Mental Health Mostly Personality
Disorders NCLEX Exam Questions and
Answers
A nurse is preparing to admit a client with a diagnosis of obsessive-compulsive
disorder (OCD) to the mental health unit. The nurse would expect to note which
behaviours in the client?
A. Suspicious and hostile
B. Flexible and adaptable
C. Frightened and delusional
D. Rigidness in thought and inflexibility - ANSWER-D. Rigidness in thought and
inflexibility
Rationale:
Rigid and inflexible behaviors are characteristic of the client with OCD. Clients with
this disorder usually are not hostile unless they are prevented from engaging in the
obsession or compulsion, because this behavior is what decreases the anxiety.
Options 1, 2, and 3 are incorrect and are not characteristic of OCD.
A nurse is performing an assessment on a client admitted to the mental health unit.
The client tells the nurse that she cannot leave home without checking numerous
times that the iron and coffee pot have been shut off. The client states that this
activity makes her late for many functions and that she misses engagements on
occasion because of it. The nurse would expect to note which anxiety disorder
documented in the client's record?
A. A phobia
B. Generalized anxiety disorder
C. Posttraumatic stress disorder (PTSD)
D. Obsessive-compulsive disorder (OCD) - ANSWER-D. Obsessive-compulsive
disorder (OCD)
Rationale:
A repetitive behavior that interferes with activities of daily living and functioning is
indicative of OCD. This repetitive behavior is not associated with phobias,
generalized anxiety disorder, or PTSD.
A nurse is performing an assessment on a client admitted to the mental health unit.
The nurse notes that the client's diagnosis is documented as obsessive-compulsive
disorder. The nurse plans care knowing that the client is most likely to experience
which type of compulsive behavior?
A. Fears
B. Actions
C. Illusions
, D. Thoughts - ANSWER-B. Actions
Rationale:
A compulsion is a repetitive act. The client with a phobia is likely to experience
repetitive fears. Illusions are characteristic of schizophrenia. An obsession is a
repetitive thought.
A nurse caring for a client who has been diagnosed with a personality disorder
should expect that the client will exhibit which of the following characteristics?
A. Frequent episodes of psychosis
B. Constant involvement with the needs of significant others
C. Inflexible and maladaptive responses to stress
D. Abnormal ego functioning - ANSWER-C. Inflexible and maladaptive responses to
stress
Personality patterns persist unmodified over long periods of time. Characteristics of
inflexible and maladaptive response to stress is one of these characteristics for
individuals with personality disorder.
Which statement is descriptive of clients with personality disorders?
A. They are resistant to behavioral change.
B. They have an ability to tolerate frustration and pain.
C. They usually seek help to change maladaptive behaviors.
D. They have little difficulty forming satisfying and intimate relationships. - ANSWER-
A. They are resistant to behavioral change.
Personality disorders are deeply ingrained and pervasive. Clients with personality
disorders find it very difficult, if not nearly impossible, to change. Change proceeds
very slowly.
Research has indicated that antisocial personality may be characterized by:
A. social isolation.
B. lack of remorse.
C. learning difficulties.
D. difficulty with reality testing. - ANSWER-B. lack of remorse.
The antisocial personality exhibits a lack of remorse when confronted with the results
of their thoughtless, irresponsible behavior towards others.
The primary goal of milieu therapy for clients with personality disorders is
A. manage the affect behavior has on the entire group.
B. one-on-one therapy.
C. to help the client remain uninvolved with other patients.
D. a laissez faire attitude. - ANSWER-A. manage the affect behavior has on the
entire group.
The primary goal of milieu therapy is affect management in a group context
Disorders NCLEX Exam Questions and
Answers
A nurse is preparing to admit a client with a diagnosis of obsessive-compulsive
disorder (OCD) to the mental health unit. The nurse would expect to note which
behaviours in the client?
A. Suspicious and hostile
B. Flexible and adaptable
C. Frightened and delusional
D. Rigidness in thought and inflexibility - ANSWER-D. Rigidness in thought and
inflexibility
Rationale:
Rigid and inflexible behaviors are characteristic of the client with OCD. Clients with
this disorder usually are not hostile unless they are prevented from engaging in the
obsession or compulsion, because this behavior is what decreases the anxiety.
Options 1, 2, and 3 are incorrect and are not characteristic of OCD.
A nurse is performing an assessment on a client admitted to the mental health unit.
The client tells the nurse that she cannot leave home without checking numerous
times that the iron and coffee pot have been shut off. The client states that this
activity makes her late for many functions and that she misses engagements on
occasion because of it. The nurse would expect to note which anxiety disorder
documented in the client's record?
A. A phobia
B. Generalized anxiety disorder
C. Posttraumatic stress disorder (PTSD)
D. Obsessive-compulsive disorder (OCD) - ANSWER-D. Obsessive-compulsive
disorder (OCD)
Rationale:
A repetitive behavior that interferes with activities of daily living and functioning is
indicative of OCD. This repetitive behavior is not associated with phobias,
generalized anxiety disorder, or PTSD.
A nurse is performing an assessment on a client admitted to the mental health unit.
The nurse notes that the client's diagnosis is documented as obsessive-compulsive
disorder. The nurse plans care knowing that the client is most likely to experience
which type of compulsive behavior?
A. Fears
B. Actions
C. Illusions
, D. Thoughts - ANSWER-B. Actions
Rationale:
A compulsion is a repetitive act. The client with a phobia is likely to experience
repetitive fears. Illusions are characteristic of schizophrenia. An obsession is a
repetitive thought.
A nurse caring for a client who has been diagnosed with a personality disorder
should expect that the client will exhibit which of the following characteristics?
A. Frequent episodes of psychosis
B. Constant involvement with the needs of significant others
C. Inflexible and maladaptive responses to stress
D. Abnormal ego functioning - ANSWER-C. Inflexible and maladaptive responses to
stress
Personality patterns persist unmodified over long periods of time. Characteristics of
inflexible and maladaptive response to stress is one of these characteristics for
individuals with personality disorder.
Which statement is descriptive of clients with personality disorders?
A. They are resistant to behavioral change.
B. They have an ability to tolerate frustration and pain.
C. They usually seek help to change maladaptive behaviors.
D. They have little difficulty forming satisfying and intimate relationships. - ANSWER-
A. They are resistant to behavioral change.
Personality disorders are deeply ingrained and pervasive. Clients with personality
disorders find it very difficult, if not nearly impossible, to change. Change proceeds
very slowly.
Research has indicated that antisocial personality may be characterized by:
A. social isolation.
B. lack of remorse.
C. learning difficulties.
D. difficulty with reality testing. - ANSWER-B. lack of remorse.
The antisocial personality exhibits a lack of remorse when confronted with the results
of their thoughtless, irresponsible behavior towards others.
The primary goal of milieu therapy for clients with personality disorders is
A. manage the affect behavior has on the entire group.
B. one-on-one therapy.
C. to help the client remain uninvolved with other patients.
D. a laissez faire attitude. - ANSWER-A. manage the affect behavior has on the
entire group.
The primary goal of milieu therapy is affect management in a group context
