ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 29 Questions
Question 1 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 2 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.
Question 3 of 5
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.
Correct Answer: A,C,D
Rationale: Antisocial personality disorder (ASP
D) 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.
Question 4 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.
Question 5 of 5
A nurse is developing a plan of care for a client diagnosed with an antisocial personality disorder who has been admitted to the inpatient psychiatric unit. Which of the following would the nurse most likely include? Select all that apply.
Correct Answer: A,C
Rationale: For ASPD, developing a therapeutic relationship (
A) builds trust, and holding the client responsible for behavior (
C) promotes accountability. Bargaining about rules (
B) undermines structure, discouraging thoughts (
D) hinders therapy, and a lecture-like approach (E) may provoke resistance.