NURS 222 WEEK 9: PERSONALITY,
EATING, AND SOMATIC SYMPTOM
DISORDERS COMPREHENSIVE
EXAMINATION
1. A client with Borderline Personality Disorder (BPD) tells a nurse, ‘You are the only one who
cares. The night nurse is incompetent and cold.’ This behavior is an example of which defense
mechanism?
A. Projection
B. Dissociation
C. Reaction Formation
D. Splitting
Answer: D
Conceptual Explanation: Splitting is a hallmark of BPD where individuals perceive people
as all good or all bad, unable to integrate positive and negative qualities.
2. Which clinical manifestation is most characteristic of a client diagnosed with Schizoid
Personality Disorder?
A. Magical thinking and eccentric appearance
,B. Emotional detachment and lack of interest in social relationships
C. Extreme social anxiety and fear of rejection
D. Excessive need for admiration and grandiosity
Answer: B
Conceptual Explanation: Schizoid Personality Disorder is characterized by a pervasive
pattern of detachment from social relationships and a restricted range of expression of
emotions in interpersonal settings.
3. A patient is admitted with Anorexia Nervosa. During the initial assessment, the nurse notes
fine, downy hair on the patient’s back and arms. How should the nurse document this
finding?
A. Alopecia
B. Hirsutism
C. Striae
D. Lanugo
Answer: D
Conceptual Explanation: Lanugo is the growth of fine, downy hair often seen in patients
with severe anorexia as the body attempts to insulate itself due to lack of body fat.
, 4. What is the primary nursing priority when caring for a client with Anorexia Nervosa who
has a Body Mass Index (BMI) of 14?
A. Improving self-esteem
B. Identifying family triggers
C. Establishing a therapeutic relationship
D. Physiological stabilization and nutrition
Answer: D
Conceptual Explanation: Safety and physiological stability are always the priority. A BMI
under 15 indicates severe malnutrition and potential for organ failure.
5. Which personality disorder belongs to Cluster B (Dramatic, Emotional, Erratic)?
A. Paranoid Personality Disorder
B. Obsessive-Compulsive Personality Disorder
C. Dependent Personality Disorder
D. Antisocial Personality Disorder
Answer: D
Conceptual Explanation: Cluster B includes Antisocial, Borderline, Histrionic, and
Narcissistic personality disorders.
EATING, AND SOMATIC SYMPTOM
DISORDERS COMPREHENSIVE
EXAMINATION
1. A client with Borderline Personality Disorder (BPD) tells a nurse, ‘You are the only one who
cares. The night nurse is incompetent and cold.’ This behavior is an example of which defense
mechanism?
A. Projection
B. Dissociation
C. Reaction Formation
D. Splitting
Answer: D
Conceptual Explanation: Splitting is a hallmark of BPD where individuals perceive people
as all good or all bad, unable to integrate positive and negative qualities.
2. Which clinical manifestation is most characteristic of a client diagnosed with Schizoid
Personality Disorder?
A. Magical thinking and eccentric appearance
,B. Emotional detachment and lack of interest in social relationships
C. Extreme social anxiety and fear of rejection
D. Excessive need for admiration and grandiosity
Answer: B
Conceptual Explanation: Schizoid Personality Disorder is characterized by a pervasive
pattern of detachment from social relationships and a restricted range of expression of
emotions in interpersonal settings.
3. A patient is admitted with Anorexia Nervosa. During the initial assessment, the nurse notes
fine, downy hair on the patient’s back and arms. How should the nurse document this
finding?
A. Alopecia
B. Hirsutism
C. Striae
D. Lanugo
Answer: D
Conceptual Explanation: Lanugo is the growth of fine, downy hair often seen in patients
with severe anorexia as the body attempts to insulate itself due to lack of body fat.
, 4. What is the primary nursing priority when caring for a client with Anorexia Nervosa who
has a Body Mass Index (BMI) of 14?
A. Improving self-esteem
B. Identifying family triggers
C. Establishing a therapeutic relationship
D. Physiological stabilization and nutrition
Answer: D
Conceptual Explanation: Safety and physiological stability are always the priority. A BMI
under 15 indicates severe malnutrition and potential for organ failure.
5. Which personality disorder belongs to Cluster B (Dramatic, Emotional, Erratic)?
A. Paranoid Personality Disorder
B. Obsessive-Compulsive Personality Disorder
C. Dependent Personality Disorder
D. Antisocial Personality Disorder
Answer: D
Conceptual Explanation: Cluster B includes Antisocial, Borderline, Histrionic, and
Narcissistic personality disorders.
