NCLEX Questions: Personality Disorder Exam Test

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  • 1/10 Questions

    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:

    • Controlling anxiety
    • Terminating the session on time
    • Accepting the psychiatric diagnosis
    • Setting mutual goals for the relationship
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About This Quiz

This NCLEX practice test focuses on personality disorders, assessing knowledge on treatment and behavior management for clients with conditions such as borderline personality disorder. It includes questions on psychiatric medications, therapeutic strategies, and understanding patient behaviors.

NCLEX Questions: Personality Disorder Exam Test - Quiz

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  • 2. 

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

    • Ineffective coping

    • Impaired adjustment

    • Personal identity disturbance

    • 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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  • 3. 

    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:

    • Control anger

    • Reduce anxiety

    • Set realistic goals

    • Become more self-aware

    Correct Answer
    A. 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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  • 4. 

    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:

    • Fluvoxamine (Luvox)

    • Benztropine (Cogentin)

    • Amantadine (Symmetrel)

    • Diphenhydramine (Benadryl)

    Correct Answer
    A. Fluvoxamine (Luvox)
    Explanation
    This drug blocks the uptake of serotonin.

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  • 5. 

    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.

    • Impulsiveness

    • Lability of mood

    • Ritualistic behavior

    • Psychomotor retardation

    • Self-destructive behavior

    Correct Answer(s)
    A. Impulsiveness
    A. Lability of mood
    A. Self-destructive behavior
    Explanation
    1.11E+17

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  • 6. 

    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:

    • “We are not permitted to date clients.”

    • “No. you are a client and I am a nurse.”

    • “I like you. but our relationship is professional.”

    • “It’s against my professional ethics to date clients.”

    Correct Answer
    A. “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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  • 7. 

    The client with antisocial personality disorder:

    • Suffers from a great deal of anxiety

    • Is generally unable to postpone gratification

    • Rapidly learns by experience and punishment

    • Has a great sense of responsibility toward others

    Correct Answer
    A. 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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  • 8. 

    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:

    • Splitting

    • Ambivalence

    • Passive aggression

    • 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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  • 9. 

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

    • Brown-bag luncheon and book review

    • Tetherball

    • Paint-by-number activity

    • Deep breathing and progressive relaxation group

    Correct Answer
    A. 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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  • 10. 

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

    • Set limits on manipulative behavior

    • Encourage participation in group therapy

    • Respect the client’s needs for social isolation

    • Understand that seductive behavior is expected.

    Correct Answer
    A. 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
    ProProfs Editorial Team
  • Nov 03, 2017
    Quiz Created by
    Santepro
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