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Psych test 4 test bank exam questions with correct answers
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  • Pathology

1. A patient tells a nurse about being in a relationship with a significant other for more than 1 year and states, "the person is available when I need support, but neither of us tries to control the other." The nurse can correctly assess this relationship as: a. narcissistic. B .enmeshed. ...

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  • August 16, 2024
  • 25
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • psych test 4 test bank exam questions with correct
  • 1 a patient tells a nurse about being in a relati

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  • Pathology

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Psych test 4 test bank exam questions
with correct answers
1. A patient tells a nurse about being in a relationship with a significant other for more
than 1 year and states, "the person is available when I need support, but neither of us
tries to control the other." The nurse can correctly assess this relationship as:

a. narcissistic.

B .enmeshed.

C disconnected.

D .interdependent. - Answer-ANS: D

Interdependent relationships allow reliance on others as well as independence. Each
lets the other be dependent or independent without needing to control the person's
behavior.

2. Which statement best describes persons with personality disorders?

a. The patient's coping skills are severely impaired by cognitive impairment.

b. The patient's maladaptive behaviors involve only a single aspect of personality.

c. The patient has enduring ways of relating that often provoke negative reactions.

d. The patient has considerable resilience when faced with stressful life situations. -
Answer-ANS: C

The three features of personality disorders are (1) the individual has acquired few
strategies for relating, and his or her approaches are inflexible and maladaptive; (2) the
individual's needs, perceptions, and behavior tend to foster vicious circles that continue
unhelpful patterns and provoke negative reactions from others; and (3) the individual's
adaptation is characterized by tenuous stability, fragility, and lack of resilience when
faced with stress. The patient's treatment plan is directed toward improvement of patient
condition, but it does not guarantee improvement or cure.

3. Which comment about relationships would be most characteristic of a patient with
antisocial personality disorder?

a. "The only reason for interacting is to take advantage of others."

B ."'Live and let live' is as good a philosophy as any to live by."

, b. "I've always found that 'help one another' is a good policy."

D ."I'll be your doormat. Feel free to take advantage of me." - Answer-ANS: A

Antisocial individuals are exploitative and manipulative. They prefer to control others to
avoid being controlled. The attitudes of "live and let live" and "help one another" are not
reflective of an individual with antisocial personality disorder since they are incapable of
empathy or sympathy. Being a "doormat" reflects a poor sense of self-esteem and
personal worth.

4. A nursing diagnosis appropriate to consider for a patient with antisocial personality
disorder is:

a. risk for self-directed injury.

b. impaired social interaction.

c. disturbed personal identity.

d. disturbed sensory perception. - Answer-ANS: B

Impaired social interaction describes a state in which the person participates in
insufficient, excessive, or ineffective social exchange. The remaining options are not
typically exhibited by a patient with antisocial personality disorder.

5. Which behavior would be most characteristic of an individual with narcissistic
personality disorder?

a. A lifelong pattern of social withdrawal

b. Refusal to enter into relationships for fear of rejection

c. Belief in entitlement to special privileges that others may not have

d. Belief in possessing the ability to know what others are thinking - Answer-ANS: C

Narcissistic individuals are egocentric people who have fragile self-esteem that drives
them to seek admiration and appreciation. As part of this, they display a sense of
entitlement, believing they have rights to special treatment.

6. A patient regularly uses manipulation to control situations. Staff working to reduce
this behavior should first convey the message that:

a. while the patient is accepted, the behavior is rejected as inappropriate.

, B .if the patient cannot control the behavior, staff will establish external controls.

b. manipulative behavior results in frustration and anger among staff and patients.

c. manipulation of patients is no more acceptable than manipulation of unit staff. -
Answer-ANS: A

The staff always must seek to convey acceptance of the patient because this is a
building block for a therapeutic relationship. Inappropriate behaviors such as
manipulation should be identified, their negative consequences to the patient should be
discussed, and more adaptive behaviors should be substituted when the therapeutic
relationship has been established.

7. Before the community meeting, a patient with antisocial personality disorder was
overheard coaching other patients to strongly object to the "no smoking" policy. Which
response would be most characteristic of this patient when approached by staff
members who wish to discuss the behavior?

a. "I knew they'd mess this up. I've learned to speak for myself in the future."

b. "Hey, it's not my fault. They object to you people running this place like a jail."

c. "I think the patients and staff should talk about the rules and negotiate some
changes."

d. "I've learned something valuable from this. We'll talk about this in my therapy
session." - Answer-ANS: B

Patients with antisocial personality disorder usually do not accept responsibility for their
actions. They are unable to problem solve constructively, and they are unlikely to
voluntarily seek help with changing their behaviors.

8. The majority of the treatment team maintains that a patient diagnosed with antisocial
personality disorder needs external limits and careful observation, however two nurses
state, "The patient is really a pleasant person. We shouldn't be so judgmental." The
most likely reason for the difference in staff opinions is that the patient has been using
which coping mechanisms?

a. Idealization and devaluation

b. Projection and rationalization

c. Splitting and projective identification

d. Reaction formation and identification - Answer-ANS: C

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