ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 29 Questions
Question 1 of 5
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?
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.
Question 2 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 3 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 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 reading a journal article about the various theories associated with the development of antisocial personality disorder. The article mentions difficult temperament as a possible theory. The nurse demonstrates understanding of this concept when identifying which of the following as a key behavior associated with a difficult temperament? Select all that apply.
Correct Answer: A,B,C,D
Rationale: Difficult temperament in ASPD development includes aggression (
A), inattention (
B), hyperactivity (
C), and impulsivity (
D), often seen in childhood conduct issues. Depression (E) and paranoia (F) are not typically part of this temperament profile.