FINAL - CHAPTER 24 - PERSONALITY DISORDERS NCLEX EXAM WITH
100% VERIFIED ANSWERS
1. During an assessment interview, a client di- ANS: B
agnosed with antisocial personality disorder The appropriate nursing
spits, curses, and refuses to answer ques- statement is to reflect the
tions. Which is the most appropriate nursing client's feeling while set-
statement to address this behavior? ting firm limits on behav-
A. "You are very disrespectful. You need to ior. Clients diagnosed with
learn to control yourself." antisocial personality dis-
B. "I understand that you are angry, but this order have a low tolerance
behavior will not be tolerated." for frustration, see them-
C. "What behaviors could you modify to im- selves as victims, and use
prove this situation?" projection as a primary
D. "What anti-personality-disorder medica- ego defense mechanism.
tions have helped you in the past?" Antidepressants and anxi-
olytics are used for symp-
tom relief; however, there
are no specific medica-
tions targeted for the diag-
nosis of a personality dis-
order.
2. A client diagnosed with antisocial personality ANS: C
disorder comes to a nurses' station at 11:00 The most appropriate re-
p.m. requesting to phone a lawyer to discuss sponse by the staff is to
filing for a divorce. The unit rules state that restate the unit rules in
no phone calls are permitted after 10:00 p.m. a calm, assertive manner.
Which nursing reply is most appropriate? Because of the probabili-
A. "Go ahead and use the phone. I know this ty of manipulative behav-
pending divorce is stressful." ior in this client population,
B. "You know better than to break the rules. I'm it is imperative to main-
surprised at you." tain consistent application
C. "It is after the 10:00 p.m. phone curfew. You of rules.
will be able to call tomorrow."
D. "The decision to divorce should not be
considered until you have had a good night's
sleep."
3. A client diagnosed with paranoid personali- ANS: C
ty disorder becomes violent on a unit. Which The most appropriate
nursing intervention is most appropriate? nursing intervention is to
, FINAL - CHAPTER 24 - PERSONALITY DISORDERS NCLEX EXAM WITH
100% VERIFIED ANSWERS
A. Provide objective evidence, that violence is use clear, calm statements
unwarranted. and to assume a confi-
B. Initially restrain the client to maintain safety. dent physical stance. A
C. Use clear, calm statements and a confident calm attitude avoids esca-
physical stance. lating the aggressive be-
D. Empathize with the client's paranoid percep- havior and provides the
tions. client with a feeling of safe-
ty and security. It may also
be beneficial to have suffi-
cient staff on hand to pre-
sent a show of strength.
4. A highly emotional client presents at an out- ANS: C
patient clinic appointment wearing flamboy- The nurse should asso-
ant attire, spiked heels, and theatrical makeup. ciate histrionic personali-
Which personality disorder should a nurse as- ty disorder with this as-
sociate with this assessment data? sessment data. Individu-
A. Compulsive personality disorder als diagnosed with histri-
B. Schizotypal personality disorder onic personality disorder
C. Histrionic personality disorder tend to be self-drama-
D. Manic personality disorder tizing, attention seeking,
overly gregarious, and se-
ductive. They often use
manipulation and exhibi-
tionism as a means of
gaining attention.
5. A client diagnosed with borderline personality ANS: B
disorder brings up a conflict with the staff in a The nursing staff can best
community meeting and develops a following handle this situation by
of clients who unreasonably demand modifi- maintaining consistency of
cation of unit rules. How can the nursing staff care by open communica-
best handle this situation? tion to avoid staff manip-
A. Allow the clients to apply the democratic ulation. Clients diagnosed
process when developing unit rules. with borderline personality
B. Maintain consistency of care by open com- disorder can exhibit nega-
munication to avoid staff manipulation. tive patterns of interaction
C. Allow the client spokesman to verbalize such as clinging and dis-
concerns during a unit staff meeting. tancing, splitting, manipu-
100% VERIFIED ANSWERS
1. During an assessment interview, a client di- ANS: B
agnosed with antisocial personality disorder The appropriate nursing
spits, curses, and refuses to answer ques- statement is to reflect the
tions. Which is the most appropriate nursing client's feeling while set-
statement to address this behavior? ting firm limits on behav-
A. "You are very disrespectful. You need to ior. Clients diagnosed with
learn to control yourself." antisocial personality dis-
B. "I understand that you are angry, but this order have a low tolerance
behavior will not be tolerated." for frustration, see them-
C. "What behaviors could you modify to im- selves as victims, and use
prove this situation?" projection as a primary
D. "What anti-personality-disorder medica- ego defense mechanism.
tions have helped you in the past?" Antidepressants and anxi-
olytics are used for symp-
tom relief; however, there
are no specific medica-
tions targeted for the diag-
nosis of a personality dis-
order.
2. A client diagnosed with antisocial personality ANS: C
disorder comes to a nurses' station at 11:00 The most appropriate re-
p.m. requesting to phone a lawyer to discuss sponse by the staff is to
filing for a divorce. The unit rules state that restate the unit rules in
no phone calls are permitted after 10:00 p.m. a calm, assertive manner.
Which nursing reply is most appropriate? Because of the probabili-
A. "Go ahead and use the phone. I know this ty of manipulative behav-
pending divorce is stressful." ior in this client population,
B. "You know better than to break the rules. I'm it is imperative to main-
surprised at you." tain consistent application
C. "It is after the 10:00 p.m. phone curfew. You of rules.
will be able to call tomorrow."
D. "The decision to divorce should not be
considered until you have had a good night's
sleep."
3. A client diagnosed with paranoid personali- ANS: C
ty disorder becomes violent on a unit. Which The most appropriate
nursing intervention is most appropriate? nursing intervention is to
, FINAL - CHAPTER 24 - PERSONALITY DISORDERS NCLEX EXAM WITH
100% VERIFIED ANSWERS
A. Provide objective evidence, that violence is use clear, calm statements
unwarranted. and to assume a confi-
B. Initially restrain the client to maintain safety. dent physical stance. A
C. Use clear, calm statements and a confident calm attitude avoids esca-
physical stance. lating the aggressive be-
D. Empathize with the client's paranoid percep- havior and provides the
tions. client with a feeling of safe-
ty and security. It may also
be beneficial to have suffi-
cient staff on hand to pre-
sent a show of strength.
4. A highly emotional client presents at an out- ANS: C
patient clinic appointment wearing flamboy- The nurse should asso-
ant attire, spiked heels, and theatrical makeup. ciate histrionic personali-
Which personality disorder should a nurse as- ty disorder with this as-
sociate with this assessment data? sessment data. Individu-
A. Compulsive personality disorder als diagnosed with histri-
B. Schizotypal personality disorder onic personality disorder
C. Histrionic personality disorder tend to be self-drama-
D. Manic personality disorder tizing, attention seeking,
overly gregarious, and se-
ductive. They often use
manipulation and exhibi-
tionism as a means of
gaining attention.
5. A client diagnosed with borderline personality ANS: B
disorder brings up a conflict with the staff in a The nursing staff can best
community meeting and develops a following handle this situation by
of clients who unreasonably demand modifi- maintaining consistency of
cation of unit rules. How can the nursing staff care by open communica-
best handle this situation? tion to avoid staff manip-
A. Allow the clients to apply the democratic ulation. Clients diagnosed
process when developing unit rules. with borderline personality
B. Maintain consistency of care by open com- disorder can exhibit nega-
munication to avoid staff manipulation. tive patterns of interaction
C. Allow the client spokesman to verbalize such as clinging and dis-
concerns during a unit staff meeting. tancing, splitting, manipu-
