MentalH 13-15

A therapist recently convicted of multiple counts of Medicare fraud says, “Sure I overbilled. Why not? Everyone takes advantage of the government, so I did too.” These statements demonstrate which personal characteristic?

• Shame

• Anxiousness

• Superficial remorse

• Absence of guilt

Which intervention is appropriate for a patient diagnosed with an antisocial personality disorder who frequently manipulates others?

• Refer the patient’s requests to identified staff

• Explore the patient’s feelings of fear and inferiority

• Provide negative reinforcement for acting-out behavior

• Ignore, rather than confront, inappropriate behavior

As a nurse prepares to administer an oral 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?

• “Alright. I’ll be back to make sure you’ve taken it.”

• “I’m worried that you might not take it. I will come back later.”

• “I must watch you take the medication. Please take it now.”

• “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 identify when feeling angry

• The patient will use manipulation only to get legitimate needs met

• The patient will acknowledge manipulative behavior when it is called to their attention

• The patient will accept fulfillment of requests within an hour rather than immediately

Comments made to three different nurses by a patient diagnosed with an antisocial personality disorder include: “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 appropriately assessed using what term?

• Paranoia

• Entitlement

• Manipulation

• Pathological lying

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. Which behavior most clearly warrants limit setting?

• Flattering the nurse

• Lying to other patients

• Verbal abuse of another patient

• 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 treatment team suggests the use of a medication. Which type of medication should the nurse expect?

• Selective serotonin reuptake inhibitor (SSRI)

• Monoamine oxidase inhibitor (MAOI)

• Benzodiazepine

• Antipsychotic

A person’s partner filed charges of battery. The person has a long history of acting-out behaviors and several arrests. Which statement by the person suggests an antisocial personality disorder?

• “I have a quick temper, but I can usually keep it under control.”

• “I’ve done some stupid things in my life, but I’ve learned a lesson.”

• “I’m feeling terrible about the way my behavior has hurt my family.”

• “I get tired of being pushed around. They deserved the beating.”

What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who has made threats against staff, ripped art off the walls, and thrown objects?

• Disturbed sensory perception—auditory

• Risk for other-directed violence

• Ineffective denial

• Ineffective coping

A patient diagnosed with a personality disorder has used manipulation to get their needs met. The staff decides to apply limit setting interventions. What is the correct rationale for this action?

• It provides an outlet for feelings of anger and frustration

• It respects the patient’s wishes so assertiveness will develop

• External controls are necessary while internal controls are developed

• Anxiety is reduced when staff members assume responsibility for the patient’s behavior