NURS 222: MENTAL
HEALTH/PSYCHIATRIC NURSING -
WEEK 7 COMPREHENSIVE QUIZ
1. A patient with Borderline Personality Disorder (BPD) is praised by a morning shift nurse for
being the ‘only one who understands me,’ but later tells the evening shift nurse that the
morning nurse is ‘incompetent and cruel.’ What defense mechanism is the patient displaying?
A. Sublimation
B. Reaction Formation
C. Splitting
D. Intellectualization
Answer: C
Conceptual Explanation: Splitting is a primary defense mechanism in BPD where the
individual views people or situations as either all good or all bad, unable to integrate
positive and negative qualities.
2. When managing a client with Antisocial Personality Disorder, which nursing intervention is
the highest priority?
A. Encouraging the client to vent feelings of anger.
,B. Teaching the client relaxation techniques.
C. Setting clear, consistent limits on manipulative behavior.
D. Providing a warm, unstructured environment.
Answer: C
Conceptual Explanation: Clients with Antisocial Personality Disorder are often
manipulative and lack regard for rules. Setting clear, consistent boundaries and
consequences is essential for safety and therapeutic progress.
3. A client is admitted to the emergency department with suspected Heroin overdose. Which
clinical manifestation should the nurse anticipate?
A. Tachycardia and hypertension
B. Pinpoint pupils and respiratory depression
C. Pupillary dilation and agitation
D. Hyperreflexia and seizures
Answer: B
Conceptual Explanation: Opioid overdose classically presents with the triad of
respiratory depression, pinpoint pupils (miosis), and a decreased level of consciousness.
4. A nurse is assessing a client with Anorexia Nervosa. Which physical finding is most
indicative of the body’s compensatory response to prolonged starvation?
A. Lanugo
, B. Hypertension
C. Tachycardia
D. Hyperthermia
Answer: A
Conceptual Explanation: Lanugo is fine, downy hair that grows on the body as an
adaptive response to provide insulation due to the loss of subcutaneous fat in starvation.
5. A client with Alcohol Use Disorder is experiencing Delirium Tremens (DTs). What is the
primary nursing concern?
A. Potential for nutritional deficiency
B. Risk for injury and seizures
C. Lack of knowledge regarding recovery groups
D. Disturbed sleep patterns
Answer: B
Conceptual Explanation: Delirium Tremens is a medical emergency characterized by
severe autonomic instability, hallucinations, and a high risk for seizures and death.
6. Which personality disorder is characterized by a pervasive pattern of grandiosity, a need
for admiration, and a lack of empathy?
A. Histrionic Personality Disorder
B. Narcissistic Personality Disorder
HEALTH/PSYCHIATRIC NURSING -
WEEK 7 COMPREHENSIVE QUIZ
1. A patient with Borderline Personality Disorder (BPD) is praised by a morning shift nurse for
being the ‘only one who understands me,’ but later tells the evening shift nurse that the
morning nurse is ‘incompetent and cruel.’ What defense mechanism is the patient displaying?
A. Sublimation
B. Reaction Formation
C. Splitting
D. Intellectualization
Answer: C
Conceptual Explanation: Splitting is a primary defense mechanism in BPD where the
individual views people or situations as either all good or all bad, unable to integrate
positive and negative qualities.
2. When managing a client with Antisocial Personality Disorder, which nursing intervention is
the highest priority?
A. Encouraging the client to vent feelings of anger.
,B. Teaching the client relaxation techniques.
C. Setting clear, consistent limits on manipulative behavior.
D. Providing a warm, unstructured environment.
Answer: C
Conceptual Explanation: Clients with Antisocial Personality Disorder are often
manipulative and lack regard for rules. Setting clear, consistent boundaries and
consequences is essential for safety and therapeutic progress.
3. A client is admitted to the emergency department with suspected Heroin overdose. Which
clinical manifestation should the nurse anticipate?
A. Tachycardia and hypertension
B. Pinpoint pupils and respiratory depression
C. Pupillary dilation and agitation
D. Hyperreflexia and seizures
Answer: B
Conceptual Explanation: Opioid overdose classically presents with the triad of
respiratory depression, pinpoint pupils (miosis), and a decreased level of consciousness.
4. A nurse is assessing a client with Anorexia Nervosa. Which physical finding is most
indicative of the body’s compensatory response to prolonged starvation?
A. Lanugo
, B. Hypertension
C. Tachycardia
D. Hyperthermia
Answer: A
Conceptual Explanation: Lanugo is fine, downy hair that grows on the body as an
adaptive response to provide insulation due to the loss of subcutaneous fat in starvation.
5. A client with Alcohol Use Disorder is experiencing Delirium Tremens (DTs). What is the
primary nursing concern?
A. Potential for nutritional deficiency
B. Risk for injury and seizures
C. Lack of knowledge regarding recovery groups
D. Disturbed sleep patterns
Answer: B
Conceptual Explanation: Delirium Tremens is a medical emergency characterized by
severe autonomic instability, hallucinations, and a high risk for seizures and death.
6. Which personality disorder is characterized by a pervasive pattern of grandiosity, a need
for admiration, and a lack of empathy?
A. Histrionic Personality Disorder
B. Narcissistic Personality Disorder
