Your patient has been admitted with a diagnosis of bilateral pneumonia. You have trouble communicating with this patient, who is pouty and demanding your constant attention. She talks for long periods about the smallest details of her life. Besides the pneumonia, you ask the physician if the patient has a history of which of the following personality disorders?

Borderline

Schizoid

Narcissistic

Antisocial

Answer and Explanation

The Correct Answer is C

Choice A reason: Borderline personality disorder is characterized by instability in relationships, self-image, and emotions, not necessarily by being pouty and demanding attention.

Choice B reason: Schizoid personality disorder involves detachment from social relationships and a limited range of emotional expression, which does not align with the patient's behavior.

Choice C reason: Narcissistic personality disorder includes traits such as needing excessive admiration and having a sense of entitlement, which could explain the patient's behavior.

Choice D reason: Antisocial personality disorder is marked by a disregard for and violation of the rights of others, which is not described in the patient's behavior.

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Correct Answer is A

Explanation

Choice A reason: The 'thinking/content of thought' section of the Mental Health Status Examination assesses the logical process of thought, presence of delusions, obsessions, and preoccupations.

Choice B reason: 'Memory' assesses the person's ability to recall past events, which is not directly related to their current thought content.

Choice C reason: 'Judgment' evaluates the ability to make reasoned decisions, which, while important, is distinct from the content of thought.

Choice D reason: 'Speech and the ability to communicate' assesses the clarity, relevance, and coherence of speech, not the internal thought process.

A. Reduce psychotic symptoms to a level that allows the patient to perform self-care. B. Decrease psychotic symptoms so the patient can maintain employment. C. Reduce psychotic symptoms to a level that allows the patient to maintain normal social relationships. D. Cure schizophrenia. E. Increase delusional symptoms.

Correct Answer is ["A","B","C"]

Explanation

Choice A reason: One of the primary goals of pharmacotherapy in schizophrenia is to reduce psychotic symptoms to improve the patient's ability to perform daily self-care activities.

Choice B reason: Decreasing psychotic symptoms to help the patient maintain employment is another goal, as it contributes to the patient's independence and quality of life.

Choice C reason: Reducing symptoms to allow for the maintenance of normal social relationships is also a key goal, as social functioning is often impaired in schizophrenia.

Choice D reason: While the ultimate goal may be to cure schizophrenia, currently, pharmacotherapy aims to manage symptoms as there is no cure for the condition.

Choice E reason: Increasing delusional symptoms is not a goal of treatment; the aim is to decrease such symptoms.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Correct Answer is A

Explanation

What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

Which of the following is a role of the LPN in the preoperative phase? Select all that apply.

A nurse is collecting data from a client who has histrionic personality disorder. Which of the following findings should the nurse expect?

The nurse is assisting in the care of a preoperative patient. The patient states, "I'm really afraid that I won't make it through the surgery." Which action by the nurse is appropriate?

Audrey is a veteran who served in Afghanistan. She finds it very difficult to drive through a parking ramp because she perceives that "There are people hiding behind the pillars! They have guns! Be careful." Audrey is most likely experiencing which of the following?

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

Symptoms of Post-Traumatic Stress Disorder include: (select all that apply)

Mr. S states, "Look at the snakes on the ceiling!" You see some cracks in the plaster. Mr. S is experiencing a/an:

A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?