NCLEX PERSONALITY DISORDERS EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 220 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse manage is discussing the care of a client who has a personality disorder with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the
teaching?
A. "I can promote my client's sense of control by establishing a schedule."
B. "I should encourage clients who have a schizoid personality disorder to increase socialization."
C. "I should practice limit-setting to help prevent client manipulation."
D. "I should implement assertiveness training with clients who have antisocial personality disorder." -
(answer) C
When caring for a client who has a personality disorder, limit-setting is appropriate to help prevent client
manipulation.
A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is
expected from a client who has this type of personality disorder?
A. "I'm scared that you're going to leave me."
B. "I'll go to group therapy if you'll let me smoke."
C. "I need to feel that everyone admires me."
D. "I sometimes feel better if I cut myself." - (answer) A
Clients who have avoidant personality disorder often have a fear of abandonment. This type of
statement is expected.
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the
evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's
statement as an example of which of the following defense mechanisms?
A. Regression
B. Splitting
C. Undoing
D. Identification - (answer) B
Splitting occurs when a person is unable to see both positive and negative qualities at the same time.
The client who has borderline personality disorder tends to see a person as all bad one time and all good
another time.
,NCLEX PERSONALITY DISORDERS EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 220 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder.
Which of the following findings should the nurse expect? (Select all that apply)
A. Demonstrates extreme anxiety when placed in a social situation
B. Has difficulty making even simple decisions
C. Attempts to convince other clients to give him their belongings
D. Becomes agitated if his personal area is not near and orderly
E. Blames others for his past and current problems - (answer) C,E
-Exploitation and manipulation of others is an expected finding of antisocial personality disorder.
-Failure to accept personal responsibility is an expected finding of clients who have antisocial personality
disorder.
A charge nurse is preparing a staff education session on personality disorders. Which of the following
personality characteristics associated with all of the personality disorders should the charge nurse
include in the teaching? (Select all that apply)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
E. Difficulty understanding why it is inappropriate to have a personal relationship with staff - (answer)
A,C,E
-Difficulty with social and professional relationships is a personality characteristic that can be seen with
all personality disorder types.
-Maladaptive response to stress is a personality characteristic that can be seen with all personality
disorder types.
-Difficulty understanding personal boundaries is a personality characteristic that can be seen with all
personality disorder types.
A 36-year-old client with paranoid schizophrenia believes the room is bugged by the Central Intelligence
Agency and a roommate is a foreign spy. The client has never had a romantic relationship, has no contact
with family, and hasn't been employed for the past 14 years. Based on Erikson's theories, the nurse
should recognize that this client is in which stage of psychosocial development?
, NCLEX PERSONALITY DISORDERS EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 220 QUESTIONS AND
CORRECT DETAILED ANSWERS
A. Autonomy versus shame and doubt
B. Generativity versus stagnation
C. Integrity versus despair
D. Trust versus mistrust - (answer) D
This client's paranoid ideation indicates difficulty in trusting others.
A client with antisocial personality disorder smokes where it is prohibited and doesn't follow other unit
or facility rules. The client gets others to do the laundry and other personal chores, tries to divide the
staff, and works only with certain nurses. The primary focus on this client's care plan should be:
A. consistently enforcing unit rules and facility policy
B. isolating the client to decrease contact with easily manipulated clients
C. engaging in power struggles with the client to decrease the incidence of manipulative behavior
D. using behavior modification to decrease the amount of negative behavior by using negative
reinforcement - (answer) A
Firmness and consistency about rules are the hallmarks of a care plan for a client with a personality
disorder.
During a private conversation, a client with borderline personality disorder asks the nurse to "keep my
secret" and then displays multiple, self-inflicted, superficial lacerations on the forearms. What is the
nurse's best response?
A. "This type of behavior requires you to be on suicide precautions."
B. "I'm going to tell your physician. Do you want to tell me why you did that?"
C. "Tell me what type of instrument you used. I'm concerned about infection."
D. "Whenever something important occurs, the team needs to know about it. I'll have to tell the others,
but let's talk about it first." - (answer) D
This response informs the client of the nurse's planned actions and allows time to discuss the client's
action.
The nurse is assessing the client with paranoid personality disorder. Which behavior should the nurse
expect?
A. Able to trust only those who are fair and treat the client well
CORRECT DETAILED ANSWERS
A nurse manage is discussing the care of a client who has a personality disorder with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the
teaching?
