client becomes very aggressive and belligerent. When you are trying to talk the client down, the client hits you. What would you recommend for this client? A) Seclusion B) Restraints C) Time-out D) Demerits 17. As a mental health nurse, your possible practice settings include what? (Mark all that apply.) A) Long-term care facilities B) Home-health care C) Outpatient surgery clinics D) Hospital units E) Ophthalmic clinics 18. As an emergency department nurse, you deal with some mentally healthy clients who are experiencing a temporary mental instability. What type of nursing would you practice in this situation? A) Family care nursing B) Crisis intervention nursing C) Adult health nursing D) Situational nursing 19. Holistic nursing is practiced in every practice setting. Because of this, no matter what the health care setting, what should the nurse be prepared to do? A) Help others follow the policies of the institution they are working in B) Practice nursing according to Peplaus theory C) Be prepared to initiate interventions to address the psychosocial needs of each client D) Care for the physical needs of the patient exclusively 20. What must a nurse in a correctional facility provide to a patient newly diagnosed with HIV? A) Compassion and strength B) Counseling and support C) Empathy and strength D) Sympathy and support Chapter 3 Theories of Personality Development 1. A nurse researcher is conducting a study on how a mother perceives her infant at the age of 4 months. The researcher is asking the mother to identify general prominent features, some of which are seen in all the infants behavior patterns and are most often used as descriptors of the infant. What is the best term for these features? A) Personality traits B) Secondary traits C) Central traits D) Humanistic traits 2. What type of the following personality theories views a person as a whole? A) Altruistic B) Humanistic C) Theistic D) Allopathic 3. Which of the following are components of an individuals personality? (Select all that apply.) A) Pattern of interacting with oneself and the environment B) Pattern of perceiving oneself and the environment C) Pattern of relating to oneself and the environment D) Pattern of thinking about oneself and the environment E) Pattern of admiring oneself and the environment 4. When caring for patients, the nurse recognizes that each person has a certain disposition. How else could disposition be described? A) Personality B) Core traits C) Temperament D) Secondary traits 5. The nurse knows that as persons grow from childhood to adulthood, they respond to the realization that they are an autonomous being and therefore capable of controlling themselves. This realization forms what? A) Patterns of thinking B) Patterns of behavior C) Secondary traits D) Core traits 6. The nurse reads the admission notes in the chart of a new patient. The admitting nurse mentions that the patient uses humor as a defense mechanism. If this defense mechanism is used short term, how would its use be described? A) Maladaptive B) Predetermined C) Patterns of conflict D) Adaptive 7. Eriksons theory of psychosocial development recognizes that not everyone will be successful at each stage of development. Eriksons view emphasizes that failure in one stage of development means what for the person in later stages of development? A) The failure can be corrected by successes B) The failure can never be corrected C) Repetition of the previous stage until success is achieved D) Going back to a previous stage to work through more tasks 8. What basic psychologic needs did William Glasser cite that determine a persons behavioral response in a given situation? (Select all that apply.) A) Fun B) Dependence C) Love D) Trust E) Choice 9. Piaget theorizes that as humans grow and move from one stage to another, they seek cognitive balance. What term does Piagets theory use to describe this process of achieving cognitive balance? A) Equilibration B) Trust C) Assimilation D) Accommodation 10. A pediatric nurse is caring for a 5-year-old female patient. When giving the child an injection preoperatively, the patient cries and states, Now everything will leak out. The nurse knows that this is an example of what? A) Impulsivity B) Fear C) Magical thinking D) Egocentrism 11. Based on Piagets work, Kohlberg developed a theory of moral development. According to Kohlbergs theory, each of the levels builds on the one prior with what? A) A chance to go back and rework the prior level B) A chance to be successful at prior levels C) A more complex view of a moral issue D) A less complex view of a moral issue 12. A mental health nurse must develop what with the clients to be able to provide patient care? A) A personal relationship B) An informal relationship C) A social relationship D) A therapeutic relationship 13. When working with a patient on the behavioral unit, a mental health nurse notes that the patient does not demonstrate an understanding of own actions or the results of those actions. Practicing Peplaus theory, the nurse sees what as a basis for therapeutic interaction with this client? A) Stages of developmental growth B) Levels of psychosocial growth C) Stages of interpersonal growth D) Levels of interactive growth 14. A nurse working on the pediatric unit is caring for a toddler. The nurse knows that according to Peplaus theory, the child is learning what? A) Learning independence B) Delaying self-gratification C) Learning to cooperate D) Learning to behave in a way that is acceptable to others 15. A mother and daughter are seeing a mental health advanced practice nurse. The daughter, 15 years old, ran away a month ago and was found at a friends home 3 days later. The daughter says she ran away because her mother beat her. The mother tells the APN that she is raising her daughter the way she was raised. What theory would the mental health APN use to treat this patient dyad? A) Cognitive theory B) Psychodynamic nursing C) Family Systems theory D) Psychosocial theory 16. Bowen, in the Family Systems theory, proposes that anxiety, an individual reaction to stress, is directly correlated to the persons what? A) Distancing B) Level of differentiation C) Pseudoself D) Solid self 17. Peplaus theory of psychodynamic nursing purports that an individual must do what before being able