NUR 253 Exam 4 Mental Health () PDF |
Galen College of Nursing | Complete 50-Question
Practice Test with 100% Verified ANSWERS>s | Graded A+
Section 1: Personality Disorders
1. A client with borderline personality disorder (BPD) approaches the
nurse and states, "My roommate hates me. You're the only one who
understands me. Can we talk privately for an hour?" Which of the
following is the most appropriate nursing response?
A) "I can see you're upset, but I am only available to talk for 10 minutes
right now. Let's sit down in the dayroom."
B) "Your roommate doesn't hate you; you're just projecting your
feelings."
C) "I can't talk right now, but I will ask the doctor to prescribe you a PRN
anxiolytic."
D) "Why do you feel like your roommate hates you? Let's go to your
room to discuss this privately."
Answer: A (Rationale: Clients with BPD frequently use splitting and
demand excessive time. The nurse must set clear, consistent boundaries
regarding time and location while acknowledging the client's feelings.)
2. Which of the following behavioral traits is most characteristic of a
client with antisocial personality disorder?
A) Extreme social anxiety and sensitivity to criticism
,B) Manipulation, deceitfulness, and a lack of remorse for violating the
rights of others
C) Perfectionism and preoccupation with rules and schedules
D) Magical thinking and eccentric behavior
Answer: B (Rationale: Antisocial personality disorder is characterized by
a pervasive pattern of disregard for and violation of the rights of others,
including deceitfulness and lack of remorse.)
3. A nurse is caring for a client with narcissistic personality disorder.
Which statement by the client would the nurse expect?
A) "I feel completely worthless unless I am cutting myself."
B) "I deserve the VIP suite because I am superior to the other patients
here."
C) "I cannot make a decision without my spouse telling me what to do."
D) "I prefer to be alone because others are out to get me."
Answer: B (Rationale: Narcissistic personality disorder involves a
grandiose sense of self-importance, a need for admiration, and a sense
of entitlement.)
4. A client with histrionic personality disorder is admitted to the unit.
Which nursing intervention is most appropriate?
A) Encourage the client to be the center of attention during group
therapy to build self-esteem.
, B) Redirect attention-seeking behaviors and focus on functional
problem-solving.
C) Allow the client to establish exclusive relationships with staff to build
trust.
D) Confront the client aggressively about their dramatic behavior.
Answer: B (Rationale: Interventions for histrionic PD include redirecting
attention-seeking behaviors, avoiding reinforcement of dramatic
actions, and focusing on problem-solving.)
5. Cluster A personality disorders are often described as the "odd or
eccentric" cluster. Which disorder belongs to Cluster A?
A) Borderline personality disorder
B) Histrionic personality disorder
C) Schizoid personality disorder
D) Dependent personality disorder
Answer: C (Rationale: Cluster A includes paranoid, schizoid, and
schizotypal personality disorders.)
6. A client with paranoid personality disorder is admitted to the
psychiatric unit. What is the priority nursing intervention?
A) Use therapeutic touch to establish trust.
B) Encourage participation in large group activities to decrease isolation.
Galen College of Nursing | Complete 50-Question
Practice Test with 100% Verified ANSWERS>s | Graded A+
Section 1: Personality Disorders
1. A client with borderline personality disorder (BPD) approaches the
nurse and states, "My roommate hates me. You're the only one who
understands me. Can we talk privately for an hour?" Which of the
following is the most appropriate nursing response?
A) "I can see you're upset, but I am only available to talk for 10 minutes
right now. Let's sit down in the dayroom."
B) "Your roommate doesn't hate you; you're just projecting your
feelings."
C) "I can't talk right now, but I will ask the doctor to prescribe you a PRN
anxiolytic."
D) "Why do you feel like your roommate hates you? Let's go to your
room to discuss this privately."
Answer: A (Rationale: Clients with BPD frequently use splitting and
demand excessive time. The nurse must set clear, consistent boundaries
regarding time and location while acknowledging the client's feelings.)
2. Which of the following behavioral traits is most characteristic of a
client with antisocial personality disorder?
A) Extreme social anxiety and sensitivity to criticism
,B) Manipulation, deceitfulness, and a lack of remorse for violating the
rights of others
C) Perfectionism and preoccupation with rules and schedules
D) Magical thinking and eccentric behavior
Answer: B (Rationale: Antisocial personality disorder is characterized by
a pervasive pattern of disregard for and violation of the rights of others,
including deceitfulness and lack of remorse.)
3. A nurse is caring for a client with narcissistic personality disorder.
Which statement by the client would the nurse expect?
A) "I feel completely worthless unless I am cutting myself."
B) "I deserve the VIP suite because I am superior to the other patients
here."
C) "I cannot make a decision without my spouse telling me what to do."
D) "I prefer to be alone because others are out to get me."
Answer: B (Rationale: Narcissistic personality disorder involves a
grandiose sense of self-importance, a need for admiration, and a sense
of entitlement.)
4. A client with histrionic personality disorder is admitted to the unit.
Which nursing intervention is most appropriate?
A) Encourage the client to be the center of attention during group
therapy to build self-esteem.
, B) Redirect attention-seeking behaviors and focus on functional
problem-solving.
C) Allow the client to establish exclusive relationships with staff to build
trust.
D) Confront the client aggressively about their dramatic behavior.
Answer: B (Rationale: Interventions for histrionic PD include redirecting
attention-seeking behaviors, avoiding reinforcement of dramatic
actions, and focusing on problem-solving.)
5. Cluster A personality disorders are often described as the "odd or
eccentric" cluster. Which disorder belongs to Cluster A?
A) Borderline personality disorder
B) Histrionic personality disorder
C) Schizoid personality disorder
D) Dependent personality disorder
Answer: C (Rationale: Cluster A includes paranoid, schizoid, and
schizotypal personality disorders.)
6. A client with paranoid personality disorder is admitted to the
psychiatric unit. What is the priority nursing intervention?
A) Use therapeutic touch to establish trust.
B) Encourage participation in large group activities to decrease isolation.
