Mood Disorders Nursing Care
Management NCLEX Exam | Personality
Disorders Review, Question and
answers Graded A+
1. 1. Question
Which of the following behaviors by a client with dependent personality disorder
shows the client has made progress toward the goal of increasing problem
solving skills?
A. The client is courteous.
B. The client asks questions.
C. The client stops acting out.
D. The client controls emotions.
Correct Answer: B. The client asks questions.
The client with a dependent personality disorder is passive and tries to please
others. By asking questions, the client is beginning to gather information, the first
step of decision making. Keep goals very realistic and go in small steps. There are
no overnight successes with people with personality disorders. It can take a long
time to positively change ingrained, life-long, maladaptive habits; however,
change is always possible.
2. 2. Question
A client with schizotypal personality disorder is sitting in a puddle of urine. She’s
playing in it, smiling, and softly singing a child’s song. Which action would
be best?
A. Admonish the client for not using the bathroom.
B. Firmly tell the client that her behavior is unacceptable.
C. Ask the client if she’s ready to get cleaned up now.
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, D. Help the client to the shower, and change the bedclothes.
Correct Answer: D. Help the client to the shower, and change the
bedclothes.
A client with schizotypal personality disorder can experience high levels of
anxiety and regress to childlike behaviors. This client may require help needing
self-care needs. The client may not respond to the other options or those options
may generate more anxiety.
3. 3. Question
A client with avoidant personality disorder says occupational therapy is boring
and doesn’t want to go. Which action would be best?
A. State firmly that you’ll escort him to OT.
Correct answer
B. Arrange with OT for the client to do a project on the unit.
C. Ask the client to talk about why OT is boring.
D. Arrange for the client not to attend OT until he is feeling better.
Correct Answer: A. State firmly that you’ll escort him to OT.
If given the chance, a client with avoidant personality disorder typically elects to
remain immobilized. The nurse should insist that the client participates in OT.
Expand limits by clarifying expectations for clients in a number of settings. When
time is taken in initial meetings to clarify expectations, confrontations, and power
struggles with clients can be minimized and even avoided.
4. 4. Question
A nurse discusses job possibilities with a client with schizoid personality disorder.
Which suggestion by the nurse would be helpful?
A. “You can work in a family restaurant part-time on the weekend and
holidays.”
B. “Maybe your friend could get you that customer service job where you
work only on the weekends.”
C. “Your idea of applying for the position of filing and organizing records is
worth pursuing.”
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, Correct answer
D. “Being an introvert limits the employment opportunities you can pursue.”
Correct Answer: C. “Your idea of applying for the position of filing and
organizing records is worth pursuing.”
Clients with schizoid personality disorder prefer solitary activities, such as filing,
to working with others. Working as a cashier or in customer service would involve
interacting with many people. They’re often described as eccentric or bizarre.
They may be suspicious and paranoid of others. They come across as “stiff” and
don’t seem to fit in anywhere they go.
5. 5. Question
When assessing a client diagnosed with impulse control disorder, the nurse
observes violent, aggressive, and assaultive behavior. Which of the following
assessment data is the nurse also likely to find? Select all that apply.
A. The client functions well in other areas of his life.
Correct answer
B. The degree of aggressiveness is out of proportion to the stressor.
Correct answer
C. The violent behavior is most often justified by the stressor.
D. The client has a history of parental alcoholism and chaotic, abusive family
life.
Correct Answers: A, B, & D
A client with an impulse control disorder who displays violent, aggressive, and
assaultive behavior generally functions well in other areas of his life. An impulse
control disorder is a condition in which a person has trouble controlling emotions
or behaviors. Often, the behaviors violate the rights of others or conflict with
societal norms and the law.
6. 6. Question
Which is the best indicator of success in the long-term management of the client
with a somatic disorder?
