Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently
manipulates others?
a. Refer the patient's requests and questions to the case manager.
b. Explore the patient's feelings of fear and inferiority.
c. Provide negative reinforcement for acting-out behavior.
d. Ignore, rather than confront, inappropriate behavior.
As a nurse prepares to administer a medication to a patient diagnosed with a borderline personality disorder, the patient
says, "Just leave it on the table. I'll take it when I finish combing my hair." What is the nurse's best response?
a. Reinforce this assertive action by the patient. Leave the medication on the table as requested.
b. Respond to the patient, "I'm worried that you might not take it. I will come back later."
c. Say to the patient, "I must watch you take the medication. Please take it now."
d. Ask the patient, "Why don't you want to take your medication now?"
What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates
others? The patient will:
a. identify when feeling angry.
b. use manipulation only to get legitimate needs met.
c. acknowledge manipulative behavior when it is called to his or her attention.
d. accept fulfillment of his or her requests within an hour rather than immediately.
Consider these comments made to three different nurses by a patient diagnosed with an antisocial personality disorder:
"You're a better nurse than the day shift nurse said you were"; "Another nurse said you don't do your job right"; "You think
you're perfect, but I've seen you make three mistakes." Collectively, these interactions can be assessed as:
a. seductive.
b. detached.
c. manipulative.
d. guilt producing.
A nurse reports to the interdisciplinary team that a patient diagnosed with an antisocial personality disorder lies to other
patients, verbally abuses a patient diagnosed with dementia, and flatters the primary nurse. This patient is detached and
superficial during counseling sessions. Which behavior most clearly warrants limit setting?
a. Flattering the nurse
b. Lying to other patients
c. Verbal abuse of another patient
d. Detached superficiality during counseling
A patient diagnosed with borderline personality disorder has a history of self-mutilation and suicide attempts. The patient
reveals feelings of depression and anger with life. The psychiatrist suggests the use of a medication. Which type of
medication should the nurse expect?
a. Selective serotonin reuptake inhibitor (SSRI)
b. Monoamine oxidase inhibitor (MAOI)
c. Benzodiazepine
d. Antipsychotic
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