ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 29 : Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders Questions
Question 1 of 5
A client is brought into the emergency department because of complaints from the neighbors that the client was acting strangely. The nurse assesses the client and suspects schizotypal personality disorder based on assessment of which of the following? Select all that apply.
Correct Answer: A,C,D
Rationale: Schizotypal personality disorder involves magical beliefs (
A), paranoia (
C), and social awkwardness like avoiding eye contact (
D). Hallucinations (
B) are more typical of schizophrenia, and meticulous dress (E) is not characteristic.
Question 2 of 5
A nurse is assessing a client diagnosed with avoidant personality disorder. Which of the following would the nurse most likely expect to find? Select all that apply.
Correct Answer: A,B
Rationale: Avoidant personality disorder is characterized by shyness (
A) and feelings of inadequacy (
B) due to fear of rejection. Feelings of superiority (
C) align with narcissistic personality, and perfectionism (
D) and detail-oriented behavior (E) are more typical of obsessive-compulsive personality.
Question 3 of 5
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?
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.
Question 4 of 5
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?
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.
Question 5 of 5
A nurse is developing a teaching plan for a client with an impulse-control disorder. The nurse is planning to explain the emotional aspects associated with the behavior as part of the plan. Which of the following would the nurse describe as occurring first before the individual commits the act?
Correct Answer: B
Rationale: In impulse-control disorders, tension (
B) builds before the act, driving the impulsive behavior as a release. Remorse (
A), regret (
C), and pleasure (
D) typically follow the act, not precede it.