NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 252
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1. A nurse who is caring for a client with antisocial behavior should stress on:
a. Close supervision of the client
b. Educate the family members the someone should be with the client all time
c. Setting clear rules and expectations about the client’s behavior
d. Provide stimuli free environment to the client
Answer: c. Setting clear rules and expectations about the client’s behavior
Description:The nursing care plan for the antisocial client should stress on setting the clear rules and expectations about the client behavior.
2. Which is the most appropriate nursing intervention for a schizotypal personality disorder client with a nursing diagnosis of impaired verbal communication?
a. Helping the client to participate in social interactions
b. Establishing a one-on-one relationship with the client
c. Establishing alternative forms of communication
d. Allowing the client to decide when he wants to participate in verbal communication with the nurse.
Answer: b. Establishing a one-on-one relationship with the client
Description:Schizotypal personality disorder often involves difficulties in social interactions and communication. Establishing a one-on-one relationship with the client can help build trust and rapport, making it easier for the client to communicate with the nurse. This approach provides a safe and supportive environment for the client to express themselves verbally, which can be particularly important for individuals with impaired verbal communication skills.
3. The main treatment for dissociative identify disorder is:
a. Hypnosis
b. Individual psychodynamic psychotherapy
c. Family therapy
d. Group psychotherapy focusing on family issues
Answer: b. Individual psychodynamic psychotherapy
Description:Individual psychodynamic psychotherapy, specifically focused on addressing the underlying causes and helping the individual integrate their various identities, is considered the primary treatment for Dissociative Identity Disorder. This therapy aims to explore and understand the dissociative symptoms and experiences, helping the individual gain insight into their condition and develop healthier coping mechanisms. While other forms of therapy and treatments, such as support groups or medication, may be used as part of a comprehensive treatment plan, individual psychodynamic psychotherapy is typically the primary approach.
4. Which of the following sign would be exhibited by a client with schizotypal personality in a social situation?
a. Blunt emotional affect
b. Violent behavior
c. Paranoid thoughts
d. Anhedonia
Answer: c. Paranoid thoughts
Description:Patients with schizotypal personality disorder develop excessive social anxiety in a social situation. This may lead to paranoid thoughts.
5. Which among the following activity is best suited for a client with histrionic personality disorder who is responding to situations in an exaggerated manner?
a. Behavioral therapy
b. Role playing
c. Isolate the client
d. Therapeutic community
Answer: b. Role playing
Description:Use of role-playing can be used to teach the client appropriate responses to others and in different situation.
6. Splitting is the trait of…….disorder
a. Borderline personality disorder
b. Passive aggressive personality
c. Dependent personality disorder
d. Narcissistic personality disorder
Answer: a. Borderline personality disorder
Description:Splitting is a defense mechanism often observed in individuals with borderline personality disorder. It involves viewing people, situations, or things as either all good or all bad, with little room for middle ground or nuance. This black-and-white thinking can lead to unstable relationships and emotional turmoil, which are characteristic features of borderline personality disorder.
7. Schizotypal personality disorder exhibits.
a. Paranoid thoughts
b. Inappropriate/constricted affect
c. Odd thinking and speech
d. All of the above.
Answer: d. All of the above.
Description:Schizotypal personality disorder (STPD) is a personality disorder characterized by all the above mentioned signs and symptoms.
8. Sheldon’s classification of personality include:
a. Ectomorphs
b. Endomorphs
c. Mesomorphs
d. All of the above
Answer: d. All of the above
Description:All the above mentioned components are the part of Sheldon’s classification of personality.
9. Narcissistic personality disorder is characterized by:
a. Callous unconcern for feelings of others
b. Self dramatization theatrically
c. Ideas of grandiosity and inflated sense of self-important
d. Significant and persistent disturbances of identity of self.
Answer: c. Ideas of grandiosity and inflated sense of self-important
Description:Ideas of grandiosity and inflated sense of self-importance are the characteristics of narcissistic personality.
10. Characteristic of schizoid personality disorder is:
a. Rigid and controlling
b. Submissive and immature e
c. Arrogant and attention seeking
d. Introverted and emotionally withdrawn
Answer: d. Introverted and emotionally withdrawn
Description:These clients show social inadequacy and lack of emotional contact with others.
