A nursing instructor is describing depressive and negativistic personality traits to a group of nursing students. The instructor determines that the teaching was successful when the students identify which of the following as characteristic of negativistic personality traits? Select all that apply.
- A. Anhedonia
- B. Hostility
- C. Pessimism
- D. Oppositionality
- E. Guilt
Correct Answer: B,C,D
Rationale: Negativistic (passive-aggressive) personality traits include hostility (B), pessimism (C), and oppositionality (D), reflecting resistance and negativity toward others. Anhedonia (A) and guilt (E) are more characteristic of depressive traits.
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A nurse is reading an article about a young girl who developed gastrointestinal symptoms from a hair ball because of a ritual that she engaged in. The girl would pull out hair over several hours to relieve tension and anxiety and then eat the hair. The nurse most likely is reading an article about which of the following?
- A. Kleptomania
- B. Trichotillomania
- C. Pyromania
- D. Intermittent explosive disorder
Correct Answer: B
Rationale: Trichotillomania (B) involves compulsive hair-pulling to relieve tension, sometimes followed by ingesting hair, leading to gastrointestinal issues like hairballs. Kleptomania (A) involves stealing, pyromania (C) involves fire-setting, and intermittent explosive disorder (D) involves aggressive outbursts.
A nurse is interviewing a client and suspects that the client may have narcissistic personality disorder. Which client statement would help support the nurse?s suspicions?
- A. I have a very important position in life; everyone I know wants to be like me.
- B. My wife is poisoning my food so she can get rid of me and marry her boss.
- C. I like to work alone because then I can let my thoughts wander.
- D. I?m always the life of the party, making new friends all the time.
Correct Answer: A
Rationale: The statement about having an important position and being envied (A) reflects grandiosity and a need for admiration, core features of narcissistic personality disorder. Paranoia (B) suggests paranoid personality, solitude preference (C) aligns with schizoid, and sociability (D) is more histrionic.
A nursing instructor is preparing a teaching plan for a class of nursing students about antisocial personality disorder. Which of the following would the nurse include as a term often used to describe the behaviors associated with this condition? Select all that apply.
- A. Psychopath
- B. Manipulator
- C. Criminality
- D. Sociopath
- E. Psychotic
Correct Answer: A,C,D
Rationale: Antisocial personality disorder (ASPD) is often described using terms like psychopath (A), criminality (C), and sociopath (D), reflecting manipulative, rule-breaking behaviors. Manipulator (B) is a behavior, not a term, and psychotic (E) refers to psychosis, not ASPD.
A nurse is working with the family of a client who has been diagnosed with antisocial personality disorder. Which of the following would be most important for the nurse to focus on when teaching the family about this disorder?
- A. Anger management
- B. Boundary setting
- C. Medication therapy
- D. Self-responsibility
Correct Answer: B
Rationale: Boundary setting (B) is critical for families dealing with ASPD, as it protects against manipulation and maintains healthy interactions. Anger management (A) and self-responsibility (D) are less family-focused, and medication therapy (C) is not a primary treatment for ASPD.
A group of nursing students is reviewing information about schizoid personality trait. The students demonstrate understanding of the information when they identify which disorder as the most common comorbid disorder?
- A. Depression
- B. Substance abuse
- C. Avoidant personality disorder
- D. Anxiety
Correct Answer: A
Rationale: Depression (A) is the most common comorbid disorder with schizoid personality due to social isolation and emotional detachment increasing depressive risk. Substance abuse (B), avoidant personality (C), and anxiety (D) are less frequently associated.
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