to live successfully and interact as a member of society? A) Pass through all the developmental stages of Erikson B) Be a solid self C) Understand Piagets cognitive levels of development D) Learn to practice self-control 18. The nurse caring for a child is explaining to the mother about development. At what age would the nurse tell the mother the superego starts developing? A) 12 years B) 23 years C) 34 years D) 45 years 19. You are working on a mental health unit that follows the theory of interpersonal development. You would know that this theorys major concepts include what? A) There is one solid image of self B) There are two images of self C) The person develops three images of self D) It is necessary to integrate four unconscious images of self 20. The mental health APN is counseling with a family that he has identified as being made up of individuals who are predominantly a solid self. This means that the nurse is interacting with what type of family system? A) Open B) Closed C) Differentiated D) Pseudocohesive Answer Key Chapter 4 Treatment of Mental Illness 1. A client is admitted to the mental health unit with a diagnosis of bipolar disorder. What is the aim of this clients treatment? A) To allow the client to live and function in society with improved personal and interpersonal skills B) To allow the client to become successful in society C) To allow the client to mentally even out D) To allow the client to become used to the medication 2. The support of the nurse for the client in a therapeutic relationship encourages what from the client? A) Submission and growth B) Change and goal setting C) Growth and change D) Interpersonal stability 3. The parents of a 10-year-old child being admitted to the childrens behavioral unit ask the nurse what a therapeutic milieu is. What is the nurses best answer? A) The dayroom on our unit B) The school room on our unit C) A safe and secure structured environment D) A place where the client and the patients can interact 4. A mental health nurse on an inpatient unit is often in a position to maintain the milieu as a place where there is what? A) Toleration of acting out B) A place to practice in the pool C) Laughter and good will D) Dignity and acceptance 5. A new LVN/LPN is being oriented to the psychiatric unit at a local hospital. At the end of the day, the new nurse asks the preceptor to explain what the RN is accountable for on the unit. What would be the preceptors best answer? A) Both the physical and the mental health care of the clients B) Everything C) The physical care of the client D) The mental health care of the client 6. An LPN/LVN is working on a closed (locked) mental health unit. What would his or her responsibilities include? A) Administering medications and searching client rooms daily B) Observing behaviors and administering medications C) Documenting in the client record and preparing meals D) Interacting with clients and notifying insurance companies 7. As an LVN/LPN on a mental health unit, a basic part of your nursing assessment is what? A) Performing the admission assessment of each client B) Reinforcing inappropriate behavior C) The observation of inappropriate behaviors D) Teaching the client new skills 8. A client asks the nurse to explain what is wrong with the client. What is the nurses responsibility in this instance? A) Copy the diagnosis from the DSM-IV for the client B) Tell the client that he or she needs to speak with the physician about this C) Explain the diagnosis in medical terms D) Provide an explanation at the clients level of understanding 9. An essential part of the nurses role in the therapeutic process is what? A) Unconditionally accepting the client as a person B) Explaining to the client why the clients behavior is inappropriate C) Unconditionally accepting the clients behavior D) Raising the clients ego 10. As the nurse sees the situation from the clients perspective and demonstrates an empathetic positive regard for client needs, what usually improves in the client? A) Appropriate behaviors B) Compliance with treatment C) Regard for the nurse D) Clients ego 11. A mental health APN is talking with a client and the spouse about treatment for depression. The client asks what the most common method of treatment is. What would be the APNs best answer? A) Inpatient treatment and medication B) Outpatient treatment and psychotherapy C) Medication and electroconvulsive therapy D) Psychotherapy and medication 12. A client in psychotherapy asks the mental health practitioner what the goal of this treatment is. What would be the practitioners best response? A) The goal is to reduce the symptoms of the emotional disturbance. B) The goal is to allow clients to make choices. C) The goal is to help clients have the inner courage to act on their priorities. D) The goal is to give advice to the client. 13. A mental health nurse is passing drugs on an inpatient unit. Clients ask why they have to take medicine. What would the nurse include in the explanation to the clients? A) The medicine helps you get better faster than counseling does B) The medicine helps you to have a manageable level of existence C) The medicine helps you act more inappropriately D) When the drugs work in your system, you can go home 14. How do psychotropic drugs work? (Mark all that apply.) A) By affecting a clients psychiatric viewpoint B) By affecting a clients psychiatric function C) By affecting a clients behavior D) By affecting a clients experience E) By affecting a clients psychiatric desires 15. What type of individual therapy is nondirective and focuses on helping the client to clarify his or her own feelings? A) Behavioral B) Cognitive therapy C) Group D) Humanistic 16. A nurse is getting a patient ready for the first electroconvulsive therapy treatment. The clients spouse asks what the expected outcome of ECT is. What would be the nurses best response? A) We expect this treatment to cause short seizures. B) We expect this treatment to cure the client. C) We expect this treatment to restore a chemical balance within the brain. D) We expect this treatment to make the patient sleep for a period of time. 17. On a mental health unit, the nurse spends a great deal of time with the clients. Because of this, the nurse is seen as what? A) An authority figure B) Part of the