, NU 160 Mental Health Concepts Exam 4 Actual 2026/2027 –
100% Verified | Detailed Rationales – Pass Guaranteed – A+
Graded
PERSONALITY DISORDERS
Q1. A client with Borderline Personality Disorder exhibits unstable relationships,
impulsivity, and frantic efforts to avoid abandonment. The nurse recognizes
these as characteristic of which disorder?
A) Schizoid Personality Disorder
B) Borderline Personality Disorder
C) Narcissistic Personality Disorder
D) Antisocial Personality Disorder
Answer: B) Borderline Personality Disorder
Rationale: Key features of BPD include unstable interpersonal relationships,
impulsivity, affective instability, frantic efforts to avoid abandonment, and
suicidal/self-mutilating behaviors .
Q2. A 28-year-old social media influencer in the ER refuses surgery by residents
and demands the chief of trauma and plastic surgery, stating her face and body
are vital to her career. She becomes irate when nurses do not cater to her
needs. Which personality disorder is most likely?
A) Histrionic Personality Disorder
B) Narcissistic Personality Disorder
C) Borderline Personality Disorder
D) Paranoid Personality Disorder
Answer: B) Narcissistic Personality Disorder
Rationale: Characterized by grandiosity, need for admiration, sense of
entitlement, and lack of empathy. This client's demanding behavior and belief in
her special status are hallmark features .
,Q3. An administrative assistant is terminated because she revised work projects
5 times for correct format, causing delays and poor performance reviews. Which
disorder is most consistent with this presentation?
A) Obsessive-Compulsive Disorder
B) Schizotypal Personality Disorder
C) Paranoid Personality Disorder
D) Avoidant Personality Disorder
Answer: A) Obsessive-Compulsive Disorder
Rationale: Characterized by perfectionism, preoccupation with rules/order, and
excessive devotion to work at the expense of task completion .
Q4. A nurse documents that a client is using "splitting" behaviors with staff.
What does this mean?
A) Trying to keep staff away from other clients
B) Characterizing staff members as either all good or all bad
C) Having brief psychotic episodes
D) Manifesting two or more distinct subpersonalities
Answer: B) Characterizing staff members as either all good or all bad
Rationale: Splitting is the inability to integrate positive and negative aspects of
self or others, leading to alternating between seeing people as all good or all bad.
It is a hallmark defense mechanism in BPD .
Q5. A client diagnosed with antisocial personality disorder approaches the nurse
and says "You're so cute, are you married?" What is the most appropriate
response?
A) "I'm married, but that's none of your business."
B) "Let's talk about your love life instead."
C) "Thank you for the compliment, but I'm married."
D) "Our relationship is strictly professional. It's not appropriate for us to have that
kind of discussion."
, Answer: D) "Our relationship is strictly professional. It's not appropriate for us to
have that kind of discussion."
Rationale: The nurse must maintain clear professional boundaries and redirect
inappropriate communication without engaging in personal discussion .
Q6. According to researchers, which is a common theme in the health history of
clients with BPD?
A) Autism
B) Attention deficit-hyperactivity disorder
C) Positive and fulfilling interpersonal relationships
D) Early childhood trauma
Answer: D) Early childhood trauma
Rationale: Research consistently shows high rates of childhood physical, sexual,
or emotional abuse in individuals with BPD .
Q7. Which behavioral pattern is characteristic of individuals with narcissistic
personality disorder?
A) Overly self-centered and exploitative of others
B) Suspicious and mistrustful of others
C) Rule conscious and disapproving of change
D) Anxious and socially isolated
Answer: A) Overly self-centered and exploitative of others
Rationale: Narcissistic individuals have an inflated sense of self-importance and
exploit others to meet their own needs .
Q8. Which behavioral pattern is characteristic of individuals with schizoid
personality disorder?
A) Belittling themselves and their abilities
B) A lifelong pattern of social withdrawal
100% Verified | Detailed Rationales – Pass Guaranteed – A+
Graded
PERSONALITY DISORDERS
Q1. A client with Borderline Personality Disorder exhibits unstable relationships,
impulsivity, and frantic efforts to avoid abandonment. The nurse recognizes
these as characteristic of which disorder?
A) Schizoid Personality Disorder
B) Borderline Personality Disorder
C) Narcissistic Personality Disorder
D) Antisocial Personality Disorder
Answer: B) Borderline Personality Disorder
Rationale: Key features of BPD include unstable interpersonal relationships,
impulsivity, affective instability, frantic efforts to avoid abandonment, and
suicidal/self-mutilating behaviors .
Q2. A 28-year-old social media influencer in the ER refuses surgery by residents
and demands the chief of trauma and plastic surgery, stating her face and body
are vital to her career. She becomes irate when nurses do not cater to her
needs. Which personality disorder is most likely?
A) Histrionic Personality Disorder
B) Narcissistic Personality Disorder
C) Borderline Personality Disorder
D) Paranoid Personality Disorder
Answer: B) Narcissistic Personality Disorder
Rationale: Characterized by grandiosity, need for admiration, sense of
entitlement, and lack of empathy. This client's demanding behavior and belief in
her special status are hallmark features .
,Q3. An administrative assistant is terminated because she revised work projects
5 times for correct format, causing delays and poor performance reviews. Which
disorder is most consistent with this presentation?
A) Obsessive-Compulsive Disorder
B) Schizotypal Personality Disorder
C) Paranoid Personality Disorder
D) Avoidant Personality Disorder
Answer: A) Obsessive-Compulsive Disorder
Rationale: Characterized by perfectionism, preoccupation with rules/order, and
excessive devotion to work at the expense of task completion .
Q4. A nurse documents that a client is using "splitting" behaviors with staff.
What does this mean?
A) Trying to keep staff away from other clients
B) Characterizing staff members as either all good or all bad
C) Having brief psychotic episodes
D) Manifesting two or more distinct subpersonalities
Answer: B) Characterizing staff members as either all good or all bad
Rationale: Splitting is the inability to integrate positive and negative aspects of
self or others, leading to alternating between seeing people as all good or all bad.
It is a hallmark defense mechanism in BPD .
Q5. A client diagnosed with antisocial personality disorder approaches the nurse
and says "You're so cute, are you married?" What is the most appropriate
response?
A) "I'm married, but that's none of your business."
B) "Let's talk about your love life instead."
C) "Thank you for the compliment, but I'm married."
D) "Our relationship is strictly professional. It's not appropriate for us to have that
kind of discussion."
, Answer: D) "Our relationship is strictly professional. It's not appropriate for us to
have that kind of discussion."
Rationale: The nurse must maintain clear professional boundaries and redirect
inappropriate communication without engaging in personal discussion .
Q6. According to researchers, which is a common theme in the health history of
clients with BPD?
A) Autism
B) Attention deficit-hyperactivity disorder
C) Positive and fulfilling interpersonal relationships
D) Early childhood trauma
Answer: D) Early childhood trauma
Rationale: Research consistently shows high rates of childhood physical, sexual,
or emotional abuse in individuals with BPD .
Q7. Which behavioral pattern is characteristic of individuals with narcissistic
personality disorder?
A) Overly self-centered and exploitative of others
B) Suspicious and mistrustful of others
C) Rule conscious and disapproving of change
D) Anxious and socially isolated
Answer: A) Overly self-centered and exploitative of others
Rationale: Narcissistic individuals have an inflated sense of self-importance and
exploit others to meet their own needs .
Q8. Which behavioral pattern is characteristic of individuals with schizoid
personality disorder?
A) Belittling themselves and their abilities
B) A lifelong pattern of social withdrawal
