Mental Health: Mostly Personality Disorders NCLEX
Questions
1.A nurse assists a client with a diagnosis of obsessive-compulsive
disorder (OCD) in his preparations for bedtime. One hour later the client
calls the nurse and says that he is feeling anxious; he asks the nurse to sit
and talk for a while. Which is the appropriate initial nursing action?
A. Sit and talk with the client.
B. Ask the unlicensed assistive personnel to sit with the client.
C. Administer the prescribed as-needed antianxiety medication.
D. Tell the client that it is time for sleep and that you will talk with
him tomorrow.: A. Sit and talk with the client.
Rationale:
The appropriate initial nursing action is to sit and talk with the client if he
is expressing anxiety. An unlicensed assistive personnel may not be able
to alleviate the client's anxiety. Antianxiety medication may be
necessary, but this would not be the initial appropriate nursing action.
Option 4 is an inappropriate action and places the client's feelings on
hold.
2.A nurse is planning care for a group of clients on a mental health unit. The
nurse notes that most of the assigned clients require interventions
commonly used to treat anxiety disorders. Such antianxiety interventions
would be ap- propriate for which clients? Select all that apply.
A. A client with panic disorder
B. Generalized anxiety disorder
C. A client with multiple personality disorder
D. A client with posttraumatic stress disorder (PTSD)
E. A client with obsessive-compulsive disorder (OCD): A. A client with
panic disorder
B. Generalized anxiety disorder
D. A client with posttraumatic stress disorder (PTSD)
E. A client with obsessive-compulsive disorder (OCD)
Rationale:
Multiple personality disorder is considered to be a dissociative disorder
rather than an anxiety disorder. Anxiety is a characteristic of panic
disorder, generalized anxiety disorder, PTSD, and OCD.
3.A nurse is preparing to admit a client with a diagnosis of obsessive-
com- pulsive disorder (OCD) to the mental health unit. The nurse would
expect to note which behaviors in the client?
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, Mental Health: Mostly Personality Disorders NCLEX
Questions
A. Suspicious and hostile
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, Mental Health: Mostly Personality Disorders NCLEX
Questions
B. Flexible and adaptable
C. Frightened and delusional
D. Rigidness in thought and inflexibility: 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.
4.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): 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 associate
with phobias, general- ized anxiety disorder, or PTSD.
5.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: 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.
6.A nurse caring for a client who has been diagnosed with a
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Questions
1.A nurse assists a client with a diagnosis of obsessive-compulsive
disorder (OCD) in his preparations for bedtime. One hour later the client
calls the nurse and says that he is feeling anxious; he asks the nurse to sit
and talk for a while. Which is the appropriate initial nursing action?
A. Sit and talk with the client.
B. Ask the unlicensed assistive personnel to sit with the client.
C. Administer the prescribed as-needed antianxiety medication.
D. Tell the client that it is time for sleep and that you will talk with
him tomorrow.: A. Sit and talk with the client.
Rationale:
The appropriate initial nursing action is to sit and talk with the client if he
is expressing anxiety. An unlicensed assistive personnel may not be able
to alleviate the client's anxiety. Antianxiety medication may be
necessary, but this would not be the initial appropriate nursing action.
Option 4 is an inappropriate action and places the client's feelings on
hold.
2.A nurse is planning care for a group of clients on a mental health unit. The
nurse notes that most of the assigned clients require interventions
commonly used to treat anxiety disorders. Such antianxiety interventions
would be ap- propriate for which clients? Select all that apply.
A. A client with panic disorder
B. Generalized anxiety disorder
C. A client with multiple personality disorder
D. A client with posttraumatic stress disorder (PTSD)
E. A client with obsessive-compulsive disorder (OCD): A. A client with
panic disorder
B. Generalized anxiety disorder
D. A client with posttraumatic stress disorder (PTSD)
E. A client with obsessive-compulsive disorder (OCD)
Rationale:
Multiple personality disorder is considered to be a dissociative disorder
rather than an anxiety disorder. Anxiety is a characteristic of panic
disorder, generalized anxiety disorder, PTSD, and OCD.
3.A nurse is preparing to admit a client with a diagnosis of obsessive-
com- pulsive disorder (OCD) to the mental health unit. The nurse would
expect to note which behaviors in the client?
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, Mental Health: Mostly Personality Disorders NCLEX
Questions
A. Suspicious and hostile
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, Mental Health: Mostly Personality Disorders NCLEX
Questions
B. Flexible and adaptable
C. Frightened and delusional
D. Rigidness in thought and inflexibility: 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.
4.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): 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 associate
with phobias, general- ized anxiety disorder, or PTSD.
5.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: 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.
6.A nurse caring for a client who has been diagnosed with a
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