health care team C) An authority on games D) A role model for social behaviors 18. What type of therapy uses monitoring devices during situations that trigger specific types of anxiety? A) Play therapy B) Biofeedback C) Electroconvulsive therapy D) Agitation therapy 19. What are the functions of a mental health technician on most mental health units? (Mark all that apply.) A) Assisting clients with physical and hygiene needs when needed B) Planning recreational activities C) Preparing meals and snacks D) Monitoring unit activities E) Assisting with group activities 20. As a nurse leader in an outpatient setting, the mental health nurse maintains a therapeutic milieu by giving clients the opportunity to do what? (Select all that apply.) A) Improve social relationships B) Discuss their social plans C) Voice complaints D) Give feedback on other clients E) Talk about the environment in general Chapter 5 Establishing and Maintaining a Therapeutic Relationship 1. The nurse is explaining roles and boundaries to a newly admitted patient. These actions are part of which phase of the therapeutic relationship? A) Preinteraction B) Orientation C) Working D) Termination 2. The nurse is assisting the client to overcome his fear of public places. The nurse and the client are in which of the following phases of the therapeutic relationship? A) Preinteraction B) Orientation C) Working D) Termination 3. When the nurse tried to perceive a situation from the clients perception, which characteristic of the nurseclient relationship is being utilized? A) Self-awareness B) Empathy C) Genuineness D) Acceptance 4. Which of the following provides insight into how we respond to our environment and how others react to our behavior? A) Empathy B) Genuineness C) Self-awareness D) Acceptance 5. When the nurse shows concern for a patients well-being, he or she is exhibiting which characteristic of the nurseclient relationship? A) Self-awareness B) Empathy C) Acceptance D) Genuineness 6. Which of the following is vital to the nurseclient relationship? A) Confidence B) Trust C) Sympathy D) Adaptation 7. The phases of the nurseclient relationship center upon which of the following? A) Clients attitude B) Clients personality C) Clients functional ability D) Clients social support 8. To ensure confidentiality, information is shared only with which of the following persons? A) All persons in contact with the client B) Members of the treatment team as it applies to the clients well-being C) Persons who have known the client for several years D) Family members who are inquiring about the client 9. Which of the following would be inconsistent with the characteristics of a therapeutic relationship? A) It is dependent on the situation and needs of the client. B) It focuses on identifying client problems. C) It is considered a social interaction. D) It promotes a return to independent living within societal norms. 10. An assigned client is escalating and becoming hostile toward the nurse. Which of the following actions should be completed by the nurse? A) Use touch to convey a caring demeanor. B) Threaten the client with action. C) Enter the clients room alone to decrease the clients anxiety level. D) Offer the client time to regain control and stop the behavior. 11. The nurse is utilizing limit setting for a manipulative client. Which of the following is an appropriate action to apply limit-setting strategies to this client? A) Encourage instant gratification. B) Reinforce negative behavior. C) Recognize what the client is attempting to do. D) Apply firm boundaries intermittently. 12. The nurse is teaching appropriate coping skills to a client diagnosed with an anxiety disorder. Which phase of nurseclient relationship is the nurse facilitating? A) Preinteraction B) Orientation C) Working D) Termination 13. During the termination phase, which of the following occurs? A) Encouraging independence in getting along with others B) Planning of outcomes and goals C) Evaluating the effectiveness of changes D) Building trust and establishing roles 14. Which of the following components of the nurseclient relationship fosters an honest and caring foundation? A) Trust B) Self-awareness C) Genuineness D) Empathy 15. The nurse is developing a therapeutic relationship with a newly admitted client. Which of the following is an essential component for a therapeutic relationship? A) Family support B) Intelligence C) Explanation D) Dependency needs Chapter 6 Dynamics of Anger, Violence, and Crises 1. The nurse has been assigned to a client diagnosed with depression. Which neurotransmitter has been implicated in depression? A) Dopamine B) Acetylcholine C) Serotonin D) GABA (gamma-aminobutyric acid) 2. A nurse is completing discharge teaching to a client diagnosed with an anxiety disorder who has been prescribed diazepam (Valium). Which of the following would be an important component of the discharge teaching? A) There is no potential for addiction to the drug. B) The drug acts to depress the central nervous system, causing sedation. C) The client should monitor his or her blood pressure for increased values. D) The drug can cause increased appetite. 3. The nurse is caring for a client who has been recently placed on an antidepressant. Which of the following would be a correct statement made by the nurse, regarding antidepressant drugs? A) The drug must be taken several weeks for a therapeutic effect to occur. B) Antidepressants are curative. C) There are no risks of suicide when taking this type of medication. D) The medication should be stopped when the client is feeling better. 4. Which of the following is a priority nursing diagnosis for a client taking an antidepressant? A) Constipation related to side effects of the medication B) Self-care deficit related to low self- esteem C) Risk for self-directed violence related to mood dysphoria D) Sleep pattern disturbance related to psychologic factors 5. A client has been prescribed lithium for mania. A therapeutic serum level for lithium would include which of the following? A) 0.4 mEq/L B) 0.8 mEq/L C) 2.0 mEq/L D) 2.5 mEq/L 6. The nurse is teaching a client receiving a mood-stabilizing agent. Which of the following should be included in the plan of care? A) Limit sodium intake when perspiring heavily. B) Maintain fluid intake of 1,000 to 1,500 mL daily. C) Administer the medication with food. D) Monitor for the side effects of sedation and drooling. 