Chapter 32: Personality disorders
Updated 2025 Complete Exam
Questions with Elaborated
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1. A nurse would expect a client diagnosed with schizotypal personality
disorder to exhibit which characteristic?
A. The client has many friends and associates but prefers to interact in
small groups.
B. The client has many brief but intense relationships.
C. The client experiences incorrect interpretations of external events.
D. The client exhibits lack of tender feelings toward others. - ANSWER
✓C
Clients who are diagnosed with schizotypal personality disorder experience
odd beliefs or magical thinking that influences behavior and is inconsistent
with cultural norms. This results in incorrect interpretations of external
events.
2. While improving, a client demands to have a phone installed in the
intensive care unit (ICU) room. When a nurse states, "This is not allowed; it
is a unit rule," the client angrily demands to see the doctor. Which approach
should the nurse use in this situation?
A. Provide an explanation for the necessity of the unit rule.
B. Assist the client to discuss anger and frustrations.
C. Call the physician and relay the request.
, D. Arrange for a phone to be installed in the client's unit room. -
ANSWER ✓ B
Clients who demand special privileges may be diagnosed with narcissistic
personality disorder. The best approach in this situation is for the nurse to
identify the function that anger, frustration, and rage serve for the client. The
verbalization of feelings may help the client to gain insight into his or her
behavior
3. Which nursing statement reflects a common characteristic of a client
diagnosed with paranoid personality disorder?
A. "This client consistently criticizes care and has difficulty getting along
with others."
B. "This client is shy and fades into the background."
C. "This client expects special treatment, and setting limits will be
necessary."
D. "This client is expressive during group and is very pleased with self."
- ANSWER ✓ A
A client diagnosed with paranoid personality disorder has a pervasive
distrust and suspiciousness of others. Anticipating humiliation and betrayal,
the paranoid individual characteristically learns to attack first.
4. A client exhibits dependency on staff and peers and expresses fear of
abandonment. Using Mahler's theory of object relations, which should the
nurse expect to note in this client's childhood?
A. Lack of fulfillment of basic needs by parental figures
B. Absence of the client's maternal figure during symbiosis
C. Difficulty establishing trust with the maternal figure
, D. Inconsistency by the maternal figure during individuation - ANSWER
✓D
During phase 3 (5 to 36 months) of Margaret Mahler's individuation theory,
there should be a strengthening of the ego and an acceptance of "self" with
independent ego boundaries. Inconsistency by the maternal figure during
individuation may in later years result in feelings of helplessness when the
client is alone because of exaggerated fears of being unable to care for self.
5. A client diagnosed with Cluster C traits sits alone and ignores other's
attempts to converse. When ask to join a group the client states, "No,
thanks." In this situation, which should the nurse assign as an initial nursing
diagnosis?
A. Fear R/T hospitalization
B. Social isolation R/T poor self-esteem
C. Risk for suicide R/T to hopelessness
D. Powerlessness R/T dependence issues - ANSWER ✓ B
Clients diagnosed with Cluster C traits are described as anxious and fearful.
The DSM-5 divides Cluster C personality disorders into three categories:
avoidant, dependent, and obsessive-compulsive. Anxiety and fear contribute
to social isolation.
6. Which statements represent positive outcomes for clients diagnosed with
narcissistic personality disorder? Select all that apply.
A. The client will relate one empathetic statement toward another client
in group, by day 2.
B. The client will identify one personal limitation by day 1.
C. The client will acknowledge one strength that another client possesses
by day 2.
D. The client will list four personal strengths by day 3.
Updated 2025 Complete Exam
Questions with Elaborated
Correct Answers||A+
GRADED||100% GUARANTEED
PASS!!!<BRAND NEW VERSION>
1. A nurse would expect a client diagnosed with schizotypal personality
disorder to exhibit which characteristic?
A. The client has many friends and associates but prefers to interact in
small groups.
B. The client has many brief but intense relationships.
C. The client experiences incorrect interpretations of external events.
D. The client exhibits lack of tender feelings toward others. - ANSWER
✓C
Clients who are diagnosed with schizotypal personality disorder experience
odd beliefs or magical thinking that influences behavior and is inconsistent
with cultural norms. This results in incorrect interpretations of external
events.
2. While improving, a client demands to have a phone installed in the
intensive care unit (ICU) room. When a nurse states, "This is not allowed; it
is a unit rule," the client angrily demands to see the doctor. Which approach
should the nurse use in this situation?
A. Provide an explanation for the necessity of the unit rule.
B. Assist the client to discuss anger and frustrations.
C. Call the physician and relay the request.
, D. Arrange for a phone to be installed in the client's unit room. -
ANSWER ✓ B
Clients who demand special privileges may be diagnosed with narcissistic
personality disorder. The best approach in this situation is for the nurse to
identify the function that anger, frustration, and rage serve for the client. The
verbalization of feelings may help the client to gain insight into his or her
behavior
3. Which nursing statement reflects a common characteristic of a client
diagnosed with paranoid personality disorder?
A. "This client consistently criticizes care and has difficulty getting along
with others."
B. "This client is shy and fades into the background."
C. "This client expects special treatment, and setting limits will be
necessary."
D. "This client is expressive during group and is very pleased with self."
- ANSWER ✓ A
A client diagnosed with paranoid personality disorder has a pervasive
distrust and suspiciousness of others. Anticipating humiliation and betrayal,
the paranoid individual characteristically learns to attack first.
4. A client exhibits dependency on staff and peers and expresses fear of
abandonment. Using Mahler's theory of object relations, which should the
nurse expect to note in this client's childhood?
A. Lack of fulfillment of basic needs by parental figures
B. Absence of the client's maternal figure during symbiosis
C. Difficulty establishing trust with the maternal figure
, D. Inconsistency by the maternal figure during individuation - ANSWER
✓D
During phase 3 (5 to 36 months) of Margaret Mahler's individuation theory,
there should be a strengthening of the ego and an acceptance of "self" with
independent ego boundaries. Inconsistency by the maternal figure during
individuation may in later years result in feelings of helplessness when the
client is alone because of exaggerated fears of being unable to care for self.
5. A client diagnosed with Cluster C traits sits alone and ignores other's
attempts to converse. When ask to join a group the client states, "No,
thanks." In this situation, which should the nurse assign as an initial nursing
diagnosis?
A. Fear R/T hospitalization
B. Social isolation R/T poor self-esteem
C. Risk for suicide R/T to hopelessness
D. Powerlessness R/T dependence issues - ANSWER ✓ B
Clients diagnosed with Cluster C traits are described as anxious and fearful.
The DSM-5 divides Cluster C personality disorders into three categories:
avoidant, dependent, and obsessive-compulsive. Anxiety and fear contribute
to social isolation.
6. Which statements represent positive outcomes for clients diagnosed with
narcissistic personality disorder? Select all that apply.
A. The client will relate one empathetic statement toward another client
in group, by day 2.
B. The client will identify one personal limitation by day 1.
C. The client will acknowledge one strength that another client possesses
by day 2.
D. The client will list four personal strengths by day 3.
