Clinical Modalities in Advanced Psychiatric
Mental Health Nursing Practice - Wilkes
Actual Questions and Answers
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Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
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,1. What personality disorder involves magical thinking, odd beliefs, and distorted
perceptions?
- A. Borderline personality disorder
- B. Schizotypal personality disorder
- C. Paranoid personality disorder
- D. Avoidant personality disorder
Answer: B. Schizotypal personality disorder
Explanation: Schizotypal personality disorder includes eccentricities in behavior,
thoughts, and speech, alongside social anxiety and suspiciousness. Treatment should
involve educating clients about their symptoms and providing a supportive atmosphere to
help mitigate their fears in social contexts.
2. Which of the following are considered cluster A personality disorders?
- A. Histrionic, Narcissistic, Antisocial
- B. Paranoid, Schizoid, Schizotypal
- C. Avoidant, Dependent, Obsessive-Compulsive
- D. Borderline, Narcissistic, Antisocial
Answer: B. Paranoid, Schizoid, Schizotypal
Explanation: Cluster A personality disorders are classified as odd or eccentric, with
symptoms including distrust, social detachment, and eccentric behavior. Understanding
these disorders is essential for PMHNPs to provide appropriate interventions.
3. What are the cluster B personality disorders?
- A. Avoidant, Dependent, Obsessive-Compulsive
- B. Paranoid, Schizoid, Schizotypal
- C. Antisocial, Borderline, Histrionic, Narcissistic
- D. Schizoid, Schizotypal, Avoidant
Answer: C. Antisocial, Borderline, Histrionic, Narcissistic
, Explanation: Cluster B disorders are marked by dramatic, emotional, or erratic behavior.
Recognizing these characteristics allows PMHNPs to tailor therapeutic approaches that
address the emotional volatility and interpersonal relationship challenges often present in
these patients.
4. How many stages are in Piaget's developmental theory?
- A. Three stages
- B. Four stages
- C. Five stages
- D. Six stages
Answer: B. Four stages
Explanation: Piaget's developmental theory includes four stages: sensorimotor,
preoperational, concrete operational, and formal operational. Each stage represents
different cognitive abilities and ways of understanding the world, which are critical for
PMHNPs to comprehend when assessing developmental milestones in children.
5. What personality disorder is characterized by suspiciousness of others and fear of being
exploited or deceived?
- A. Histrionic personality disorder
- B. Paranoid personality disorder
- C. Schizoid personality disorder
- D. Borderline personality disorder
Answer: B. Paranoid personality disorder
Explanation: Individuals with paranoid personality disorder exhibit persistent distrust
and suspicion of others, leading to hypervigilant behaviors. They often misinterpret
neutral statements as malevolent and fear sharing personal information. PMHNPs must
provide clear and concrete information to alleviate these fears.
6. What personality disorder is defined by social avoidance and emotional detachment?
, - A. Schizoid personality disorder
- B. Avoidant personality disorder
- C. Narcissistic personality disorder
- D. Histrionic personality disorder
Answer: A. Schizoid personality disorder
Explanation: Schizoid personality disorder is characterized by a preference for solitude
and emotional detachment. Individuals may struggle with social interactions and show a
lack of desire for close relationships. Clinicians should focus on creating a comfortable
environment and simplifying communication to reduce anxiety.
7. What personality disorder is characterized by superficial charm and a lack of remorse?
- A. Histrionic personality disorder
- B. Antisocial personality disorder
- C. Narcissistic personality disorder
- D. Borderline personality disorder
Answer: B. Antisocial personality disorder
Explanation: Individuals with antisocial personality disorder often display manipulative
behaviors, impulsivity, and a disregard for others' rights. Establishing firm boundaries and
a structured plan of care is crucial for minimizing manipulative behaviors and ensuring the
safety of both the client and staff.
8. What personality disorder involves unstable interpersonal relationships and identity
disturbance?
- A. Borderline personality disorder
- B. Narcissistic personality disorder
- C. Histrionic personality disorder
- D. Antisocial personality disorder
Answer: A. Borderline personality disorder