7. Extrapyramidal side effects block which of the following neurotransmitters that coordinate involuntary movements? A) Acetylcholine B) Serotonin C) Epinephrine D) Dopamine 8. The nurse is assessing a client receiving antipsychotic medication. She notices that the patient is smacking his lips and has protruding tongue movements. The nurse would document this side effect as which of the following? A) Akathisia B) Tardive dyskinesia C) Dystonia D) Parkinsonism 9. Which of the following medications is used to treat drug-induced extrapyramidal side effects associated with antipsychotic agents? A) Benztropine (Cogentin) B) Lithium carbonate (Lithane) C) Olanzapine (Zyprexa) D) Fluphenazine (Prolixin) 10. Long-acting benzodiazepines can cause prolonged sedation and increased risk for falls in the elderly population. Which of the following is considered a long-acting benzodiazepine? A) Alprazolam (Xanax) B) Diazepam (Valium) C) Lorazepam (Ativan) D) Oxazepam (Serax) 11. When teaching a client regarding antianxiety medications, the nurse would emphasize which of the following components? A) Alcohol can be consumed in moderation. B) The medication can be discontinued when anxiety is lifted. C) Smoking should be decreased to 3 cigarettes a day. D) Side effects include fatigue and loss of coordination. 12. A client is being seen in the outpatient clinic for major depression. She is currently taking a monoamine oxidase inhibitor (MAOI). The nurse needs to reinforce the importance of avoiding which substance when taking an MAOI? A) Egg products B) Aspirin C) Tyramine D) Peaches 13. The nurse is reviewing the side effects of a prescribed antipsychotic. Which of the following antipsychotic medications is associated with agranulocytosis? A) Fluphenazine (Prolixin) B) Chlorpromazine (Thorazine) C) Haloperidol (Haldol) D) Clozapine (Clozaril) 14. The nurse is giving a seminar on the effects of psychotropic medication to a community group. Which classification of psychotropic medication can cause tolerance and addiction? A) MAOIs B) Benzodiazepines C) Antimanics D) Anticonvulsants 15. The nurse is developing a teaching plan for a client receiving an antidepressant. Which of the following should be included in the plan? A) Antidepressants promote a cure to depression. B) There is a delayed therapeutic effect. C) Discontinue the medication if it is not helping. D) The effect of antidepressant drugs is immediate. Answer Key Chapter 7 Communication in Mental Health Nursing 1. The nurse states, You need to take a walk. The client responds with walk, walk, walk. This is an example of which speech pattern? A) Flight of ideas B) Echolalia C) Neologism D) Loose association 2. A nurse is initiating a conversation with a client diagnosed with bipolar disorder. Which of the following is an example of a barrier to therapeutic communication? A) Clarification B) Validation C) Giving advice D) Using silence 3. Which of the following would be inconsistent in conveying a sense of openness to the client? A) A facial expression congruent with other gestures B) Crossed legs and arms C) Respecting the physical or personal space between the client and yourself D) Use of touch 4. The nurse is interviewing a client newly admitted to the inpatient unit. The client states, I am hungry. Will you buy me a car? Can we go to the movie? The nurse understands that this is an example of which of the following speech pattern? A) Verbigeration B) Loose association C) Neologism D) Flight of ideas 5. While completing an assessment, the nurse asks a client how he is feeling. The client gives a lengthy and very detailed history of numerous problems. He states, My leg is swelling, my eye is drooping, and my cologne is too strong. The nurse would document this speech pattern as which of the following? A) Echolalia B) Circumstantiality C) Blocking D) Verbigeration 6. When interviewing a client regarding his previous health history, the nurse uses hand gestures and facial expressions when communicating. This is an example of which communication technique? A) Use of touch B) Kinesics C) Blocking D) Objectivity 7. When interacting with a client in a professional atmosphere, for most people in U.S. culture, personal space is designated as which of the following? A) 6 inches B) 9 inches C) 1 foot D) 2 feet 8. Which of the following is true regarding therapeutic communication? A) The focus is on the client. B) It is planned by the client. C) The goal is expression of the nurses feelings. D) It does not encompass values and beliefs. 9. When initiating a therapeutic conversation with a client, the nurse uses which of the following therapeutic communication techniques? A) False reassurance B) Validation C) Giving advice D) Minimizing 10. A mental health nurse is teaching a nursing student about the importance of active listening. Which of the following would be inconsistent with active listening? A) Giving critical attention to verbal comments B) Attempting to understand the clients perception of the situation C) Judging the client on his or her perception of the illness D) Reviewing client comments and behaviors prior to responding 11. When dealing with clients diagnosed with mental illness, the nurse must use caution when using touch to convey caring with which client population? A) A client who is ready for discharge B) A depressed client C) A client who is diagnosed with schizophrenia D) A client who is sexually preoccupied 12. When the nurse asks a client, Did I understand you correctly, the nurse is using which verbal communication technique? A) Validation B) Clarification C) Reflection D) Restating 13. The nurse states to the client, It is time for your dinner. The client responds with For your dinner, for your dinner, for your dinner. The nurse would document this as which type of speech pattern? A) Neologism B) Echolalia C) Verbigeration D) Loose association 14. When the client talks about a recent death of a brother, the client states, Then my sisterwhat was I saying? The nurse understands that the client is using which of the following speech patterns? A) Verbigeration B) Echolalia C) Blocking D) Flight of ideas 15. Using silence is a nonverbal communication technique. Silence