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 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?
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.
Question 2 of 5
A nurse is working with a client who is a compulsive gambler. Which of the following would the nurse emphasize as crucial for relapse prevention? Select all that apply
Correct Answer: B,C
Rationale: Family involvement (
B) supports accountability and a supportive environment, and identifying triggers (
C) helps the client avoid situations that prompt gambling. Medication therapy (
A) is not standard, anger management (
D) is less relevant, and milieu management (E) is too vague for relapse prevention.
Question 3 of 5
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.
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.
Question 4 of 5
The nurse is preparing to assess a client with a paranoid personality trait. The nurse integrates knowledge of this condition, anticipating that the client?s affect and behavior will most likely be which of the following?
Correct Answer: A
Rationale: Paranoid personality disorder is characterized by pervasive distrust and suspicion, often leading to an angry and hostile affect (
A) due to perceived threats. Flirtatious behavior (
B) is more typical of histrionic personality, fearful/anxious (
C) aligns with avoidant personality, and friendly/open (
D) is unlikely given the mistrust.
Question 5 of 5
The nurse is caring for a client with schizoid personality trait. When developing the plan of care for the client, which of the following would the nurse most likely include?
Correct Answer: C
Rationale: Schizoid personality disorder involves social detachment and restricted emotional expression, making relaxation techniques (
C) appropriate to manage anxiety or stress in social settings. Social skills training (
A) may overwhelm, anger management (
B) is less relevant, and coping skills (
D) are too broad.