Clinical Modalities in Advanced Psychiatric
Mental Health Nursing Practice - Wilkes
Actual Questions and Answers
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Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
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,1. What personality disorder involves magical thinking, odd beliefs, and distorted perceptions?
- A. Borderline personality disorder
- B. Schizotypal personality disorder
- C. Paranoid personality disorder
- D. Avoidant personality disorder
Answer: B. Schizotypal personality disorder
Explanation: Schizotypal personality disorder includes eccentricities in behavior, thoughts, and speech, alongside
social anxiety and suspiciousness. Treatment should involve educating clients about their symptoms and providing a
supportive atmosphere to help mitigate their fears in social contexts.
2. Which of the following are considered cluster A personality disorders?
- A. Histrionic, Narcissistic, Antisocial
- B. Paranoid, Schizoid, Schizotypal
- C. Avoidant, Dependent, Obsessive-Compulsive
- D. Borderline, Narcissistic, Antisocial
Answer: B. Paranoid, Schizoid, Schizotypal
Explanation: Cluster A personality disorders are classified as odd or eccentric, with symptoms including distrust,
social detachment, and eccentric behavior. Understanding these disorders is essential for PMHNPs to provide
appropriate interventions.
3. What are the cluster B personality disorders?
- A. Avoidant, Dependent, Obsessive-Compulsive
- B. Paranoid, Schizoid, Schizotypal
- C. Antisocial, Borderline, Histrionic, Narcissistic
- D. Schizoid, Schizotypal, Avoidant
Answer: C. Antisocial, Borderline, Histrionic, Narcissistic
Explanation: Cluster B disorders are marked by dramatic, emotional, or erratic behavior. Recognizing these
characteristics allows PMHNPs to tailor therapeutic approaches that address the emotional volatility and
interpersonal relationship challenges often present in these patients.
4. How many stages are in Piaget's developmental theory?
- A. Three stages
, - B. Four stages
- C. Five stages
- D. Six stages
Answer: B. Four stages
Explanation: Piaget's developmental theory includes four stages: sensorimotor, preoperational, concrete
operational, and formal operational. Each stage represents different cognitive abilities and ways of understanding the
world, which are critical for PMHNPs to comprehend when assessing developmental milestones in children.
5. What personality disorder is characterized by suspiciousness of others and fear of being exploited or deceived?
- A. Histrionic personality disorder
- B. Paranoid personality disorder
- C. Schizoid personality disorder
- D. Borderline personality disorder
Answer: B. Paranoid personality disorder
Explanation: Individuals with paranoid personality disorder exhibit persistent distrust and suspicion of others,
leading to hypervigilant behaviors. They often misinterpret neutral statements as malevolent and fear sharing
personal information. PMHNPs must provide clear and concrete information to alleviate these fears.
6. What personality disorder is defined by social avoidance and emotional detachment?
- A. Schizoid personality disorder
- B. Avoidant personality disorder
- C. Narcissistic personality disorder
- D. Histrionic personality disorder
Answer: A. Schizoid personality disorder
Explanation: Schizoid personality disorder is characterized by a preference for solitude and emotional
detachment. Individuals may struggle with social interactions and show a lack of desire for close relationships.
Clinicians should focus on creating a comfortable environment and simplifying communication to reduce anxiety.
7. What personality disorder is characterized by superficial charm and a lack of remorse?
- A. Histrionic personality disorder
- B. Antisocial personality disorder
- C. Narcissistic personality disorder
- D. Borderline personality disorder
Answer: B. Antisocial personality disorder
, Explanation: Individuals with antisocial personality disorder often display manipulative behaviors, impulsivity, and
a disregard for others' rights. Establishing firm boundaries and a structured plan of care is crucial for minimizing
manipulative behaviors and ensuring the safety of both the client and staff.
8. What personality disorder involves unstable interpersonal relationships and identity disturbance?
- A. Borderline personality disorder
- B. Narcissistic personality disorder
- C. Histrionic personality disorder
- D. Antisocial personality disorder
Answer: A. Borderline personality disorder
Explanation: Borderline personality disorder is characterized by intense emotional instability, impulsivity, and an
overwhelming fear of abandonment. PMHNPs must prioritize safety measures, relationship-building, and anger
management strategies in treatment planning.
9. What personality disorder is marked by attention-seeking behaviors and dramatic emotional expressions?
- A. Narcissistic personality disorder
- B. Borderline personality disorder
- C. Histrionic personality disorder
- D. Schizotypal personality disorder
Answer: C. Histrionic personality disorder
Explanation: Histrionic personality disorder features excessive emotionality and attention-seeking behavior.
Understanding the motivation behind this need for validation is key for PMHNPs when assessing risk factors for self-
harm or suicidal behaviors.
10. In the context of personality disorders, what are the cluster C personality disorders?
- A. Histrionic, Narcissistic, Antisocial
- B. Paranoid, Schizoid, Schizotypal
- C. Avoidant, Dependent, Obsessive-Compulsive
- D. Borderline, Narcissistic, Antisocial
Answer: C. Avoidant, Dependent, Obsessive-Compulsive
Explanation: Cluster C personality disorders are characterized by anxiety and fearfulness. PMHNPs can
implement interventions focused on building self-esteem and resilience in patients while encouraging opportunities
for social interaction.