allows which of the following to occur in the conversation? A) The unwillingness to continue listening B) The nurse to stop the conversation C) The ability of the client to ignore the nurse D) The regain of control in the conversation Chapter 8 The Nursing Process in Mental Health Nursing 1. A nurse is teaching nursing students about the nursing process. Which of the following is a true statement regarding a nursing diagnosis? A) It is synonymous with a medical diagnosis. B) It is considered the first step in the nursing process. C) It only incorporates actual client problems. D) It is the identification of a client problem based on conclusion from collected data. 2. The nurse is developing appropriate nursing diagnoses for a client diagnosed with major depression. Which of the following would be inconsistent with the parts of the nursing diagnosis? A) Actual or potential problem related to the clients problem B) Causative or contributing factors C) Nursing interventions specific to the client D) Behavior or symptoms that support the problem 3. A nurse is reviewing the care plan for a client diagnosed with schizophrenia and hallucination. Which of the following would be considered a long-term outcome for this client? A) The client does not harm self in next 48 hours. B) The client reports a decrease in anxiety level within 24 hours. C) The client identifies environmental factors that precipitate hallucinations by discharge. D) The client identifies feelings associated with hallucinations with each episode. 4. The nurse is completing a psychosocial assessment. Which of the following would be an example of a social component of the client assessment? A) Vital signs B) Behavior C) Affect D) Awareness 5. The nurse is completing an admission physical assessment on a client diagnosed with obsessive-compulsive disorder. Which of the following would be considered objective data? A) Medical history B) Thoughts C) Present symptoms D) Client self-report 6. A nurse is completing a psychosocial assessment on a client diagnosed with depression. Which of the following terms could be used to describe observations of a clients mood during the psychosocial assessment? A) Blunted B) Flat C) Euphoric D) Inarticulate 7. A client has been admitted to an inpatient mental health unit following a suicide attempt. Which of the following would be considered a priority nursing diagnosis for this client? A) Ineffective individual coping related to life events B) Self-injury related to a suicide attempt C) Altered nutrition, less than body requirements, related to depression D) Body image disturbance related to scar on wrist 8. Which of the following is a measurable and realistic goal that anticipates the improvement or stabilization of the client? A) Assessment B) Nursing diagnosis C) Expected outcome D) Evaluation 9. The nurse is reviewing the care plan of a patient diagnosed with bipolar disorder. Which step of the nursing process focuses on helping clients rechannel their energies in a constructive manner? A) Assessment B) Nursing diagnosis C) Implementation D) Evaluation 10. A client has been diagnosed with an anxiety disorder. Which of the following would be considered a long-term outcome? A) The client reports decreased anxiety within 24 hours. B) The client demonstrates an understanding of need for continued medication compliance by discharge. C) The client attends group therapy on day 2. D) The client reports an increased ability to concentrate within 4 hours. 11. The nurse is completing a health assessment on a patient diagnosed with an anxiety disorder. Which of the following would be considered emotional assessment data? A) Family relationships B) Somatic complaints C) Self-concept D) Orientation 12. The nurse is completing a mental health assessment on a client diagnosed with schizophrenia. Which of the following is descriptive of a clients affect? A) Apathetic B) Suspicious C) Blunted D) Hostile 13. The nurse is completing an initial assessment on a client diagnosed with depression. Which of the following is an example of cognitive assessment data? A) Perception of current problem B) Employment status C) Current living situation D) Family relationships 14. Which of the following phases of the nursing process encompasses the establishment of a baseline to formulate the care plan? A) Assessment B) Nursing diagnosis C) Planning D) Implementation 15. Which of the following is a vital component of the therapeutic milieu in mental health treatment? A) Dependency B) Biofeedback C) Consistency D) Electroconvulsive therapy Chapter 9 Anxiety Disorders 1. A client has been diagnosed with obsessive-compulsive anxiety disorder. The nurse would expect to find which of the following clinical manifestations? A) Avoidance B) Persistent unwanted thoughts C) Feeling of suffocation D) Flashbacks 2. A client becomes very anxious when riding in an elevator, which is going to the 12th floor. This would be documented as which of the following types of phobia? A) Arachnophobia B) Acrophobia C) Microphobia D) Pyrophobia 3. A soldier has been back from Iraq for two weeks. He is being seen in the outpatient mental health clinic due to complaints of inability to sleep, nightmares, and flashbacks. The nurse would expect the client to be diagnosed with which of the following? A) Generalized anxiety disorder B) Obsessive-compulsive disorder C) Posttraumatic stress disorder D) Social phobia 4. A client has been diagnosed with generalized anxiety disorder. In order to establish a nurseclient relationship, which of the following steps is most important? A) Identify the problem B) Begin psychotherapy C) Determine social support D) Lower the clients anxiety level 5. A client diagnosed with obsessive-compulsive disorder is constantly checking the oven to make sure it is off. This is an example of which type of obsessive thought content? A) Contamination B) Repeated doubts C) Orderliness D) Aggressive impulses 6. When assessing a client diagnosed with an anxiety disorder, the nurse should use which type of questioning? A) Open ended B) Direct C) Matter of fact D) Abstract 7. Which of the following treatment approaches has been proven to be the most beneficial for the client diagnosed with an anxiety disorder? A) Antianxiety medications combined with psychotherapy B) Antianxiety