PERSONALITY DISORDERS NCLEX EXAM LATEST 2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
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The client with a BPD is prescribed phenelzine for decreasing
impulsivity and self-destructive acts. The nurse teaches the client
to avoid foods high in tyramine when taking phenelzine to prevent
what effect?
A. A hypotensive crisis
B. A hypertensive crisis
C. Poor absorption of tyramine
D. Cardiac rhythm abnormalities - ANSWER-B
The combination of tyramine-containing foods and MAOIs such as
phenelzine (Nardil) can result in a hypertensive crisis.
The nurse is checking the MAR listed below for the 75-year-old
client newly admitted to a behavioral health unit. Which
medication should the nurse question with the HCP?
A. Risperidone 2 mg at 0900
B. Fluoxetine 10 mg at 0900
C. Carbamazepine 200 mg at 0900 and 2100
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D. Docusate sodium 100 mg at 0900 - ANSWER-A
Risperidone (Risperdal) an antipsychotic medication, is
prescribed at the regular adult dose and not at an appropriate
dose for an older adult. Metabolism is slowed with aging, and
adverse reactions can occur quickly in older adults.
The nurse teaches the communication triad to the client to
manage feelings. Which components should the nurse include?
(Select all that apply)
A. Use an "I" statement to identify the present feelings
B. Use a "you" statement to identify the cause of the feeling
C. Make a nonjudgmental statement about an emotional trigger
D. Identify what would restore comfort to the situation for the
client
E. Use a "they" statement to examine the effect of the client's
feelings on others - ANSWER-A,C,D
-Using "I" statements helps to avoid judgment and is part of the
communication triad.
- Nonjudgemental statements are included in the communication
triad to manage feelings.
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-A mechanism for restoring comfort is included in the
communication triad to manage feelings.
The nurse includes milieu therapy in the treatment plan for the
client with antisocial personality disorder. What is the nurse's best
rationale for including milieu therapy?
A. Set's limits on the client's unacceptable behavior
B. Provides a very structured setting that helps the client learn
how to have
C. Stimulates a social community where the client can learn to
interact with peers
D. Provides one-on-one interaction and reality orientation with
client and nursing personnel - ANSWER-C
Milieu therapy helps the client with antisocial personality
disorder learn to respond adaptively to feedback from peers.
The democratic approach with specific rules and regulations,
community meetings, and group therapy sessions simulates
the societal situation in which the client must live.
Which predisposing factor would be implicated in the etiology of
paranoid personality disorder?
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A. The individual may have been subjected to parental demands,
criticism, and perfectionistic expectations
B. The individual may have been subjected to parental
indifference, impassivity, or formality
C. The individual may have been subjected to parental bleak and
unfeeling coldness
D. The individual may have been subjected to parental
antagonism and harassment - ANSWER-D
Individuals diagnosed with paranoid personality disorder
most likely would be subjected to parental antagonism and
harassment. These individuals likely served as scapegoats
for displaced parental aggression and gradually relinquished
all hope of affection and approval. They learned to perceive
the world as harsh and unkind, a place calling for protective
vigilance and mistrust.
The nurse is assessing a client diagnosed with borderline
personality disorder. According to Mahler's theory of object
relations, which describes the client's unmet developmental
need?
A. The need for survival and comfort