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PERSONALITY DISORDERS NCLEX EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST RELEASED)
A nurse manage is discussing the care of a client who has a personality disorder
with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "I can promote my client's sense of control by establishing a schedule."
B. "I should encourage clients who have a schizoid personality disorder to
increase socialization."
C. "I should practice limit-setting to help prevent client manipulation."
D. "I should implement assertiveness training with clients who have antisocial
personality disorder." - (ANSWER)C
When caring for a client who has a personality disorder, limit-setting is
appropriate to help prevent client manipulation.
A nurse is caring for a client who has avoidant personality disorder. Which of the
following statements is expected from a client who has this type of personality
disorder?
A. "I'm scared that you're going to leave me."
B. "I'll go to group therapy if you'll let me smoke."
C. "I need to feel that everyone admires me."
D. "I sometimes feel better if I cut myself." - (ANSWER)A
Clients who have avoidant personality disorder often have a fear of
abandonment. This type of statement is expected.
A nurse is caring for a client who has borderline personality disorder. The client
says, "The nurse on the evening shift is always nice! You are the meanest nurse
ever!" The nurse should recognize the client's statement as an example of which
of the following defense mechanisms?
A. Regression
B. Splitting
C. Undoing
D. Identification - (ANSWER)B
Splitting occurs when a person is unable to see both positive and negative
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qualities at the same time. The client who has borderline personality disorder
tends to see a person as all bad one time and all good another time.
A nurse is assisting with a court-ordered evaluation of a client who has antisocial
personality disorder. Which of the following findings should the nurse expect?
(Select all that apply)
A. Demonstrates extreme anxiety when placed in a social situation
B. Has difficulty making even simple decisions
C. Attempts to convince other clients to give him their belongings
D. Becomes agitated if his personal area is not near and orderly
E. Blames others for his past and current problems - (ANSWER)C,E
-Exploitation and manipulation of others is an expected finding of antisocial
personality disorder.
-Failure to accept personal responsibility is an expected finding of clients who
have antisocial personality disorder.
A charge nurse is preparing a staff education session on personality disorders.
Which of the following personality characteristics associated with all of the
personality disorders should the charge nurse include in the teaching? (Select all
that apply)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
E. Difficulty understanding why it is inappropriate to have a personal relationship
with staff - (ANSWER)A,C,E
-Difficulty with social and professional relationships is a personality characteristic
that can be seen with all personality disorder types.
-Maladaptive response to stress is a personality characteristic that can be seen
with all personality disorder types.
-Difficulty understanding personal boundaries is a personality characteristic that
can be seen with all personality disorder types.
A 36-year-old client with paranoid schizophrenia believes the room is bugged by
the Central Intelligence Agency and a roommate is a foreign spy. The client has
never had a romantic relationship, has no contact with family, and hasn't been
employed for the past 14 years. Based on Erikson's theories, the nurse should
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recognize that this client is in which stage of psychosocial development?
A. Autonomy versus shame and doubt
B. Generativity versus stagnation
C. Integrity versus despair
D. Trust versus mistrust - (ANSWER)D
This client's paranoid ideation indicates difficulty in trusting others.
A client with antisocial personality disorder smokes where it is prohibited and
doesn't follow other unit or facility rules. The client gets others to do the laundry
and other personal chores, tries to divide the staff, and works only with certain
nurses. The primary focus on this client's care plan should be:
A. consistently enforcing unit rules and facility policy
B. isolating the client to decrease contact with easily manipulated clients
C. engaging in power struggles with the client to decrease the incidence of
manipulative behavior
D. using behavior modification to decrease the amount of negative behavior by
using negative reinforcement - (ANSWER)A
Firmness and consistency about rules are the hallmarks of a care plan for a client
with a personality disorder.
During a private conversation, a client with borderline personality disorder asks
the nurse to "keep my secret" and then displays multiple, self-inflicted, superficial
lacerations on the forearms. What is the nurse's best response?
A. "This type of behavior requires you to be on suicide precautions."
B. "I'm going to tell your physician. Do you want to tell me why you did that?"
C. "Tell me what type of instrument you used. I'm concerned about infection."
D. "Whenever something important occurs, the team needs to know about it. I'll
have to tell the others, but let's talk about it first." - (ANSWER)D
This response informs the client of the nurse's planned actions and allows time to
discuss the client's action.
The nurse is assessing the client with paranoid personality disorder. Which
behavior should the nurse expect?
