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A nurse is teaching a client with borderline personality disorder to reshape thinking patterns. Which is an example of a cognitive restructuring technique that would be helpful for this client?
- A. When negative thoughts begin, tell yourself â??stop.'
- B. Learn to look at situations realistically rather than assuming the worst.
- C. Recognize negative thoughts and replace them with positive ones.
- D. Express needs using â??I' statements.
Correct Answer: C
Rationale: Cognitive restructuring involves identifying and replacing negative thoughts with positive ones to alter maladaptive thinking patterns.
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The nurse is teaching a client with paranoid personality disorder to validate ideas with another person before taking action on them. Which is the best rationale for this intervention?
- A. It will assist the client to start basing decisions and actions on reality.
- B. It will help the client understand the origins of his or her paranoid thinking.
- C. It will help the client learn to trust other people.
- D. It will teach the client to differentiate when his or her suspicions are true.
Correct Answer: A
Rationale: Validating ideas with another person helps clients with paranoid personality disorder base decisions on reality, reducing impulsive actions.
Which of the following is a realistic outcome for the care of a person with a personality disorder?
- A. Outcomes that focus on satisfaction with daily life
- B. Outcomes that focus on the client's perception of others
- C. Outcomes that focus on increased client insight
- D. Outcomes that focus on change in behavior
Correct Answer: D
Rationale: Behavioral change is a realistic and primary focus for treatment, as insight or perception changes are less achievable.
Which thought process would cause a client with antisocial personality disorder to want to do everything for himself?
- A. Belief in his own self-worth
- B. Inability to delay gratification
- C. Rewards for competitive behavior
- D. Sense of mistrust of others
Correct Answer: D
Rationale: Antisocial personality disorder includes mistrust of others, leading clients to rely solely on themselves to meet their needs.
Of the following personality disorders, which are most likely related to lack of caring about others? Select all that apply.
- A. Schizotypal personality disorder
- B. Borderline personality disorder
- C. Antisocial personality disorder
- D. Narcissistic personality disorder
- E. Obsessive-compulsive personality disorder
Correct Answer: A,C,D
Rationale: Schizotypal, antisocial, and narcissistic personality disorders involve social deficits, disregard for others' rights, or lack of empathy, unlike borderline or obsessive-compulsive disorders.
A nursing student appears to cooperate with the group but does not complete agreed upon tasks at the appropriate time repeatedly and then displays negativity. The nursing student may be showing signs of which personality disorder or behavior?
- A. Paranoid
- B. Borderline
- C. Narcissistic
- D. Passive-aggressive behavior
Correct Answer: D
Rationale: Passive-aggressive behavior involves superficial cooperation with underlying resistance and negativity, unlike the other disorders listed.