NCLEX Questions: Personality Disorder Exam Test

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| By Santepro

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Questions: 10 | Attempts: 3,469 | Updated: Mar 22, 2023

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Questions and Answers

1.

The nursing diagnosis that would be most appropriate for a 22-year old client who uses ritualistic behavior would be:
- A.
  
  Ineffective coping
- B.
  
  Impaired adjustment
- C.
  
  Personal identity disturbance
- D.
  
  Sensory/perceptual alterations
Correct Answer
A. Ineffective coping

Explanation
Ineffective coping is the impairment of a person’s adaptive behaviors and problem-solving abilities in meeting life’s demands; ritualistic behavior fits under this category as a defining characteristic.

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2.

A psychiatrist prescribes an anti-obsessional agent for a client who is using ritualistic behavior. A common anti-anxiety medication used for this type of client would be:
- A.
  
  Fluvoxamine (Luvox)
- B.
  
  Benztropine (Cogentin)
- C.
  
  Amantadine (Symmetrel)
- D.
  
  Diphenhydramine (Benadryl)
Correct Answer
A. Fluvoxamine (Luvox)

Explanation
This drug blocks the uptake of serotonin.

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3.

A 20-year old college student has been brought to the psychiatric hospital by her parents. Her admitting diagnosis is borderline personality disorder. When talking with the parents. which information would the nurse expect to be included in the client’s history? Select all that apply.
- A.
  
  Impulsiveness
- B.
  
  Lability of mood
- C.
  
  Ritualistic behavior
- D.
  
  Psychomotor retardation
- E.
  
  Self-destructive behavior
Correct Answer(s)
A. Impulsiveness
B. Lability of mood
E. Self-destructive behavior

Explanation
1.11E+17

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4.

A hospitalized client. diagnosed with a borderline personality disorder. consistently breaks the unit’s rules. This behavior should be confronted because it will help the client:
- A.
  
  Control anger
- B.
  
  Reduce anxiety
- C.
  
  Set realistic goals
- D.
  
  Become more self-aware
Correct Answer
D. Become more self-aware

Explanation
Client’s must first become aware of their behavior before they can change it. Occurs after the client is aware of the behavior and has a desire to change the behavior.

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5.

When working with the nurse during the orientation phase of the relationship. a client with a borderline personality disorder would probably have the most difficulty in:
- A.
  
  Controlling anxiety
- B.
  
  Terminating the session on time
- C.
  
  Accepting the psychiatric diagnosis
- D.
  
  Setting mutual goals for the relationship
Correct Answer
D. Setting mutual goals for the relationship

Explanation
Clients with borderline personality disorders frequently demonstrate a pattern of unstable interpersonal relationships. impulsiveness. affective instability. and frantic efforts to avoid abandonment; these behaviors usually create great difficulty in establishing mutual goals.

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6.

A client with a diagnosis of borderline personality disorder has negative feelings toward the other clients on the unit and considers them all to be “bad.” The nurse understands this defense is known as:
- A.
  
  Splitting
- B.
  
  Ambivalence
- C.
  
  Passive aggression
- D.
  
  Reaction formation
Correct Answer
A. Splitting

Explanation
Splitting is the compartmentalization of opposite-affect states and failure to integrate the positive and negative aspects of self or others.

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1
0
7.

The client with antisocial personality disorder:
- A.
  
  Suffers from a great deal of anxiety
- B.
  
  Is generally unable to postpone gratification
- C.
  
  Rapidly learns by experience and punishment
- D.
  
  Has a great sense of responsibility toward others
Correct Answer
B. Is generally unable to postpone gratification

Explanation
Individuals with this disorder tend to be self-centered and impulsive. They lack judgment and self-control and do not profit from their mistakes.

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1
0
8.

The nurse reviews the activity schedule for the day and plans which activity for the manic client?
- A.
  
  Brown-bag luncheon and book review
- B.
  
  Tetherball
- C.
  
  Paint-by-number activity
- D.
  
  Deep breathing and progressive relaxation group
Correct Answer
B. Tetherball

Explanation
The lack of superego control allows the ego and the id to control the behavior. Self-motivation and self-satisfaction are of paramount concern.

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9.

A young. handsome man with a diagnosis of antisocial personality disorder is being discharged from the hospital next week. He asks the nurse for her phone number so that he can call her for a date. The nurse’s best response would be:
- A.
  
  “We are not permitted to date clients.”
- B.
  
  “No. you are a client and I am a nurse.”
- C.
  
  “I like you. but our relationship is professional.”
- D.
  
  “It’s against my professional ethics to date clients.”
Correct Answer
C. “I like you. but our relationship is professional.”

Explanation
This accepts the client as a person of worth rather than being cold or implying rejection. However. the nurse maintains a professional rather than a social role.

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10.

When caring for a client with a diagnosis of schizotypal personality disorder. the nurse should:
- A.
  
  Set limits on manipulative behavior
- B.
  
  Encourage participation in group therapy
- C.
  
  Respect the client’s needs for social isolation
- D.
  
  Understand that seductive behavior is expected.
Correct Answer
C. Respect the client’s needs for social isolation

Explanation
These clients are withdrawn. aloof. and socially distant; allowing distance and providing support may encourage the eventual development of a therapeutic alliance. Group therapy would increase this client’s anxiety; cognitive or behavioral therapy would be more appropriate.

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Current Version
Mar 22, 2023

Quiz Edited by
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Nov 03, 2017

Quiz Created by
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NCLEX Questions: Personality Disorder Exam Test

The nursing diagnosis that would be most appropriate for a 22-year old client who uses ritualistic behavior would be:

A psychiatrist prescribes an anti-obsessional agent for a client who is using ritualistic behavior. A common anti-anxiety medication used for this type of client would be:

A 20-year old college student has been brought to the psychiatric hospital by her parents. Her admitting diagnosis is borderline personality disorder. When talking with the parents. which information would the nurse expect to be included in the client’s history? Select all that apply.

A hospitalized client. diagnosed with a borderline personality disorder. consistently breaks the unit’s rules. This behavior should be confronted because it will help the client:

When working with the nurse during the orientation phase of the relationship. a client with a borderline personality disorder would probably have the most difficulty in:

A client with a diagnosis of borderline personality disorder has negative feelings toward the other clients on the unit and considers them all to be “bad.” The nurse understands this defense is known as:

The client with antisocial personality disorder:

The nurse reviews the activity schedule for the day and plans which activity for the manic client?

A young. handsome man with a diagnosis of antisocial personality disorder is being discharged from the hospital next week. He asks the nurse for her phone number so that he can call her for a date. The nurse’s best response would be:

When caring for a client with a diagnosis of schizotypal personality disorder. the nurse should: