NUR 233 PSYCHIATRIC & MENTAL HEALTH
NURSING EXAM PREP 2026–2027- 250 NCLEX-
STYLE PRACTICE QUESTIONS, VERIFIED ANSWERS,
DETAILED RATIONALES, CASE STUDIES, AND
COMPREHENSIVE REVIEW GUIDE
1. A patient with Borderline Personality Disorder (BPD) tells one nurse, “You are wonderful,” and later
states, “You are the worst nurse here.” This behavior is known as:
A. Projection
B. Splitting
C. Denial
D. Rationalization
Answer: B
Rationale: Splitting is a defense mechanism in which individuals view others as either all good or all bad,
with little middle ground.
2. The priority nursing intervention for a patient with Borderline Personality Disorder is:
A. Encouraging dependency
B. Establishing consistent boundaries
C. Avoiding confrontation
D. Promoting isolation
Answer: B
Rationale: Consistent boundaries help reduce manipulation and promote safety.
3. Which characteristic is commonly associated with Antisocial Personality Disorder?
A. Excessive dependence
B. Fear of abandonment
C. Disregard for rights of others
D. Social withdrawal
Answer: C
Rationale: Antisocial Personality Disorder involves deceitfulness, impulsivity, and violation of others'
rights.
, 4. A patient with Narcissistic Personality Disorder is most likely to exhibit:
A. Grandiosity
B. Dependency
C. Fearfulness
D. Social avoidance
Answer: A
Rationale: Grandiosity and a need for admiration are hallmark traits.
5. Which intervention is most appropriate when caring for a patient with Antisocial Personality
Disorder?
A. Maintain clear limits
B. Accept manipulative behavior
C. Encourage rule violations
D. Avoid consequences
Answer: A
Rationale: Consistent enforcement of limits reduces manipulation.
6. A patient with Avoidant Personality Disorder is likely to:
A. Seek attention constantly
B. Avoid social interactions due to fear of rejection
C. Display aggressive behavior
D. Lack empathy
Answer: B
Rationale: Fear of criticism and rejection leads to social avoidance.
7. Dependent Personality Disorder is characterized by:
A. Excessive need to be cared for
B. Grandiosity
C. Suspiciousness
D. Aggression
Answer: A
NURSING EXAM PREP 2026–2027- 250 NCLEX-
STYLE PRACTICE QUESTIONS, VERIFIED ANSWERS,
DETAILED RATIONALES, CASE STUDIES, AND
COMPREHENSIVE REVIEW GUIDE
1. A patient with Borderline Personality Disorder (BPD) tells one nurse, “You are wonderful,” and later
states, “You are the worst nurse here.” This behavior is known as:
A. Projection
B. Splitting
C. Denial
D. Rationalization
Answer: B
Rationale: Splitting is a defense mechanism in which individuals view others as either all good or all bad,
with little middle ground.
2. The priority nursing intervention for a patient with Borderline Personality Disorder is:
A. Encouraging dependency
B. Establishing consistent boundaries
C. Avoiding confrontation
D. Promoting isolation
Answer: B
Rationale: Consistent boundaries help reduce manipulation and promote safety.
3. Which characteristic is commonly associated with Antisocial Personality Disorder?
A. Excessive dependence
B. Fear of abandonment
C. Disregard for rights of others
D. Social withdrawal
Answer: C
Rationale: Antisocial Personality Disorder involves deceitfulness, impulsivity, and violation of others'
rights.
, 4. A patient with Narcissistic Personality Disorder is most likely to exhibit:
A. Grandiosity
B. Dependency
C. Fearfulness
D. Social avoidance
Answer: A
Rationale: Grandiosity and a need for admiration are hallmark traits.
5. Which intervention is most appropriate when caring for a patient with Antisocial Personality
Disorder?
A. Maintain clear limits
B. Accept manipulative behavior
C. Encourage rule violations
D. Avoid consequences
Answer: A
Rationale: Consistent enforcement of limits reduces manipulation.
6. A patient with Avoidant Personality Disorder is likely to:
A. Seek attention constantly
B. Avoid social interactions due to fear of rejection
C. Display aggressive behavior
D. Lack empathy
Answer: B
Rationale: Fear of criticism and rejection leads to social avoidance.
7. Dependent Personality Disorder is characterized by:
A. Excessive need to be cared for
B. Grandiosity
C. Suspiciousness
D. Aggression
Answer: A