A. His symptoms are replaced by indifference to his feelings.
B. He participates in diversionary activities.
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Management NCLEX Exam | Personality
Disorders Review, Question and
answers Graded A+
1. 1. Question
Which of the following behaviors by a client with dependent personality disorder
shows the client has made progress toward the goal of increasing problem
solving skills?
A. The client is courteous.
B. The client asks questions.
C. The client stops acting out.
D. The client controls emotions.
Correct Answer: B. The client asks questions.
The client with a dependent personality disorder is passive and tries to please
others. By asking questions, the client is beginning to gather information, the first
step of decision making. Keep goals very realistic and go in small steps. There are
no overnight successes with people with personality disorders. It can take a long
time to positively change ingrained, life-long, maladaptive habits; however,
change is always possible.
2. 2. Question
A client with schizotypal personality disorder is sitting in a puddle of urine. She’s
playing in it, smiling, and softly singing a child’s song. Which action would
be best?
A. Admonish the client for not using the bathroom.
B. Firmly tell the client that her behavior is unacceptable.
C. Ask the client if she’s ready to get cleaned up now.
Page 1 of 28
, D. Help the client to the shower, and change the bedclothes.
Correct Answer: D. Help the client to the shower, and change the
bedclothes.
A client with schizotypal personality disorder can experience high levels of
anxiety and regress to childlike behaviors. This client may require help needing
self-care needs. The client may not respond to the other options or those options
may generate more anxiety.
3. 3. Question
A client with avoidant personality disorder says occupational therapy is boring
and doesn’t want to go. Which action would be best?
A. State firmly that you’ll escort him to OT.
Correct answer
B. Arrange with OT for the client to do a project on the unit.
C. Ask the client to talk about why OT is boring.
D. Arrange for the client not to attend OT until he is feeling better.
Correct Answer: A. State firmly that you’ll escort him to OT.
If given the chance, a client with avoidant personality disorder typically elects to
remain immobilized. The nurse should insist that the client participates in OT.
Expand limits by clarifying expectations for clients in a number of settings. When
time is taken in initial meetings to clarify expectations, confrontations, and power
struggles with clients can be minimized and even avoided.
4. 4. Question
A nurse discusses job possibilities with a client with schizoid personality disorder.
Which suggestion by the nurse would be helpful?
A. “You can work in a family restaurant part-time on the weekend and
holidays.”
B. “Maybe your friend could get you that customer service job where you
work only on the weekends.”
C. “Your idea of applying for the position of filing and organizing records is
worth pursuing.”
Page 2 of 28
, Correct answer
D. “Being an introvert limits the employment opportunities you can pursue.”
Correct Answer: C. “Your idea of applying for the position of filing and
organizing records is worth pursuing.”
Clients with schizoid personality disorder prefer solitary activities, such as filing,
to working with others. Working as a cashier or in customer service would involve
interacting with many people. They’re often described as eccentric or bizarre.
They may be suspicious and paranoid of others. They come across as “stiff” and
don’t seem to fit in anywhere they go.
5. 5. Question
When assessing a client diagnosed with impulse control disorder, the nurse
observes violent, aggressive, and assaultive behavior. Which of the following
assessment data is the nurse also likely to find? Select all that apply.
A. The client functions well in other areas of his life.
Correct answer
B. The degree of aggressiveness is out of proportion to the stressor.
Correct answer
C. The violent behavior is most often justified by the stressor.
D. The client has a history of parental alcoholism and chaotic, abusive family
life.
Correct Answers: A, B, & D
A client with an impulse control disorder who displays violent, aggressive, and
assaultive behavior generally functions well in other areas of his life. An impulse
control disorder is a condition in which a person has trouble controlling emotions
or behaviors. Often, the behaviors violate the rights of others or conflict with
societal norms and the law.
6. 6. Question
Which is the best indicator of success in the long-term management of the client
with a somatic disorder?
A. His symptoms are replaced by indifference to his feelings.
B. He participates in diversionary activities.
Page 3 of 28