11. Characteristic of histrionic personality is:
a. Dramatic and theatrical
b. Boastful and egocentric
c. Rigid and perfectionistic
d. Aggressive and manipulative
Answer: a. Dramatic and theatrical
Description:Client with histrionic personality draws attention to themselves and demonstrates emotionally and attention-seeking behavior.
12. People with anti-social personality have difficulty in relating to others because:
a. Will not count on others
b. Cannot empathize with others
c. Never learned to be dependent on others
d. Have difficulty in communicating socially with others.
Answer: b. Cannot empathize with others
Description:People with anti social behavior lack ego and super ego that control behavior. These people have little or no concern for others.
13. Which of the following intervention is appropriate for handling a patient with an antisocial personality?
a. Ignore the patient
b. Agree with the patient demands
c. Set limits with patient
d. Be friendly with patient.
Answer: c. Set limits with patient
Description:Antisocial personality disorder is characterized by a disregard for the rights of others and a lack of empathy or remorse. Patients with this disorder may exhibit manipulative and exploitative behavior. Setting clear and consistent limits with the patient is important to establish boundaries and maintain a therapeutic environment. It helps prevent manipulation and ensures that the patient's behavior is managed appropriately while still providing care and support.
14. Lack of self-esteem, strong dependency needs and impulsive behavior and characteristic of:
a. Schizoid personality disorder
b. Paranoid personality disorder
c. Borderline personality disorder
d. Narcissistic personality disorder
Answer: c. Borderline personality disorder
Description:Borderline personality disorder is characterized by unstable self-esteem, intense fear of abandonment leading to strong dependency needs, and impulsive behavior, among other symptoms. Individuals with this disorder often struggle with a fragile self-image, have difficulty regulating their emotions, and may engage in impulsive actions such as self-harm or reckless behaviors.
15. The primary treatment for dissociative identity disorder is:
a. Individual psychodynamic psychotherapy
b. Narcoanalysis
c. Cognitive therapy
d. Group psychotherapy
Answer: a. Individual psychodynamic psychotherapy
Description:Individual psychodynamic psychotherapy is considered the primary and most effective treatment for Dissociative Identity Disorder. This therapeutic approach aims to explore and understand the underlying causes of the disorder, help individuals integrate their various identities, and provide coping strategies for managing dissociative symptoms. While other forms of therapy or interventions, such as medication and support groups, may be used as part of a comprehensive treatment plan, individual psychodynamic psychotherapy is typically the primary mode of treatment.
16. Which of the following is a type of dissociative disorder?
a. Panic anxiety disorder
b. Trans and possession disorder
c. Acute stress disorder
d. Obsessive compulsive disorder
Answer: b. Trans and possession disorder
Description:Trans and possession disorder, also known as possession trance disorder or dissociative trance disorder, is a type of dissociative disorder where an individual experiences a dissociation of their identity, often feeling like another entity or personality takes control of their actions or consciousness. This is one of the recognized dissociative disorders, distinct from conditions like panic anxiety disorder, acute stress disorder, or obsessive-compulsive disorder.
17. In which of the following disorder the “La belle indifference†is a typical features?
a. Post-traumatic stress disorder
b. Dissociative disorder
c. Phobic disorders
d. Mood disorders
Answer: b. Dissociative disorder
Description:In dissociative disorders, individuals may experience symptoms such as amnesia, loss of identity, or physical symptoms without a medical explanation. They might display "la belle indifférence," which means they appear relatively unconcerned about these symptoms or may not show the expected emotional distress or worry typically associated with their condition. This term is often used in the context of dissociative disorders like Dissociative Identity Disorder or Conversion Disorder.
18. Insensitive to others, no sense of remorse and abusive behaviors towards others are characteristics of:
a. Antisocial personality
b. Paranoid personality
c. Schizoid personality
d. Narcissistic personality
Answer: a. Antisocial personality
Description:Antisocial personality disorder is characterized by a pervasive pattern of disregard for the rights of others, lack of empathy, and a tendency to engage in behaviors that violate social norms. Individuals with this disorder may exhibit insensitivity to the feelings and well-being of others, show no remorse for their actions, and engage in manipulative or abusive behaviors.
19. Derealization and Depersonalization are seen in which type of disorder:
a. Dissociative disorder
b. Personality disorder
c. Mania
d. None
Answer: a. Dissociative disorder
Description:Derealization and depersonalization are experiences where individuals feel detached from their surroundings (derealization) or from themselves (depersonalization). These symptoms are commonly associated with dissociative disorders, such as Depersonalization/Derealization Disorder, where individuals may feel like they are observing themselves from outside their own body or that the world around them is unreal or distorted. These experiences are a key feature of dissociative disorders.
