NCLEX Exam: Trivia Questions On Personality Disorders!

1.

Which of the following characteristics or client histories substantiates a diagnosis of antisocial personality disorder?

A.

Delusional thinking
B.

Feelings of inferiority
C.

Disorganized thinking
D.

Multiple criminal charges

Correct Answer
D. Multiple criminal charges

Explanation
Clients with antisocial personality disorder tend to engage in acts of dishonesty. shown by lying.

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2.

A client with borderline personality disorder is admitted to the unit after slashing his wrist. Which of the following goals is most important after promoting safety?

A.

Establish a therapeutic relationship with the client
B.

Identify whether splitting is present in the client’s thoughts
C.

Talk about the client’s acting out and self-destructive tendencies.
D.

Encourage the client to understand why he blames others

Correct Answer
A. Establish a therapeutic relationship with the client

Explanation
Clients with antisocial personality disorder are often sent for treatment by the court after multiple crimes or for the use of illegal substances.

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3.

Which of the following characteristics or situations is indicated when a client with borderline personality disorder has a crisis?

A.

Antisocial behavior
B.

Suspicious behavior
C.

Relationship problems
D.

Auditory hallucinations

Correct Answer
C. Relationship problems

Explanation
After promoting safety. the nurse establishes a rapport with the client to facilitate appropriate expression of feelings. At this time. the client isn’t ready to address the unhealthy behavior. A therapeutic relationship must be established before the nurse can effectively work with the client on self-destructive tendencies and the issues of splitting.

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4.

Which of the following assessment findings is seen in a client diagnosed with borderline personality disorder?

A.

Abrasions in various healing stages
B.

Intermittent episodes of hypertension
C.

Alternating tachycardia and bradycardia
D.

Mild state of euphoria with disorientation

Correct Answer
A. Abrasions in various healing stages

Explanation
Relationship problems can precipitate a crisis because they bring up issues of abandonment. Clients with borderline personality disorder aren’t usually suspicious; they’re more likely to be depressed or highly anxious.

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5.

In planning care for a client with borderline personality disorder. a nurse must be aware that this client is prone to develop which of the following conditions?

A.

Binge eating
B.

Memory loss
C.

Cult membership
D.

Delusional thinking

Correct Answer
A. Binge eating

Explanation
Clients with borderline personality disorder tend to self-mutilate and have abrasions in various stages of healing.

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6.

Which of the following statements is expected from a client with borderline personality disorder with a history of dysfunctional relationships?

A.

“I won’t get involved in another relationship.”
B.

“I’m determined to look for the perfect partner.”
C.

“I’ve decided to use better communication skills.”
D.

“I’m going to be an equal partner in a relationship.”

Correct Answer
B. “I’m determined to look for the perfect partner.”

Explanation
Clients with borderline personality disorder are likely to develop dysfunctional coping and act out in self-destructive ways such as binge eating.

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7.

Which of the following conditions is likely to coexist in clients with a diagnosis of borderline personality disorder?

A.

Avoidance
B.

Delirium
C.

Depression
D.

Disorientation

Correct Answer
C. Depression

Explanation
Clients with borderline personality disorder would decide to look for a perfect partner. This characteristic is a result of the dichotomous manner in which these clients view the world. They go from relationship to relationship without taking responsibility for their behavior.Option A: It’s unlikely that an unsuccessful relationship will cause clients to make a change. They tend to be demanding and impulsive in relationships.Option C: There’s no thought given to what one wants or needs from a relationship. Because they tend to blame others for problems. it’s unlikely they would express a desire to learn communication skills.Option D: Because they tend to blame others for problems. it’s unlikely they would express a desire to learn communication skills.

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8.

Which of the following nursing interventions has priority for a client with borderline personality disorder?

A.

Maintain consistent and realistic limits
B.

Give instructions for meeting basic self-care needs
C.

Engage in daytime activities to stimulate wakefulness
D.

Have the client attend group therapy on a daily basis

Correct Answer
A. Maintain consistent and realistic limits

Explanation
Chronic feelings of emptiness and sadness predispose a client to depression. About 40% of the clients with borderline struggle with depression.

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9.

A nurse is assessing a client diagnosed with dependent personality disorder. Which of the following characteristics is a major component to this disorder?

A.

Abrasive to others
B.

Indifferent to others
C.

Manipulative of others
D.

Over-reliance on others

Correct Answer
D. Over-reliance on others

Explanation
Clients with borderline who are needy. dependent. and manipulative will benefit greatly from maintaining consistent and realistic limits.Option B: They don’t tend to have difficulty meeting their self-care needs.Option C: They don’t tend to have sleeping difficulties.Option D: They enjoy attending group therapy because they often attempt to use the opportunity to become the center of attention.

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10.

Which of the following information must be included for the family of a client diagnosed with dependent personality disorder?

A.

Address coping skills
B.

Explore panic attacks
C.

Promote exercise programs
D.

Decrease aggressive outbursts

Correct Answer
A. Address coping skills

Explanation
Clients with dependent personality disorder are extremely over-reliant on others; they aren’t abrasive or assertive. They’re clinging and demanding of others; they don’t manipulate.

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