A grandiose sense of self importance is associated

Question 1 of 5

A grandiose sense of self importance is associated with which of the following disorders?

A. Histrionic PD B. Narcissistic PD C. Antisocial PD D. Obsessive-Compulsive PD

Correct Answer: B

Rationale: Narcissistic PD (B) features grandiosity and self-importance per DSM-5. Histrionic (A) seeks attention, antisocial (C) lacks empathy, and OCPD (D) focuses on perfection, not grandeur.

Question 2 of 5

A patient with Antisocial PD comes to the nurses station at 11:00pm requesting to phone a lawyer. The unit rule states, 'No phone calls after 10:00pm.' The patient insists on discussing the process for filing for a divorce immediately. Which of the following responses is therapeutic for this patient?

A. You may go ahead and use the phone. I know this is a hard time for you.' B. Are you sure you want to file for a divorce. Perhaps you should take more time to think it over.' C. It is after 10:00pm. You will need to make your call in the morning.' D. You know better than to break the rules. I’m surprised at your behavior.'

Correct Answer: C

Rationale: Enforcing rules calmly (C) sets limits for antisocial PD, countering manipulation. Allowing (A) undermines policy, questioning (B) engages manipulatively, and shaming (D) is non-therapeutic.

Question 3 of 5

Which of the following nursing diagnoses would be most appropriate for a client with schizotypal personality disorder?

A. Ineffective coping related to repetitive behaviour such as hand washing B. Risk for self-mutilation related to social anxiety C. Risk for violence toward others related to lack of remorse for behaviours D. Impaired thought processes related to ideas of reference and magical thinking

Correct Answer: D

Rationale: Schizotypal PD involves odd beliefs like magical thinking and ideas of reference, making impaired thought processes (D) most appropriate. Hand washing (A) is OCD, self-mutilation (B) borderline, and violence (C) antisocial.

Question 4 of 5

A client with paranoid personality disorder is discussing current problems with a nurse. What is the most important intervention for the nurse to implement?

A. Have the client look at sources of frustration B. Have the client focus on ways to interact with others C. Have the client discuss the use of defence mechanisms D. Have the client clarify thoughts and belief about an event

Correct Answer: D

Rationale: Clarifying thoughts and beliefs (D) builds trust and addresses mistrust in paranoid PD without confrontation. Frustration (A), interaction (B), and defense mechanisms (C) are less immediate priorities.

Question 5 of 5

A 17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to:

A. discourage the patient from sneaking food between meals, by unobtrusively reducing her access to the kitchen. B. encourage the patient’s interest in menu planning, food magazines, and cooking lessons, by leaving information and materials around the house. C. permit the patient to eat her meals privately in her bedroom to discourage family preoccupation with meals. D. recommend that the patient joins in routine family meals and clears the dishes after dinner, even if she does not eat.

Correct Answer: D

Rationale: Joining family meals (D) normalizes eating behavior and provides support, key for anorexia recovery. Sneaking (A) assumes deceit, cooking focus (B) may trigger, and privacy (C) isolates.

A grandiose sense of self importance is associated with which of the following disorders?

Nurselytic

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