A. Able to trust only those who are fair and treat the client well
B. Sees the goodwill of another when that behavior does not exist
C. Acts the opposite of what the client may be thinking or feeling
D. Analyzes the behavior of others to find hidden and threatening meanings -
PERSONALITY DISORDERS NCLEX EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | LATEST VERSION (JUST RELEASED)
A nurse manage is discussing the care of a client who has a personality disorder
with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
A. "I can promote my client's sense of control by establishing a schedule."
B. "I should encourage clients who have a schizoid personality disorder to
increase socialization."
C. "I should practice limit-setting to help prevent client manipulation."
D. "I should implement assertiveness training with clients who have antisocial
personality disorder." - (ANSWER)C
When caring for a client who has a personality disorder, limit-setting is
appropriate to help prevent client manipulation.
A nurse is caring for a client who has avoidant personality disorder. Which of the
following statements is expected from a client who has this type of personality
disorder?
A. "I'm scared that you're going to leave me."
B. "I'll go to group therapy if you'll let me smoke."
C. "I need to feel that everyone admires me."
D. "I sometimes feel better if I cut myself." - (ANSWER)A
Clients who have avoidant personality disorder often have a fear of
abandonment. This type of statement is expected.
A nurse is caring for a client who has borderline personality disorder. The client
says, "The nurse on the evening shift is always nice! You are the meanest nurse
ever!" The nurse should recognize the client's statement as an example of which
of the following defense mechanisms?
A. Regression
B. Splitting
C. Undoing
D. Identification - (ANSWER)B
Splitting occurs when a person is unable to see both positive and negative
,2|Page
qualities at the same time. The client who has borderline personality disorder
tends to see a person as all bad one time and all good another time.
A nurse is assisting with a court-ordered evaluation of a client who has antisocial
personality disorder. Which of the following findings should the nurse expect?
(Select all that apply)
A. Demonstrates extreme anxiety when placed in a social situation
B. Has difficulty making even simple decisions
C. Attempts to convince other clients to give him their belongings
D. Becomes agitated if his personal area is not near and orderly
E. Blames others for his past and current problems - (ANSWER)C,E
-Exploitation and manipulation of others is an expected finding of antisocial
personality disorder.
-Failure to accept personal responsibility is an expected finding of clients who
have antisocial personality disorder.
A charge nurse is preparing a staff education session on personality disorders.
Which of the following personality characteristics associated with all of the
personality disorders should the charge nurse include in the teaching? (Select all
that apply)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
E. Difficulty understanding why it is inappropriate to have a personal relationship
with staff - (ANSWER)A,C,E
-Difficulty with social and professional relationships is a personality characteristic
that can be seen with all personality disorder types.
-Maladaptive response to stress is a personality characteristic that can be seen
with all personality disorder types.
-Difficulty understanding personal boundaries is a personality characteristic that
can be seen with all personality disorder types.
A 36-year-old client with paranoid schizophrenia believes the room is bugged by
the Central Intelligence Agency and a roommate is a foreign spy. The client has
never had a romantic relationship, has no contact with family, and hasn't been
employed for the past 14 years. Based on Erikson's theories, the nurse should
, 3|Page
recognize that this client is in which stage of psychosocial development?
A. Autonomy versus shame and doubt
B. Generativity versus stagnation
C. Integrity versus despair
D. Trust versus mistrust - (ANSWER)D
This client's paranoid ideation indicates difficulty in trusting others.
A client with antisocial personality disorder smokes where it is prohibited and
doesn't follow other unit or facility rules. The client gets others to do the laundry
and other personal chores, tries to divide the staff, and works only with certain
nurses. The primary focus on this client's care plan should be:
A. consistently enforcing unit rules and facility policy
B. isolating the client to decrease contact with easily manipulated clients
C. engaging in power struggles with the client to decrease the incidence of
manipulative behavior
D. using behavior modification to decrease the amount of negative behavior by
using negative reinforcement - (ANSWER)A
Firmness and consistency about rules are the hallmarks of a care plan for a client
with a personality disorder.
During a private conversation, a client with borderline personality disorder asks
the nurse to "keep my secret" and then displays multiple, self-inflicted, superficial
lacerations on the forearms. What is the nurse's best response?
A. "This type of behavior requires you to be on suicide precautions."
B. "I'm going to tell your physician. Do you want to tell me why you did that?"
C. "Tell me what type of instrument you used. I'm concerned about infection."
D. "Whenever something important occurs, the team needs to know about it. I'll
have to tell the others, but let's talk about it first." - (ANSWER)D
This response informs the client of the nurse's planned actions and allows time to
discuss the client's action.
The nurse is assessing the client with paranoid personality disorder. Which
behavior should the nurse expect?
A. Able to trust only those who are fair and treat the client well
B. Sees the goodwill of another when that behavior does not exist
C. Acts the opposite of what the client may be thinking or feeling
D. Analyzes the behavior of others to find hidden and threatening meanings -