medications only C) Psychotherapy only D) Guided imagery 8. A physiologic response to generalized anxiety includes which of the following? A) Narcolepsy B) Decreased urinary output C) Muscle tension D) Constipation 9. Which of the following would be a sympathetic nervous system response to panic anxiety? A) Decreased blood pressure B) Increased heart rate C) Dry skin D) Pale extremities 10. A patient diagnosed with obsessive-compulsive disorder avoids touching all doorknobs when entering the health clinic. This type of obsessive thought content would be documented as which of the following? A) Orderliness B) Contamination C) Repeated doubts D) Horrific impulses 11. The nurse should avoid which of the following interventions when dealing with a client having a panic attack? A) Communicating in a nonthreatening manner B) Maintaining a calm environment C) Providing a safe place D) Touching the client 12. A client who is experiencing a panic attack states, I am going to die. I feel like I am suffocating. What is the nurses best response? A) I will leave you alone so that you can calm down. B) You are having a panic attack. I will not leave you alone. C) Please calm down. You are not dying. D) Why are you having a panic attack? 13. In order for a client to be diagnosed with an anxiety disorder, the client must have had symptoms for longer than which time frame? A) 1 week B) 2 weeks C) 3 weeks D) 1 month 14. A client is being admitted to an inpatient clinical unit for treatment of obsessive-compulsive anxiety disorder. The nurse understands that this anxiety disorder is associated with which of the following? A) Feelings of terror B) Nightmares C) Persistent unwanted thoughts and ritualistic behaviors D) Flashbacks 15. When reviewing a care plan of a client diagnosed with obsessive- compulsive disorder, the nurse would expect to see which of the following nursing interventions early in treatment? A) Set limits on the amount of time spent performing the ritual. B) Allow time for the client to perform the ritual. C) Prevent all ritualistic behaviors. D) Increase stimuli in the environment. 16. A client has been diagnosed with agoraphobia. Which of the following is a manifestation of phobias? A) Emotional numbing B) Irrational fear C) Ritualistic behavior D) Insomnia 17. A client is dreading speaking in front of others during a group therapy session. This behavior is consistent with which type of anxiety? A) Separation B) Anticipatory C) Free floating D) Uncued 18. To be diagnosed with generalized anxiety disorder, the client experiences an increased level of anxiety and worry on most days over which time frame? A) 1 month B) 2 months C) 4 months D) 6 months 19. Which medication classification would the nurse expect to be used in the treatment of a client diagnosed with an anxiety disorder? A) CNS stimulants B) Anxiolytics C) Antipsychotics D) Anticonvulsants 20. A client diagnosed with agoraphobia associated with panic disorder has been scared to leave her home for 3 months, unable to go to the grocery store. In reviewing the care plan, the nurse would expect to find which goal for this client? A) Control her symptoms. B) Function effectively within the environment. C) Participate in psychotherapy. D) Perform self-care activities. Chapter 10 Mood Disorders 1. A client is receiving lithium carbonate. Which of the following is a therapeutic blood level for lithium? A) 0.2 mEq/L B) 0.4 mEq/L C) 1.0 mEq/L D) 1.4 mEq/L 2. A client diagnosed with bipolar disorder is verbalizing, The mare, doesnt care, over there, if you dare, anywhere. This is an example of which type of thought pattern? A) Delusions of grandiosity B) Auditory hallucination C) Clang association D) Flight of ideas 3. A client diagnosed with mania is pacing back and forth. To ensure adequate nutrition for this client, which of the following would be most appropriate? A) Foods of clients choice B) Finger foods C) Large meals D) Liquid meals 4. A nurse is caring for a client diagnosed with severe depression. The nurse understands that which neurotransmitter deficit has been implicated in depression? A) Norepinephrine B) Acetylcholine C) Serotonin D) Dopamine 5. The nurse is caring for a client who has just undergone electroconvulsive therapy (ECT). Which of the following is an expected postprocedure manifestation of ECT? A) Memory deficits B) Severe confusion C) Seizures D) Electrolyte imbalances 6. A client is diagnosed with depression. When reviewing the chart of this client, the nurse notes that the client has anhedonia. The nurse would expect to note which of the following sign or symptom related to anhedonia? A) Exaggerated self-worth B) Inability to experience pleasure C) Anergia D) Mania 7. A client states to the nurse, I want to kill myself. I dont have anything to live for. The nurse understands that this statement is an example of which of the following? A) Suicidal erosion B) Suicidal gesture C) Suicidal threat D) Suicide attempt 8. When assessing a client taking lithium, the nurse should be aware of which of the following electrolyte levels within the clients diet? A) Calcium B) Magnesium C) Potassium D) Sodium 9. Clients taking a monoamine oxidase inhibitor (MAOI) should avoid which of the following in their diet? A) Vitamin C B) Tyramine C) Fats D) Sodium 10. A client is being discharged on a tricyclic antidepressant (TCA). The nurse should include which of the following in the discharge teaching? A) Limit the amount of tyramine in the diet. B) Avoid consuming alcohol. C) Stop taking the medication when feeling better. D) Continue a sodium-restricted diet. 11. Which of the following neurotransmitters has been implicated in mania? A) Serotonin B) Norepinephrine C) Acetylcholine D) Dopamine 12. The nurse understands that which of the following antidepressants are fatal in overdose? A) MAOIs B) TCAs C) SSRIs D) Heterocyclics 13. A client has failed to respond to medication therapy for depression. The physician has ordered electroconvulsive therapy (ECT). Which of the following is most important to include in the teaching plan for this client? A) This type of therapy will induce a seizure. B) ECT will cure your depression. C) A registered nurse will perform the procedure. D) There will be no memory impairment postprocedure. 