ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 29 : Antisocial Personality and Disruptive, Impulse Control, and Conduct Disorders Questions
Question 1 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 2 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.
Question 3 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 4 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 5 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.