Deck 9: Personality Disorders

Question 1

In treating clients with borderline personality disorder (BPD), it is essential that counselors

A) Do not set rigid boundaries so that clients feel safe
B) Set moderate boundaries similar to any therapeutic relationship
C) Set firm boundaries so that clients feel safe
D) Set firm boundaries only after clients act inappropriately

Answer 1

Set firm boundaries so that clients feel safe

Question 2

Which of the following is a common treatment approach for BPD:

A) Dialectical behavior therapy
B) Cognitive-behavioral therapy
C) Interpersonal psychotherapy
D) Behavioral self-control training

Answer 2

Dialectical behavior therapy

Question 3

Clients with BPD usually require

A) Long-term, intensive psychosocial therapy
B) Short-term, intensive psychosocial therapy
C) Long-term, non-intensive psychosocial therapy
D) Short-term, non-intensive psychosocial therapy

Answer 3

Long-term, intensive psychosocial therapy

Question 4

Which of the following is a prominent counselor consideration in treating clients with BPD:

A) Unlike many disorders, clients with BPD are unlikely to have comorbid diagnoses
B) Counselors should take a rigid approach to treatment planning so the treatment is predictable
C) Clients with BPD have extremely high rates of suicide attempt
D) Counselors must be especially mindful of cultural and gender issues among clients with BPD

Question 5

In order to be diagnosed with antisocial personality disorder, a client must display a blatant disregard for others and

A) Have committed a minimum of one misdemeanor or one felony
B) Have been diagnosed with conduct disorder with onset before the age of 15
C) Have been diagnosed with conduct disorder with onset at any age
D) Have been diagnosed with antisocial personality disorder before the age of 21

Question 6

Individuals with antisocial personality disorder generally

A) Do not value the opinion of others
B) Try to impress others
C) Display low self-esteem
D) Are disinterested in success

Question 7

Clients with antisocial personality disorder are often court-mandated and

A) Aware of their anti-social tendencies
B) Internally unmotivated to change
C) Internally motivated to change
D) Have an unfavorable prognosis

Question 8

A counselor using mentalization-based therapy for a client with antisocial personality disorder might have as his/her mail treatment goal:

A) Reconstructing client's maladaptive relationship patterns and teaching coping skills
B) Reducing impulsive thinking through coping skills and constructive decision-making
C) Altering client ambivalence to change through motivation-based approaches
D) Increasing the client's ability to control emotions and reactions to emotions

Question 9

Which of the following is the most evidence-based approach for antisocial personality disorder?

A) Schema-based therapy
B) Mentalization-based therapy
C) Cognitive-behavioral therapy
D) Pharmacotherapy

Question 10

In treating clients with antisocial personality disorder, one prominent counselor consideration is:

A) Clients with this disorder are more likely to abuse substances
B) Clients may have great difficulty interpreting others' motives
C) Counselors should approach treatment with a problem-based focus
D) Clients may be manipulative and experts at deceiving themselves

Question 11

A counselor using schema-based therapy for a client with antisocial personality disorder might have
As his/her mail treatment goal:

A) Reconstructing client's maladaptive relationship patterns and teaching coping skills
B) Reducing impulsive thinking through coping skills and constructive decision-making
C) Altering client ambivalence to change through motivation-based approaches
D) Increasing the client's ability to control emotions and reactions to emotions

Question 12

In treating clients with narcissistic personality disorder, one prominent counselor consideration is:

A) Clients with this disorder are more likely to abuse substances
B) Clients may have great difficulty interpreting others' motives
C) Counselors should approach treatment with a problem-based focus
D) Clients may be manipulative and experts at deceiving themselves

Question 13

Which of the following is considered fundamental to counseling outcomes in clients with obsessive compulsive personality disorder?

A) Early establishment of the therapeutic alliance
B) Setting goals that continuously challenge the client
C) Limiting feedback as it may be perceived as domineering
D) Increasing clients' internal motivation to change

Question 14

Treating clients with narcissistic personality disorder from a cognitive-behavioral perspective is focused on

A) Challenging self-important thoughts and exaggerated self-esteem
B) Reconstructing client's maladaptive relationship patterns and teaching coping skills
C) Reconstructing thoughts of inferiority at the root of narcissistic behavior
D) Reducing impulsive thinking through coping skills and constructive decision-making

Question 15

In treating clients with obsessive compulsive personality disorder, counselors must be especially mindful of client tendency to

A) Have obsessions and even perform certain compulsions in session
B) Avoid discussing emotional information and dispute the counselor
C) Be overanxious to complete treatment in a timely manner
D) Have suicide ideation and commit suicide shortly after

Question 16

In treating clients with schizoid personality disorder, it is especially important that counselors
Due to clients' social detachment.

A) Speak calmly
B) Engage in consultation
C) Speak non-directively
D) Establish trust

Question 17

Which of the following is a commonly used treatment for clients with avoidant personality disorder?

A) Dialectical behavior therapy
B) Psychodynamic psychotherapy
C) Interpersonal psychotherapy
D) Systematic desensitization

Question 18

is an effective treatment approach for clients with obsessive-compulsive personality disorder due to its concrete and problem-focused, rather than intuitive, nature.

A) Cognitive-behavioral therapy
B) Dialectical behavior therapy
C) Social skills training
D) Systematic desensitization

Question 19

Individuals with paranoid personality disorder

A) Are aware of reality and their irrational thoughts
B) Are unaware of reality and the fact that their thoughts are irrational
C) Tend to have many comorbid diagnoses, such as paranoid schizophrenia
D) Tend to be diagnosed more often as adults than children

Question 20

A client who has a need to be the center of attention and is excessively emotional may meet the diagnostic criteria for

A) Paranoid personality disorder
B) Schizoid personality disorder
C) Borderline personality disorder
D) Histrionic personality disorder

Question 21

In treating clients with schizotypal personality disorder, one prominent counselor consideration is that

A) Counselors should avoid too much self-exploration in the early stages of treatment
B) Counselors must be especially aware of transference and countertransference issues
C) Clients may not trust others and be suspicious of their intentions
D) Clients may be manipulative and experts at deceiving themselves

Question 22

therapy for histrionic personality disorder involves bringing awareness to and correcting clients' problematic behaviors in session.

A) Cognitive-behavioral therapy
B) Dialectical behavior therapy
C) Functional analytic psychotherapy
D) Cognitive analytic therapy

Question 23

In the psychodynamic approach to treating clients with dependent personality disorder, counselors work with clients to

A) Revisit and resolve past relationships through transference in treatment
B) Reframe erroneous thinking, such as dichotomous views of independence
C) Establish new routines of becoming more independent
D) Empower clients through positive self-talk and encouragement from the counselor

Question 24

Benjamin comes to your office and tells you that, although he desires close relationships, his fears of rejection and inadequacy cause him to be timid is social situations and withdraw from others. Please discuss which diagnosis you would consider in Benjamin's case and why. In addition, please discuss at least one treatment approach you would use in working with Benjamin.