14. A client is being assessed following a suicide attempt. She continues to have suicidal thoughts. Which of the following nursing diagnoses would take priority at this time? A) Activity intolerance related to fatigue B) Anxiety related to psychological conflict C) Risk for violence, self-directed, related to suicidal thoughts D) Social isolation related to feelings of worthlessness 15. Which of the following would be an expected outcome for a client diagnosed with depression? A) Utilizes self-blame to cope B) Internalizes feelings C) Limited interaction with others D) Identifies personal strengths 16. The nurse is caring for a severely depressed client. The nurse should be aware of suicide warning signs. Which of the following would be inconsistent as a warning sign? A) Social withdrawal B) Increased appetite C) Giving away possessions D) Previous suicide attempt 17. Which of the following levels of risk for suicide entails a thought that indicates the persons desire to do self-harm? A) Suicidal gesture B) Suicidal threat C) Suicidal ideation D) Suicide attempt 18. Which of the following mood disorders is less severe than major depressive disorder but tends to be more chronic? A) Mania B) Bipolar disorder C) Dysthymic disorder D) Cyclothymic disorder 19. A client has had five mood shifts within a year, alternating between mania and depression. The nurse would correctly document this shift as which of the following? A) Dysthymia B) Rapid cycling C) Cyclothymia D) Hypomania 20. A client is laughing when talking about a brothers death. This type of affect would be accurately documented as which of the following? A) Blunted B) Flat C) Incongruent D) Appropriate Answer Key Chapter 11 Psychotic Disorders 1. A client is hearing voices telling him to kill himself. The nurse would document this type of perceptual disturbance as which of the following? A) Illusion B) Delusion C) Thought insertion D) Hallucination 2. A client has been diagnosed with schizophrenia. The nurse is able to move the clients arm in a certain position and it will remain in that position until it is moved again. The nurse would document this behavior alteration as which of the following? A) Avolition B) Waxy flexibility C) Loose association D) Dystonia 3. A client states, Little green men implanting destructive asteroids in my brain. This statement is reflective of which type of thinking? A) Thought broadcasting B) Thought insertion C) Thought withdrawal D) Delusion of reference 4. Which of the following is considered a negative symptom of schizophrenia? A) Autism B) Delusions C) Agitation D) Flat affect 5. A client is exhibiting lip smacking, facial grimacing, and protruding tongue movements. This extrapyramidal side effect would accurately be documented as which of the following? A) Akathisia B) Tardive dyskinesia C) Drug-induced parkinsonism D) Dystonia 6. Which drug classification is most commonly used to relieve the drug- induced extrapyramidal side effects associated with antipsychotic agents? A) Anticonvulsants B) Antiparkinson C) Antihypertensives D) Anxiolytics 7. Water intoxication is associated with schizophrenia. The possible cause is related to the effects of antipsychotic drugs on which gland of the body? A) Parathyroid B) Thyroid C) Pituitary D) Pineal 8. Which of the following psychotic disorders is exhibited by a mood episode and active symptoms of schizophrenia that occur together, which is preceded by delusions and hallucinations? A) Shared psychotic disorder B) Brief psychotic disorder C) Schizophreniform disorder D) Schizoaffective disorder 9. The nurse is reviewing a care plan for a patient diagnosed with schizophrenia who is receiving antipsychotic medication. The nurse would expect to find which priority outcome for this client? A) Decreased delusional thinking B) Improved communication C) Complies with therapeutic drug regimen D) Ability to meet self-care needs 10. A client diagnosed with schizophrenia comes to the outpatient mental health clinic very disheveled, with body odor and an unkempt beard. The nurse suspects which of the following negative symptoms of schizophrenia? A) Anhedonia B) Avolition C) Alogia D) Autism 11. A client diagnosed with schizoaffective disorder has a nursing diagnosis of impaired verbal communication. Which of the following intervention would be most appropriate? A) Develop alternate communication methods. B) Place the client in a group therapy session. C) Establish a one-to-one relationship. D) Allow the client to be alone at specific times. 12. A client is taking haloperidol (Haldol) for chronic schizophrenia. The nursing assessment reveals muscular rigidity, hyperthermia, and an altered level of consciousness. These symptoms are consistent with which of the following? A) Akathisia B) Dystonia C) Neuroleptic malignant syndrome D) Tardive dyskinesia 13. The client is experiencing extrapyramidal side effects from taking antipsychotic drugs. Which medication may be used to counteract these side effects? A) Haloperidol (Haldol) B) Chlorpromazine (Thorazine) C) Fluphenazine (Prolixin) D) Benztropine (Cogentin) 14. The priority nursing intervention for a client diagnosed with catatonic schizophrenia includes which of the following? A) Leaving the client alone B) Administering the prescribed lithium carbonate (Lithane) C) Meeting the basic needs of the client D) Allowing the client to communicate feelings 15. Which behavior is characteristic of catatonic schizophrenia? A) Waxy flexibility B) Mania C) Disorganized speech D) Silly laughter 16. A client states, Everyone is out to get me. They are trying to get into my head. They are watching me. The nurse suspects which type of schizophrenia? A) Catatonic B) Disorganized C) Paranoid D) Undifferentiated 17. A client is admitted to the inpatient mental health unit with paranoid schizophrenia. Which of the following assessment parameters would be most important for the nurse to observe? A) Hygiene B) Communication patterns C) Ability to make decisions D) Motor activity 18. Which of the following is a true statement regarding schizophrenia? A) Early onset is more common in women than in men. B) It affects 10% of the general population. C) Women tend to experience less severe symptoms. D) Most symptoms are cured with antipsychotic medications. 