A. "I can promote my client's sense of control by establishing a schedule."
B. "I should encourage clients who have a schizoid personality disorder to increase socialization."
C. "I should practice limit-setting to help prevent client manipulation."
D. "I should implement assertiveness training with clients who have antisocial personality disorder." -
(answer) C
When caring for a client who has a personality disorder, limit-setting is appropriate to help prevent client
manipulation.
A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is
expected from a client who has this type of personality disorder?
A. "I'm scared that you're going to leave me."
B. "I'll go to group therapy if you'll let me smoke."
C. "I need to feel that everyone admires me."
D. "I sometimes feel better if I cut myself." - (answer) A
Clients who have avoidant personality disorder often have a fear of abandonment. This type of
statement is expected.
A nurse is caring for a client who has borderline personality disorder. The client says, "The nurse on the
evening shift is always nice! You are the meanest nurse ever!" The nurse should recognize the client's
statement as an example of which of the following defense mechanisms?
A. Regression
B. Splitting
C. Undoing
D. Identification - (answer) B
Splitting occurs when a person is unable to see both positive and negative qualities at the same time.
The client who has borderline personality disorder tends to see a person as all bad one time and all good
another time.
,NCLEX PERSONALITY DISORDERS EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 220 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is assisting with a court-ordered evaluation of a client who has antisocial personality disorder.
Which of the following findings should the nurse expect? (Select all that apply)
A. Demonstrates extreme anxiety when placed in a social situation
B. Has difficulty making even simple decisions
C. Attempts to convince other clients to give him their belongings
D. Becomes agitated if his personal area is not near and orderly
E. Blames others for his past and current problems - (answer) C,E
-Exploitation and manipulation of others is an expected finding of antisocial personality disorder.
-Failure to accept personal responsibility is an expected finding of clients who have antisocial personality
disorder.
A charge nurse is preparing a staff education session on personality disorders. Which of the following
personality characteristics associated with all of the personality disorders should the charge nurse
include in the teaching? (Select all that apply)
A. Difficulty in getting along with other members of a group
B. Belief in the ability to become invisible during times of stress
C. Display of defense mechanisms when routines are changed
D. Claiming to be more important than other persons
E. Difficulty understanding why it is inappropriate to have a personal relationship with staff - (answer)
A,C,E
-Difficulty with social and professional relationships is a personality characteristic that can be seen with
all personality disorder types.
-Maladaptive response to stress is a personality characteristic that can be seen with all personality
disorder types.
-Difficulty understanding personal boundaries is a personality characteristic that can be seen with all
personality disorder types.
A 36-year-old client with paranoid schizophrenia believes the room is bugged by the Central Intelligence
Agency and a roommate is a foreign spy. The client has never had a romantic relationship, has no contact
with family, and hasn't been employed for the past 14 years. Based on Erikson's theories, the nurse
should recognize that this client is in which stage of psychosocial development?
, NCLEX PERSONALITY DISORDERS EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 220 QUESTIONS AND
CORRECT DETAILED ANSWERS
A. Autonomy versus shame and doubt
B. Generativity versus stagnation
C. Integrity versus despair
D. Trust versus mistrust - (answer) D
This client's paranoid ideation indicates difficulty in trusting others.
A client with antisocial personality disorder smokes where it is prohibited and doesn't follow other unit
or facility rules. The client gets others to do the laundry and other personal chores, tries to divide the
staff, and works only with certain nurses. The primary focus on this client's care plan should be:
A. consistently enforcing unit rules and facility policy
B. isolating the client to decrease contact with easily manipulated clients
C. engaging in power struggles with the client to decrease the incidence of manipulative behavior
D. using behavior modification to decrease the amount of negative behavior by using negative
reinforcement - (answer) A
Firmness and consistency about rules are the hallmarks of a care plan for a client with a personality
disorder.
During a private conversation, a client with borderline personality disorder asks the nurse to "keep my
secret" and then displays multiple, self-inflicted, superficial lacerations on the forearms. What is the
nurse's best response?
A. "This type of behavior requires you to be on suicide precautions."
B. "I'm going to tell your physician. Do you want to tell me why you did that?"
C. "Tell me what type of instrument you used. I'm concerned about infection."
D. "Whenever something important occurs, the team needs to know about it. I'll have to tell the others,
but let's talk about it first." - (answer) D
This response informs the client of the nurse's planned actions and allows time to discuss the client's
action.
The nurse is assessing the client with paranoid personality disorder. Which behavior should the nurse
expect?
A. Able to trust only those who are fair and treat the client well
