FINAL - Chapter 24 - Personality Disorders NCLEX
Study online at https://quizlet.com/_3k5rcm
1. During an assessment interview, a client di- ANS: B
agnosed with antisocial personality disorder The appropriate nursing statement is
spits, curses, and refuses to answer questions. to reflect the client's feeling while set-
Which is the most appropriate nursing state- ting firm limits on behavior. Clients
ment to address this behavior? diagnosed with antisocial personali-
A. "You are very disrespectful. You need to learn ty disorder have a low tolerance for
to control yourself." frustration, see themselves as victims,
B. "I understand that you are angry, but this and use projection as a primary ego
behavior will not be tolerated." defense mechanism. Antidepressants
C. "What behaviors could you modify to im- and anxiolytics are used for symptom
prove this situation?" relief; however, there are no specific
D. "What anti-personality-disorder medications medications targeted for the diagno-
have helped you in the past?" sis of a personality disorder.
2. A client diagnosed with antisocial personality ANS: C
disorder comes to a nurses' station at 11:00 The most appropriate response by the
p.m. requesting to phone a lawyer to discuss staff is to restate the unit rules in a
filing for a divorce. The unit rules state that calm, assertive manner. Because of
no phone calls are permitted after 10:00 p.m. the probability of manipulative be-
Which nursing reply is most appropriate? havior in this client population, it is
A. "Go ahead and use the phone. I know this imperative to maintain consistent ap-
pending divorce is stressful." plication of rules.
B. "You know better than to break the rules. I'm
surprised at you."
C. "It is after the 10:00 p.m. phone curfew. You
will be able to call tomorrow."
D. "The decision to divorce should not be con-
sidered 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 inter-
, FINAL - Chapter 24 - Personality Disorders NCLEX
Study online at https://quizlet.com/_3k5rcm
nursing intervention is most appropriate? vention is to use clear, calm state-
A. Provide objective evidence, that violence is ments and to assume a confident
unwarranted. physical stance. A calm attitude avoids
B. Initially restrain the client to maintain safe- escalating the aggressive behavior
ty. and provides the client with a feeling
C. Use clear, calm statements and a confident of safety and security. It may also be
physical stance. beneficial to have sufficient staff on
D. Empathize with the client's paranoid percep- hand to present a show of strength.
tions.
4. A highly emotional client presents at an out- ANS: C
patient clinic appointment wearing flamboy- The nurse should associate histrion-
ant attire, spiked heels, and theatrical makeup. ic personality disorder with this as-
Which personality disorder should a nurse as- sessment data. Individuals diagnosed
sociate with this assessment data? with histrionic personality disorder
A. Compulsive personality disorder tend to be self-dramatizing, attention
B. Schizotypal personality disorder seeking, overly gregarious, and se-
C. Histrionic personality disorder ductive. They often use manipulation
D. Manic personality disorder and exhibitionism as a means of gain-
ing 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 handle this
community meeting and develops a following situation by maintaining consistency
of clients who unreasonably demand modifi- of care by open communication to
cation of unit rules. How can the nursing staff avoid staff manipulation. Clients di-
best handle this situation? agnosed with borderline personali-
A. Allow the clients to apply the democratic ty disorder can exhibit negative pat-
process when developing unit rules. terns of interaction such as clinging
B. Maintain consistency of care by open com- and distancing, splitting, manipula-
munication to avoid staff manipulation. tion, and self-destructive behaviors.
C. Allow the client spokesman to verbalize con-
Study online at https://quizlet.com/_3k5rcm
1. During an assessment interview, a client di- ANS: B
agnosed with antisocial personality disorder The appropriate nursing statement is
spits, curses, and refuses to answer questions. to reflect the client's feeling while set-
Which is the most appropriate nursing state- ting firm limits on behavior. Clients
ment to address this behavior? diagnosed with antisocial personali-
A. "You are very disrespectful. You need to learn ty disorder have a low tolerance for
to control yourself." frustration, see themselves as victims,
B. "I understand that you are angry, but this and use projection as a primary ego
behavior will not be tolerated." defense mechanism. Antidepressants
C. "What behaviors could you modify to im- and anxiolytics are used for symptom
prove this situation?" relief; however, there are no specific
D. "What anti-personality-disorder medications medications targeted for the diagno-
have helped you in the past?" sis of a personality disorder.
2. A client diagnosed with antisocial personality ANS: C
disorder comes to a nurses' station at 11:00 The most appropriate response by the
p.m. requesting to phone a lawyer to discuss staff is to restate the unit rules in a
filing for a divorce. The unit rules state that calm, assertive manner. Because of
no phone calls are permitted after 10:00 p.m. the probability of manipulative be-
Which nursing reply is most appropriate? havior in this client population, it is
A. "Go ahead and use the phone. I know this imperative to maintain consistent ap-
pending divorce is stressful." plication of rules.
B. "You know better than to break the rules. I'm
surprised at you."
C. "It is after the 10:00 p.m. phone curfew. You
will be able to call tomorrow."
D. "The decision to divorce should not be con-
sidered 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 inter-
, FINAL - Chapter 24 - Personality Disorders NCLEX
Study online at https://quizlet.com/_3k5rcm
nursing intervention is most appropriate? vention is to use clear, calm state-
A. Provide objective evidence, that violence is ments and to assume a confident
unwarranted. physical stance. A calm attitude avoids
B. Initially restrain the client to maintain safe- escalating the aggressive behavior
ty. and provides the client with a feeling
C. Use clear, calm statements and a confident of safety and security. It may also be
physical stance. beneficial to have sufficient staff on
D. Empathize with the client's paranoid percep- hand to present a show of strength.
tions.
4. A highly emotional client presents at an out- ANS: C
patient clinic appointment wearing flamboy- The nurse should associate histrion-
ant attire, spiked heels, and theatrical makeup. ic personality disorder with this as-
Which personality disorder should a nurse as- sessment data. Individuals diagnosed
sociate with this assessment data? with histrionic personality disorder
A. Compulsive personality disorder tend to be self-dramatizing, attention
B. Schizotypal personality disorder seeking, overly gregarious, and se-
C. Histrionic personality disorder ductive. They often use manipulation
D. Manic personality disorder and exhibitionism as a means of gain-
ing 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 handle this
community meeting and develops a following situation by maintaining consistency
of clients who unreasonably demand modifi- of care by open communication to
cation of unit rules. How can the nursing staff avoid staff manipulation. Clients di-
best handle this situation? agnosed with borderline personali-
A. Allow the clients to apply the democratic ty disorder can exhibit negative pat-
process when developing unit rules. terns of interaction such as clinging
B. Maintain consistency of care by open com- and distancing, splitting, manipula-
munication to avoid staff manipulation. tion, and self-destructive behaviors.
C. Allow the client spokesman to verbalize con-