19. A client has been prescribed clozapine (Clozaril) for the treatment of schizophrenia. The nurse notes that this medication is associated with which of the following life-threatening side effects? A) Neuroleptic malignant syndrome B) Tardive dyskinesia C) Agranulocytosis D) Dystonia 20. The nurse is reviewing a care plan for an assigned client diagnosed with paranoid schizophrenia. Which of the following would be a priority diagnosis for this client? A) Risk for self-directed violence B) Altered nutrition, less than body requirements C) Defensive coping D) Altered family processes Answer Key Chapter 12 Personality Disorders 1. The nurse is caring for a client who is exhibiting manipulative behaviors. The nurse would be correct in implementing which of the following? A) Allowing for expression of feelings by the client B) Negative reinforcement C) Limit setting D) Emphasis-guided imagery 2. The nurse is interviewing a client diagnosed with avoidant personality disorder. The nurse would expect this client to exhibit which of the following behaviors? A) Preoccupation with details B) Extreme shyness C) Inability to make decisions D) Manipulation 3. Which of the following would be listed as a cluster A personality disorder according to the DSM-IV-TR? A) Paranoid B) Obsessive-compulsive C) Dependent D) Avoidant 4. Which of the following would be inconsistent with the diagnosis of obsessive-compulsive personality disorder? A) Focus on details B) Stubbornness C) Insecurity D) Hoarding of items 5. A client diagnosed with borderline personality disorder who is self- mutilating has been admitted to the inpatient medical unit. Which of the following interventions would take priority for this client? A) Identify the triggers of acting-out behaviors. B) Develop a no-harm contract. C) Explain the rules of the unit. D) Encourage the client to participate in unit activities. 6. Which of the following behaviors would the nurse expect to assess in the client diagnosed with narcissistic personality disorder? A) Sense of entitlement B) Attention-seeking behavior C) Unstable relationships D) Blood stains on clothing 7. A client is upset with a nurse on the inpatient mental health unit. She states to another client, That nurse is mean and hates me. I want to have another nurse take care of me because that nurse is nice all the time. The client is exhibiting which manifestation of borderline personality disorder? A) Dissociation B) Impulse C) Manipulation D) Splitting 8. A client is diagnosed with histrionic personality disorder. The interventions should focus on which of the following behaviors? A) Preoccupation with orderliness B) Fear of disapproval C) Dependency needs D) Extreme egocentricity 9. Which of the following behaviors by the client diagnosed with dependent personality disorder would show progression toward increasing ability to problem solve? A) Utilizing appropriate manners B) Asking questions of the nurse C) Exhibiting a relaxed posture D) Gaining control over impulses 10. When assessing a client diagnosed with antisocial personality disorder, the nurse would expect to observe which of the following? A) Deceit and dishonesty B) Grandiose view of self C) Inability to make self-care decisions D) Preoccupation with orderliness 11. Which of the following thought patterns is consistent with the diagnosis of schizotypal personality disorder? A) Self-absorbed thoughts B) Magical thinking C) Egocentric D) Preoccupation with perfection 12. Which cluster of personality disorders exhibits anxious and fearful types of behavior? A) Cluster A B) Cluster B C) Cluster C D) Cluster D 13. A nurse is caring for a client diagnosed with borderline personality disorder. The nurse would expect which priority nursing diagnosis in the care plan? A) Self-esteem disturbance, related to unmet dependency needs B) Risk for violence, self-directed, related to self-mutilating behaviors C) Impaired communication, related to social withdrawal D) Impaired social interaction, related to indifference toward others 14. A client is being seen in the mental health clinic. When taking the health history, the nurse notes that the client has a history of vandalism, verbal assaults, and truancy. These behaviors are consistent with which of the following personality disorders? A) Dependent personality disorder B) Narcissistic personality disorder C) Antisocial personality disorder D) Borderline personality disorder 15. Which of the following clients diagnosed with a personality disorder feels a sense of entitlement? A) Antisocial B) Narcissistic C) Histrionic D) Dependent 16. Which personality disorder would be consistent with the nursing diagnosis of impaired social interaction, related to indifference toward others? A) Schizoid personality disorder B) Histrionic personality disorder C) Dependent personality disorder D) Antisocial personality disorder 17. When assessing a client diagnosed with borderline personality disorder, it would be most important for the nurse to assess for which of the following? A) Inconsistencies between vocalizations and behaviors B) Scars or cuts C) Nonverbal behaviors D) Resistance to questioning 18. A client diagnosed with antisocial personality disorder is being seen in the health clinic. Which of the following would be the most appropriate outcome for this client? A) Increases interactions with others B) Exhibits relaxed posture C) Decreases manipulative behaviors D) Gains control over impulses 19. Which of the following clusters of personality disorders is associated with odd or eccentric behaviors? A) Cluster A B) Cluster B C) Cluster C D) Cluster D 20. Which of the following personality disorders has an increased risk of abuse associated with it? A) Histrionic B) Dependent C) Schizoid D) Borderline Answer Key Chapter 13 Somatic Symptom and Related Disorders 1. The term used to explain physical complaints and symptoms that are expressed because of psychologic stress is what? A) Hysteria B) Somatization C) Psychophysiologic D) Somatoform 2. A 36-year-old male comes to the clinic complaining of severe headaches. After assessing the client and reviewing test results, the physician finds no physical cause for the headaches. The physician believes that the client has a psychophysiologic syndrome. What is the client getting from the attention of the health care workers? A) Displacement of anxiety B) Primary gain C