20. Person who is kind, quite, submissive, sympathetic and gloomy is
a. Melancholic personality
b. Narcissistic personality
c. Cyclothymic personality
d. Histrionic personality
Answer: a. Melancholic personality
Description: The term "melancholic" is often used to describe individuals who tend to be introverted, reserved, and have a predisposition toward sadness or gloominess. This personality type is one of the four temperaments described in historical personality theory, with the other three being sanguine, choleric, and phlegmatic. Melancholic individuals are often characterized by their introspective and sensitive nature. It's important to note that this concept is more rooted in historical personality theory rather than contemporary psychological diagnostic categories.
21. The characteristic of schizoid personality disorder include:
a. Dramatic, emotional, and suspicious behavior
b. Shy, quiet, passive, daydreaming, and introverted
c. Self-centric and maladjustment
d. Suspicious ideas and mistrust
Answer: b. Shy, quiet, passive, daydreaming, and introverted
Description:Schizoid personality disorder is characterized by a pattern of detachment from social relationships, limited emotional expression, and a preference for solitary activities. Individuals with this disorder tend to be introverted, withdrawn, and may appear aloof or emotionally distant from others. They often have a rich inner fantasy life and may engage in daydreaming or solitary hobbies. This is distinct from other personality disorders like borderline or paranoid personality disorder, which involve different sets of characteristics.
22. Which of the following assessment information is most important for a nurse to collect while assessing a patient with a personality disorder?
a. A family history of sexual abuse
b. Number of close friends
c. Ability to form close relationships
d. History of substance abuse
Answer: d. History of substance abuse
Description:A history of substance abuse is particularly important to assess in individuals with personality disorders because it can complicate the presentation of the disorder and affect treatment approaches. Substance abuse can exacerbate the symptoms of personality disorders, impair judgment and impulse control, and hinder the effectiveness of therapy. Understanding a patient's substance abuse history is crucial for developing a comprehensive treatment plan and ensuring the safety and well-being of the patient. While other factors like family history, number of close friends, and the ability to form close relationships can be relevant, a history of substance abuse is often more directly related to the management and treatment of personality disorders.
23. Narcissistic personality disorder is characterized by:
a. Unconcern for feelings of others
b. Ideas of grandiosity and inflated sense of self-importance
c. Self-dramatization
d. Disassociation
Answer: b. Ideas of grandiosity and inflated sense of self-importance
Description:Individuals with narcissistic personality disorder often have an exaggerated sense of their own importance and may believe that they are unique or superior to others. They frequently require excessive admiration and lack empathy for the feelings and needs of others. While they may exhibit self-dramatization and a lack of concern for the feelings of others, the primary defining feature is the grandiose self-concept and need for admiration. Disassociation is not a typical characteristic of narcissistic personality disorder.
24. The characteristics of schizoid personality disorder include:
a. Dramatic, emotional and suspicious behavior
b. Shy, quiet, passive, daydreaming, and introverted
c. Self-centric and maladjustment
d. Suspicious ideas and mistrust
Answer: b. Shy, quiet, passive, daydreaming, and introverted
Description: Schizoid personality disorder is characterized by a pattern of detachment from social relationships, limited emotional expression, and a preference for solitary activities. Individuals with this disorder tend to be introverted, withdrawn, and may appear aloof or emotionally distant from others. They often have a rich inner fantasy life and may engage in daydreaming or solitary hobbies. This is distinct from other personality disorders like paranoid personality disorder (which involves suspicious ideas and mistrust) or borderline personality disorder (which can involve dramatic and emotional behavior).
25. The most prominent characteristic of a person with border line personality disorder is:
a. Paranoid thinking
b. Instability in personal relationships
c. Mistrust
d. Antisocial activity
Answer: b. Instability in personal relationships
Description:Individuals with borderline personality disorder often experience intense and unstable relationships marked by extreme shifts in emotions, attitudes, and behaviors. This instability in personal relationships is a hallmark feature of the disorder. While other traits or behaviors like paranoid thinking, mistrust, or antisocial activity may be present in some individuals with borderline personality disorder, they are not the most prominent or defining characteristic of the disorder.
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