Personality Disorders (EAQ's)
Complete Solutions
Which intervention will the nurse use for a client diagnosed with borderline
personality disorder to develop healthier coping mechanisms?
1. Provide a stress-free environment
2. Encourage healthy relationship with peers
3. Allow the client to take responsibility for decisions
4. Set realistic limits on maladaptive behavior - ANSWER-4.
Rationale:
Setting realistic limits on the client's maladaptive behavior provides structure that
promotes learning- acceptable behavior. No environment is stress free. For clients
with borderline personality disorder, healthy relationship with peers and taking
responsibility for decisions are longer term issues.
A client diagnosed with borderline personality disorder declares that the whole staff
is "bad" after being disappointed by one staff member. Which defense mechanism is
the client using?
1. Splitting
2. Rationalization
3. Undoing
4. Reaction formation - ANSWER-1.
Rationale:
Splitting is the compartmentalization of opposite affect states and failure to integrate
the positive and negative aspects of self or others.
Which personality traits are exhibited in a client who has a diagnosis of borderline
personality disorders? Select all that apply
1. Engaging
2. Indecisive
3. Withdrawn
4. Manipulative
5. Perfectionistic - ANSWER-1,4.
Rationale:
Clients with borderline personality disorders initially tend to be engaging and to
establish intense relationship. They may be manipulative because they are
opinionated and want people to conform to their agendas.
, Which characteristics of clients with antisocial personality disorder would the nurse
consider when planning care?
1. Engages in many rituals
2. Is a perfectionsits
3. Exhibits lack of empathy for others
4. Possess limited communication skills - ANSWER-3.
Rationale:
Exhibits lack of empathy for others is a characteristics of clients with antisocial
personality disorders.
Which personality characteristics are common for an antisocial personality disorder?
Select all the apply
1. Aloof
2. Suspicious
3. Perfectionist
4. Irresponsible
5. Manipulative - ANSWER-4,5.
Rationale:
People with antisocial personalities are often irresponsible, amoral, dishonest and do
not learn from negative experiences. People with antisocial personalties are often
charming and calculating when exploiting others; they show no remorse for hurting
others and do not develop insight into predictable consequences.
Which purpose is served by ritualistic behavior for a client diagnosed with an
obsessive-compulsive personality disorder?
1. The ritual are useless but uncontrollable
2. Rituals lessens rigidity and inflexibility
3. Ritualistic behavior decreases depression
4. The ritual temporarily relieve anxiety - ANSWER-4.
Rationale
The client's exact adherence to the compulsive ritual relieves anxiety, at least
temporarily.
A client with a personality disorder aggressively throws the [laying cards around the
room when another client is caught cheating. Which rationale explains the
aggressive response of throwing cards?
1. Client has poor reality testing and imagines as a threat
2. Behavior suggests that violence is a learned response
3. Behavior confirms a diagnosis of antisocial personality disorder
4. Client's response is related to inadequate impulse control - ANSWER-4.
Rationale
Complete Solutions
Which intervention will the nurse use for a client diagnosed with borderline
personality disorder to develop healthier coping mechanisms?
1. Provide a stress-free environment
2. Encourage healthy relationship with peers
3. Allow the client to take responsibility for decisions
4. Set realistic limits on maladaptive behavior - ANSWER-4.
Rationale:
Setting realistic limits on the client's maladaptive behavior provides structure that
promotes learning- acceptable behavior. No environment is stress free. For clients
with borderline personality disorder, healthy relationship with peers and taking
responsibility for decisions are longer term issues.
A client diagnosed with borderline personality disorder declares that the whole staff
is "bad" after being disappointed by one staff member. Which defense mechanism is
the client using?
1. Splitting
2. Rationalization
3. Undoing
4. Reaction formation - ANSWER-1.
Rationale:
Splitting is the compartmentalization of opposite affect states and failure to integrate
the positive and negative aspects of self or others.
Which personality traits are exhibited in a client who has a diagnosis of borderline
personality disorders? Select all that apply
1. Engaging
2. Indecisive
3. Withdrawn
4. Manipulative
5. Perfectionistic - ANSWER-1,4.
Rationale:
Clients with borderline personality disorders initially tend to be engaging and to
establish intense relationship. They may be manipulative because they are
opinionated and want people to conform to their agendas.
, Which characteristics of clients with antisocial personality disorder would the nurse
consider when planning care?
1. Engages in many rituals
2. Is a perfectionsits
3. Exhibits lack of empathy for others
4. Possess limited communication skills - ANSWER-3.
Rationale:
Exhibits lack of empathy for others is a characteristics of clients with antisocial
personality disorders.
Which personality characteristics are common for an antisocial personality disorder?
Select all the apply
1. Aloof
2. Suspicious
3. Perfectionist
4. Irresponsible
5. Manipulative - ANSWER-4,5.
Rationale:
People with antisocial personalities are often irresponsible, amoral, dishonest and do
not learn from negative experiences. People with antisocial personalties are often
charming and calculating when exploiting others; they show no remorse for hurting
others and do not develop insight into predictable consequences.
Which purpose is served by ritualistic behavior for a client diagnosed with an
obsessive-compulsive personality disorder?
1. The ritual are useless but uncontrollable
2. Rituals lessens rigidity and inflexibility
3. Ritualistic behavior decreases depression
4. The ritual temporarily relieve anxiety - ANSWER-4.
Rationale
The client's exact adherence to the compulsive ritual relieves anxiety, at least
temporarily.
A client with a personality disorder aggressively throws the [laying cards around the
room when another client is caught cheating. Which rationale explains the
aggressive response of throwing cards?
1. Client has poor reality testing and imagines as a threat
2. Behavior suggests that violence is a learned response
3. Behavior confirms a diagnosis of antisocial personality disorder
4. Client's response is related to inadequate impulse control - ANSWER-4.
Rationale
